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Inspection report

Date of Inspection: 6 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF | 91.04 KB


Inspection carried out on 6 November 2013

During a routine inspection

At the time of our inspection the provider did not have a registered manager in post. We spoke with the manager who was currently in the process of registering with the Care Quality Commission. They explained that there was a delay in their registered manager application because their Disclosure and Baring Service check had expired. We advised the manager and provider that they needed to take immediate steps to ensure that the registered manager application was processed as a matter of urgency, to avoid legal action.

People were asked for their consent before any care and treatment was provided. However, we found that consent to care and treatment forms were not found in any of the care plans we reviewed. Staff were also unaware of their responsibilities in relation to the Mental Capacity Act and determining people�s capacity to make decision.

People�s care was assessed and planned in line with their wishes. People received good care from kind and caring staff. One person said "the care is excellent and the care staff are so kind to me�.

We found people were protected from the risk of abuse because staff understood their responsibilities to identify and report abuse. Staff had also received appropriate training. Rowan Lodge had reported several safeguarding concerns to the Care Quality Commission and the local authority in the previous six months. These were all investigated appropriately.

There were enough qualified, skilled and experienced staff. We reviewed the rota�s for the previous month and found appropriate staffing levels on each shift.

People�s views and feedback were sought on a regular basis. Staff were able to tell us about concerns and issues raised by people and how they resolved these. There were suitable systems in place to monitor the health, welfare and safety of people.

Records were not always accurate and fit for purpose. We found care plans which were not completed in full and that information was not always recorded consistently.