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Inspection carried out on 4 December 2020

During an inspection looking at part of the service

About the service

The Rowans Care Home is a care home providing personal care for up to 53 people, some of whom may be living with dementia. At the time of our inspection, 41 people were using the service.

We found the following examples of good practice.

¿ Safety measures were in place to protect people using the service and visitors. These included temperature checks, health screening for all visitors and their details being kept for track and trace purposes. All visitors were supervised to ensure they followed infection control guidelines and wore appropriate personal protective equipment (PPE).

¿ People who used the service were supported to maintain contact with their families and friends through phone calls, video calls, and window visits. Visiting procedures were in place to support relatives to visit people at the end of their lives.

¿ Staff maintained social distancing where possible. Staff reminded people about social distancing and risk assessments were in place for people who were unable to follow guidance. Furniture had been rearranged to support safe social distancing though further changes were made to ensure this included the dining area and staff room.

¿ Processes were in place to support the safe admission of people into the service which followed best practice guidance.

¿ Staff appropriately wore PPE in line with current guidance. Staff were trained in using PPE and the service had designated areas for staff to put on and remove PPE though not all bins were foot operated. However, the provider had ordered new bins.

¿ Regular testing of people who used the service and staff was completed in line with current guidance. Clear procedures were in place to support people to isolate.

¿ The service was tidy, regularly cleaned and windows were open to minimise the risk of people catching or spreading COVID-19. However, some items of furniture were damaged and difficult to clean, though the provider had new furniture on order.

¿ The provider had contingency plans in place which included the use of agency staff who only worked at the service to reduce the risk of transmission to and from other services.

Further information is in the detailed findings below.

Inspection carried out on 23 January 2019

During a routine inspection

About the service: The Rowans Care Home is a residential care home that was providing personal care to 46 older people, including people who were living with dementia, at the time of the inspection.

People’s experience of using this service: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People and their relatives told us they were happy with the service provided. Staff understood the importance of providing person-centred care and had developed positive relationships with people.

People received support where this was required but staff encouraged their independence to live fulfilled lives free from unnecessary restriction.

Staff had received training and clear guidance was followed to keep people safe from avoidable abuse. Where people had been assessed as at risk from any activity, support plans provided guidance for staff to provide safe care and support.

Medicines were managed and administered safely. Records confirmed people had received their medicines as prescribed.

People's records were detailed, person centred and evaluated consistently. The provider was working to improve records further to ensure information was always accessible and current for staff to follow.

Records confirmed people’s input and where they were unable to consent the provider followed appropriate legislation to make sure any decisions were in the persons best interest. Staff were working hard to ensure any decisions made in people’s best interests were robustly recorded with the required input.

Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.

The registered manager and their deputy were responsive to any concerns we raised during the inspection; implementing corrective actions immediately where this was apparent and discussing plans where further improvements were required.

Staff were friendly and polite. Staff took time to get to know people. They had a clear understanding of, and how to support, people’s individual and diverse needs.

People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.

People knew the registered manager and told us they trusted them. Staff told us the registered manager was supportive and approachable.

The provider completed oversight of the service to ensure quality assurance remained a priority and was effective in maintaining standards and driving improvements.

Rating at last inspection: At the last inspection the service was rated as Good (report published May 2017).

Why we inspected: This inspection was a planned inspection based on previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.