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Inspection Summary


Overall summary & rating

Inadequate

Updated 8 June 2021

About the service

Roden Court provides 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 owned 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 service. There are 40 flats available for rent. On the day of the inspection there were 37 people receiving personal care.

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

People and relatives told us people receiving care from the service and their possessions were not always kept safe. Some people told us they were shouted at and that their belongings had gone missing. Staff were not always aware of what actions to take if they had concerns about people’s safety and did not always know how to blow the whistle on poor practice at the service.

People and their relatives were not always comfortable speaking with management about their concerns. Staff were not always confident about speaking out about their experiences. Staff morale was low and team work was poor and an allegation of bullying was made to us.

The provider did not have a robust system to monitor the quality of service delivery as the concerns we found had not been identified and addressed by the provider to drive forward improvements in care. People and their relatives told us the service was ineffective and disorganised and communication with management was poor.

We were not assured by the provider’s infection prevention and control measures to minimise the risk of the spread of coronavirus and other infections. The registered manager and staff did not always wear personal protective equipment, such as masks, safely. People’s risk assessments had not been updated to reflect the impact of the COVID-19 pandemic on people’s needs.

The care records at the service were unclear and disorganised and the provider had not provided enough written information to staff to ensure they knew how to keep people safe from the risks they faced.

The provider’s approach to medicine management would benefit from further improvement to ensure they were following best practice. Relative’s told us medicines were sometimes missed. Staff who administered medicines were trained and had their competency assessed.

Staff told us there were normally enough staff working to meet people’s needs and the rota reflected this. The provider had a system in place to check staff backgrounds before they started working alone at the service.

We found four breaches of the regulations in relation to dignity and respect, safe care and treatment, safeguarding people from abuse and good governance.

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 4 July 2018).

Why we inspected

We received concerns in relation to people’s safety and the management of medicines. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to inadequate. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for 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 retur

Inspection areas

Safe

Inadequate

Updated 8 June 2021

The service was not safe.

Details are in our safe findings below.

Effective

Good

Updated 8 June 2021

Caring

Good

Updated 8 June 2021

Responsive

Good

Updated 8 June 2021

Well-led

Inadequate

Updated 8 June 2021

The service was not well-led.

Details are in our well-Led findings below.