Rosclare Residential Home Limited

Updated 14 April 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

Rosclare Residential Home Limited is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rosclare Residential Home Limited is a care home without nursing care. 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

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed information we held on our system informing us of important incidents that had occurred at the inspection.

We used all this information to plan our inspection.

During the inspection

We spoke with one person living at the home. We also spoke with the two care staff, the deputy manager and the registered manager. We looked at three people's care records, three staff files and documents such as incident, accidents, safeguarding and complaints records.

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 spoke with three relatives. We also spoke with two local authority representatives. We continued to review evidence submitted as part of the inspection. This included updated care records, DoLS submissions, training records and quality assurance records.

Updated 14 April 2022

About the service

Rosclare Residential Home Limited is a residential care home providing personal care for up to 19 people in one adapted building. The service provides support to older people, those with dementia and with a sensory impairment. At the time of our inspection there were 18 people using the service.

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

We have identified that quality assurance systems need to be more effective in identifying areas for improvement across the home. Risk assessments needed further updates to ensure they were more specific in stating steps staff needed to take to mitigate risk. Deprivation of Liberty Safeguards (DoLS) applications were not always applied for in a timely manner and medicines processes were not always clear in the administration of ‘PRN’ [as required] medicines. The home required update and refurbishment to ensure it was homely and hygienic throughout.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People and relatives felt that they were well cared for at the home. Staff respected people well and supported them with dignity. Care plans reflected people’s needs and how they liked to be cared for.

Staff were safely recruited and there were enough of them to meet people’s needs. Safeguarding concerns, and any accidents or incidents were appropriately investigated and shared with the staff team. Complaints were recorded and responded to.

Staff, relatives and people were positive about the support they received from management and found them to be approachable.

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 requires improvement (published 27 June 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

At this inspection we found the provider remained in breach of regulations.

At our last inspection we recommended that the provider review staffing levels to ensure they could meet people’s needs. At this inspection we found staffing levels were safe to meet the care needs of people at the home.

At our last inspection we recommended that the provider review and update staff knowledge and training in relation to the MCA. At this inspection we found that staff were knowledgeable in this area.

Why we inspected

This was a routine inspection based on the providers last rating and to follow up on action we told the provider to take at the last inspection.

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 COVID-19 and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well-led sections of this full report.

Enforcement and Recommendations

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 monitor the service and will take further action if needed.

We have identified breaches in relation to good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.