Roland Residential Care Homes - 163 Hampden Way

Roland Residential Care Home provides accommodation and care to seven people with mental health needs. On the day of our visit there were six people living in the home.

People’s experience of using this service and what we found

People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people. Staff supported people to take medicines safely.

Risks to people were assessed and regularly reviewed. Staff understood the actions needed to minimise the risk of avoidable harm including the prevention of avoidable infection. Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor

practice. There were systems in place to record or track incidents and allegations of abuse.

People and staff praised the managers of the service and agreed that they were approachable, knowledgeable, fair and did their job well. The staff team worked well together and supported the registered manager.

The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff understood their responsibilities to report any concerns.

Staff encouraged people to be as independent as possible and respected people’s privacy and dignity.

People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well. Care plans contained information about each person’s individual support needs and preferences in relation to their care and we found evidence of good outcomes for people. When people did not have the capacity to make their own decisions, staff maximised their involvement and made decisions in their best interests, in accordance with legislation.

Recruitment practices were safe and relevant checks had been completed before staff worked at the service.

People told us that staff were able to meet their needs and were respectful of their individual preferences. Relatives told us staff who supported their loved ones were kind and caring.

The managers of the service actively sought the views of people and their relatives about the running of the service and they dealt promptly with any concerns that people raised.

The provider had systems in place to monitor and improve the quality and safety of the service provided.

The home was clean and odour free. There were increased infection control measures in response to the coronavirus outbreak. The provider reacted appropriately to keep people safe.

Staff received the training and support to carry out their role effectively. Support staff told us that the current management team were very supportive especially during the recent months of the pandemic.

There was a positive culture throughout the service which focused on providing care that was personalised.

Rating at last inspection

At the last inspection we rated this service Good. The report was published on 26 September 2017.

Why we inspected

We carried out a focused inspection of this service on 15 June 2021This was because the location had not been inspected since there was a change to the registered manager. This report only covers our findings in relation to the Key Questions safe, effective and well led as we were mindful of the impact and added pressures of Covid-19 pandemic on the service.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Roland Residential Care Home provides care to a maximum of seven people with mental health needs. On the day of our visit there were six people living in the home.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

The registered manager provided good leadership and people using the service and staff told us the manager promoted high standards of care.

People told us they were very happy with the care and support they received. Staff working at the home demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences.

Staff told us they enjoyed working in the home and spoke positively about the culture and management of the service. Staff described management as supportive. Staff confirmed they were able to raise issues and make suggestions about the way the service was provided.

The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were supported and staff listened to them and knew their needs well.Staff had the training and support they needed.

Recruitment practices were safe and relevant checks had been completed before staff worked at the home.

People’s medicines were managed appropriately so they received them safely

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people with complex needs in the home.

The service was meeting the requirements of the Deprivation of Liberty Safeguards(DoLS). Appropriate mental capacity assessments and best interest’s decisions had been undertaken by relevant professionals. This ensured that any decisions were made in accordance with the Mental Capacity Act, DoLS and associated Codes of Practice.

Staff were caring and always ensured they treated people with dignity and respect.

People participated in a range of different social activities and were supported to attend health appointments. They also participated in shopping for the home and their own needs and were supported to maintain a healthy balanced diet. Some people regularly attended activities that were provided at the provider’s other residential homes.

The providers head office regularly completed robust quality assurance checks, to make sure the high standards of care were maintained.

People enjoyed the food and there was sufficient healthy nutritious choices which met the needs of people who were on special diets.

The home was clean and staff knew how to maintain hygiene standards and encouraged people to maintain their personal areas. There were sufficient numbers of staff to care for people in a safe way. The home held up to date personal records on people, and staff and were accountable for maintaining financial records, so that people were protected.

We saw that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan and to ensure people's safety and welfare. Some relatives told us that they were involved in the planning and review of people's care plans with the person and staff. One relative told us the person was "very happy and I feel listened to and able to participate in their care."

People who use the service were protected against the risk of unlawful or excessive control or restraint because the provider had made suitable arrangements. Staff were aware of safeguarding policies and procedures and knew to report any allegations of abuse to the manager and the local authority safeguarding team.

Appropriate checks were undertaken before staff began work and effective recruitment, selection and employment processes were in place.

The provider had a system in place for identifying, receiving, handling and responding to complaints and comments made by people using the service and those acting on their behalf.