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Roxburgh House (West Midlands) Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 13 April 2019

About the service:

Roxburgh House (West Midlands) is a residential home that is registered to provide care and accommodation for a maximum of 44 people who do not require nursing care. People using the service are older people and younger adults, some with Dementia. 40 People were using the service at the time of the inspection.

People’s experience of using this service:

People were supported by staff to remain safe. There were enough staff available to people and people’s needs were attended to in a timely manner. Risk assessments were in place to minimise any potential risk to people’s wellbeing. Staff were recruited in a safe way. People received their medicines as expected.

People felt that staff assisting them knew their needs. Staff received regular supervision and training and had been provided with an induction. Meals were nutritious and people were kept hydrated. People were supported to maintain their health.

People were supported to have choice and control over their lives and staff understood that they should support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's care plans reflected their needs and preferences and staff could explain specific care that people required. Complaints were dealt with appropriately in line with the complaints procedure. People participated in activities that were tailored to their needs. End of life plans were in place and acknowledged by staff.

Quality monitoring systems included audits, checks on staff practice and checks on people’s satisfaction with the service they received, using questionnaires. The provider had systems in place to ensure they kept up to date with developments in the sector and changes in the law. People knew the registered manager and felt they were visible around the home and were approachable.

Rating at last inspection: The rating for the service at our last inspection was ‘Requires Improvement’ with our last report published on 30 December 2017.

Why we inspected: This was a planned comprehensive inspection that was due based on our scheduling targets. At the last inspection the key questions around Safe, Effective and Well led were rated ‘requires improvement’. This was due to concerns around medicines not always given as prescribed. Lack of staff knowledge around Mental Capacity and Deprivation of Liberty Safeguards (DoLS) and fire procedures and some audits not identifying issues. At this inspection we found that these issues had been resolved.

Enforcement:

No enforcement action was required.

Follow up:

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

Inspection areas

Safe

Good

Updated 13 April 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 13 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 13 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 13 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 13 April 2019

The service was well-led

Details are in our Well-Led findings below.