Archived: Roseneath Care Home

Updated 12 June 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 2 and 4 March 2015 and was unannounced and was carried out by one inspector.

We reviewed the information we held about the service and the provider. This included notification’s received from the provider about deaths, accidents and safeguarding alerts. A notification is information about important events which the provider is required to send us by law. We also looked at information shared with us by the Birmingham Local Authority who is responsible for commissioning services for people.

During our inspection we spoke with five people that used the service, five relatives, three staff and two health care professionals. We observed interactions between people and the staff. We also spoke with the manager and briefly with the registered provider. We looked at safeguarding, complaints and medication records. We also sampled three people’s care records and audits used by the provider to monitor the quality of the service.

Updated 12 June 2015

This inspection took place on 2 and 4 March 2015. Both days were unannounced so no one knew we would be inspecting. We last inspected the home in 6 June 214. At that inspection we found that the provider was not meeting regulations relating to the monitoring of the quality of the service. We did not receive an action plan about how the issues were going to be addressed and some of these issues were found to be ongoing at this inspection.

Roseneath provides care and accommodation for up to 30 people who have needs relating to mental health, old age and frailty. The premises are not purpose built and as such there are a variety of bedroom sizes.

There was no registered manager in post at the time of our inspection. 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 2008 and associated Regulations about how the service is run.

We found that there were some quality monitoring systems in place but they were limited and did not show that the provider was monitoring the quality of the service provided. Some improvements were being made to the fabric of the building but there was no time scale in which this would be completed.

Some people were not able to make decisions for themselves and required close supervision to keep them safe. How people who did not have the ability to make decisions for themselves were supported to make decisions was not always recorded. We saw that some applications had been made under The Mental Capacity Act Deprivation of Liberty Safeguards (MCA/DoLS) to ensure that their human rights were protected. Some applications had expired and not been reviewed, evidence was not available for others to indicate whether they had been approved or that the appropriate applications had been submitted. This meant that people’s Liberty may have been restricted without the correct authorisations in place.

This is a breach of three regulations and you can see what action we have asked the provider to take at the end of this report.

We saw that interactions between staff and the people who lived at the home were friendly, polite and helpful to people. All the relatives and people spoken with were happy about the care their relative received.

All the staff we spoke with understood their responsibilities to protect people from harm and abuse. Staff told us that they were provided with the training that they required to carry out their role and keep people safe but safeguarding alerts were not always raised so that their responsibilities were not always fulfilled.

Our observations and conversations with staff and relatives confirmed that staffing numbers and the skill mix of staff was adequate to meet people’s needs and to keep them safe. Staff had been appropriately checked before they started their employment in the home.

The management of medicines was not always safe because medicines were not stored and recorded appropriately and not all staff were knowledgeable about the systems for the safe management of medicines.

All the people spoken with told us they enjoyed their meals.

People knew who to speak with if they had any concerns. Relatives told us the provider was available to speak with if needed.

Some surveys had been sent out and a meeting had been held to get the views of people about the service.

You can see what action we told the provider to take at the back of the full version of the report.