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Inspection Summary


Overall summary & rating

Good

Updated 10 July 2018

This unannounced comprehensive inspection took place on 5 June 2018. The service was rated Good in all areas following a focused inspection in March 2017. At this inspection we found improvements identified in the previous inspection had been sustained and the service remains good in all areas.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Roscarrack House is a detached historic house in its own grounds situated on the outskirts of Falmouth. The service provides single room accommodation for up to nineteen predominantly elderly people who need assistance with personal care. At the time of the inspection there were nineteen people using the service.

The service is situated over two floors which are served by a stair lift. Five rooms have en-suite bathrooms with twelve with en-suite toilets. Two rooms have no en-suite facilities. There are additional toilets and two assistive bathrooms to support people with personal care.

There is a large lounge on the ground floor with a separate dining room. There are garden areas around the service with an accessible decking area leading from the dining room. There are a range of aids and adaptations to support people with limited mobility.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The atmosphere in the service on the day of the inspection was relaxing, friendly and calm. Staff responded promptly when people asked for help and support was provided at a relaxed pace. Throughout our inspection we observed staff providing support with respect and kindness. People told us they felt safe and comfortable living at Roscarrack House. Comments included, “I used to worry about being safe in my flat but I don’t worry any more, I haven’t a care in the world now,” “The staff are amazing, I couldn’t be happier” and “I can talk to anyone about anything.”

People’s risks were being managed effectively to ensure they were safe. Records showed where changes in people’s level of risk were identified. Care plans had been updated so staff knew how to manage those risks.

People received their medicines as prescribed. Systems and processes relating to the administration and storage of medicines helped ensure medicines were managed safely.

Care plans contained information about the person and what their individual needs were and how they would be met. Care planning was reviewed regularly and people’s changing needs were recorded. Daily notes were completed by staff responsible for peoples care.

Staff were sufficiently skilled to meet people needs. Necessary pre-employment checks had been completed and there were systems in place to provide new staff with appropriate induction training. Existing staff received regular training, supervision and annual performance appraisals.

Safeguarding procedures were in place and staff had a good understanding of how to identify and act on any allegations of abuse.

The manager used effective systems to record and report on, accidents and incidents and take action when required.

The service was suitably maintained. It was clean and hygienic and a safe place for people to live. We found equipment had been serviced and maintained as required.

Staff wore protective clothing such as gloves and aprons when needed and there were appropriate procedures in place to manage infection control risks.

People's rights were protected because staff acted in accordance with the Mental Capacity Act 2005. Capacity assessments were in place to justify restrictions in order

Inspection areas

Safe

Good

Updated 10 July 2018

The service remains Good.

Effective

Good

Updated 10 July 2018

The service remains Good.

Caring

Good

Updated 10 July 2018

The service remains Good.

Responsive

Good

Updated 10 July 2018

The service remains Good.

Well-led

Good

Updated 10 July 2018

The service remains Good.