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Radis Community Care (Rowan Court ECH) Requires improvement

Reports


Inspection carried out on 13 March 2019

During a routine inspection

About the service: Radis Community Care (Rowan Court ECH) provides personal care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented, and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people's personal care and support services.

At the time of our inspection the service was providing a service for 18 older people with a variety of care needs, including people living with physical frailty or memory loss due to the progression of age.

People’s experience of using this service:

People were treated with kindness and respect. People’s comments included: “They are very nice to me” and “The manager and staff are lovely”.

People using the service told us they felt safe. Staff contacted healthcare professionals when they had concerns about people’s health and wellbeing.

Staff understood and followed guidance to enable them to recognise and address any safeguarding concerns about people.

Risks relating to people’s health and welfare were assessed and these were recorded along with actions identified to reduce those risks. There were plans in place for foreseeable emergencies.

People were supported with their nutritional needs when required.

Records did not all contain clear guidance or information to support the safe administration of people’s medicines. Not all staff had received an assessment of their competency to administer medicines in line with best practice guidance.

Staff recruitment records did not always demonstrate that thorough processes were followed when checking staff for suitability before being employed by the service.

Staff demonstrated knowledge of people’s individual needs, but were not always supported to perform their roles. Records showed one to one supervisions had fallen behind and training was not always kept up.

There were systems in place to monitor the quality and safety of the service provided, however these were not always effective. The provider did not always notify us of incidents or complete required documentation when requested. Lessons were not always learnt following inspections at other services run by the provider.

Care plans contained some records that needed to be reviewed and updated to ensure they remained accurate and supported the delivery of person centred care.

We have made a recommendation about the management of complaints.

Radis Community Care (Rowan Court ECH) met the characteristics of Good in some areas and of Requires Improvement in others. Overall, we have rated the service as Required Improvement.

During our inspection we found four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and one breach of the Health and Social Care Act 2008 (Registration) Regulations 2009.

More information is in the full report.

Rating at last inspection: This was the first inspection of Rowan Court since the new provider took over the running of the service on 28 June 2017.

Why we inspected: This was a planned inspection.

Follow up: We have rated this service as Requires Improvement and have requested an improvement action plan that will be reviewed to ensure that improvements have been made.

We will follow up on this inspection as per our re-inspection programme, and through ongoing monitoring of information received about the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk