Background to this inspection
Updated
16 December 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection to Rose Martha Court was completed by one inspector on 17 November 2020. An Expert by Experience made telephone calls to people’s relatives on 23 November 2020. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Rose Martha Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the Local Authority prior to the site visit. A variety of records relating to the management of the service were reviewed. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with the registered manager and the service's regional manager. We spoke with three members of care staff. We reviewed a range of records, including people's care records and two staff recruitment files. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We reviewed further information sent to us by the registered manager. We spoke with eight people’s relatives to ascertain their view and experience of the service.
Updated
16 December 2020
About the service
Rose Martha Court is a residential care home providing personal and nursing care for up to 76 people aged 65 and over in one adapted building. At the time of the inspection the service was supporting 36 people.
People’s experience of using this service and what we found
The leadership, management and governance arrangements provided some assurances to suggest the service was being managed well. Quality assurance and governance arrangements at the service were much better since our last inspection of the service in February 2020. However, improvements were still required to ensure risks to people were recorded and mitigated, records relating to their care and support were accurate and infection, prevention and control measures were safe and in line with current national guidelines.
Since our last inspection in February 2020, people were protected by the service's safeguarding arrangements. The deployment of staff was suitable to meet people's care and support needs. Proper arrangements were now in place to ensure people received their medication as they should. Staff were recruited safely to support people to stay safe.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff received and induction and training to carry out their roles. People were supported to access healthcare services and receive ongoing healthcare.
Care plans covered most people’s care and support needs, including the needs of people who were at the end of their life. People were supported to take part in social activities. Effective arrangements were in place to manage people’s concerns or complaints.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Inadequate [published 10 June 2020].
At this inspection we found improvements had been made and the provider was no longer in breach of Regulations 9 [Person-centred care], 12 [Safe care and treatment], 14 [Meeting nutritional and hydration needs] 17 [Good governance] and 18 [Staffing].
This service has been in Special Measures since June 2020. During this inspection, the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions 'Safe', ‘Effective’, ‘Responsive’ and 'Well- Led' which contain those requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion was used in calculating the overall rating at this inspection. The overall rating for the service has changed from Inadequate to Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rose Martha Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.