Roseland Care is a care home providing personal and nursing care to 55 people some who are living with dementia. At the time of the inspection 31 people were living in the service.
The service is situated in a retirement village complex with access to communal facilities such as a restaurant, swimming pool, gym and extensive landscaped grounds. Roseland Care is a purpose-built care service with two floors.
People’s experience of using this service and what we found
People were relaxed and comfortable with staff and had no hesitation in asking for help from them. Staff were caring and spent time chatting with people as they moved around the service.
All equipment was checked and serviced regularly. Suitable mobile lifting equipment was in place to meet people’s needs. However, the beds, designed to raise and lower, to protect staff posture where found not to go high enough to protect some staff. The area director, visiting the home during our inspection, made immediate arrangements to discuss this issue with the company.
The service had suitable safeguarding systems in place, and staff knew how to recognise and what to do if they suspected abuse was occurring. A tour of the service showed no bedroom doors closed unless personal care was being carried out. People who wished to remain in their bedroom did so. Those spoken with confirmed this was their choice.
Food offered and provided at lunchtime was piping hot, a good choice and appetizing. People spoken with said the food was; “Very Good” and “Very nice.” People mentioned in the concerns raised told us they made their own food choices on what was offered and had no concerns.
There were sufficient trained and qualified staff on duty to meet people’s needs. The manager informed us they were in the process of recruiting additional nurses and care staff.
The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised.
Cleaning and infection control procedures had been updated in line with COVID-19 guidance to help protect people, visitors and staff from the risk of infection. Suitable visiting arrangements were in place for families to visit as per new government guidance.
People received their medicines safely and on time. One person confirmed their dressing was checked and changed regularly. They said; “They are very good at looking at it.”
Care plans included risk assessments and guidance for staff on how to meet people’s support needs. Risk assessment procedures were satisfactory so any risks to people were minimised.
The service was managed effectively. Staff were working well together, and one staff said; “X [the manager] is really supportive, they are a good role model.” The new manager has started the process of registering with CQC. There were had appropriate audit and quality assurance systems in place.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 2 October 2020).
Why we inspected
We undertook this targeted inspection to check because we received concerns in relation to the management of medicines and dressing changes, shortness of staff including qualified staff in the service overnight, broken and faulty equipment, high/low bed not raising to a suitable level to enable staff to move people safely, people who we considered noisy left in their bedrooms with doors shut, poor diet and food choices and staff not working well together.
CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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 found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well led sections of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseland Care on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.