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Rowena House Limited Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 13 August 2020

About the service

Rowena House Limited is a residential care home providing personal care for up to 22 people aged 65 and over. Seventeen people were living at the home at the time of the inspection.

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

Staff did not always follow current national guidelines to reduce the risk of the spread of infection during the COVID19 pandemic. Risks associated with the spread of infection were not always safely managed. Risks to people had been assessed but assessment tools had not always been used correctly and did not always help identify when risk levels had increased. Products containing substances hazardous to health were not always stored securely.

The provider had systems in place for monitoring the quality and safety of the service through the use of routine checks and audits. However, audits had not always been effective in identifying issues or driving improvements. The provider’s Nominated Individual (NI) and the home’s manager confirmed they were aware of current guidelines relating to the use of personal protective equipment (PPE) in the home during the COVID19 pandemic. However, they did not pick up on staff shortfalls in this area unless prompted to do so during the inspection.

We have made a recommendation about following national guidelines regarding ventilation in care homes.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was requires improvement (published 30 May 2019).

Why we inspected

We undertook this targeted inspection to check on specific concerns we had about the way in which risks to people were managed at the home. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We identified breaches of regulations at this inspection because the provider and staff were not always managing risks to people safely. The provider’s systems for monitoring the safety of the service had not always been effective in identifying issues or driving service improvements.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

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

Inspection areas


Requires improvement

Updated 30 May 2019

The service was not always safe

Details are in our Safe findings below.



Updated 30 May 2019

The service was effective

Details are in our Effective findings below.



Updated 30 May 2019

The service was caring

Details are in our Caring findings below.



Updated 30 May 2019

The service was responsive

Details are in our Responsive findings below.


Requires improvement

Updated 30 May 2019

The service was not always well-led

Systems and processes that have been implemented have not been operational for a long enough time for us to be sure of consistent and sustained good practice. Therefore, the rating for this key question remains requires improvement.

Details are in our Well-Led findings below.