Roberttown Care Home Limited

Updated 5 February 2026

Dates of assessment were from 23 and 25 February 2026. This was a follow up assessment to review the actions taken since the last assessment. The service is a care home providing personal care for people, some of whom are living with dementia.

At this assessment we found the provider was in breach of 2 legal regulations in relation to safe care and treatment and good governance.

Governance and management systems were not always effective and there were a number of concerns not fully addressed from the last assessment. Systems and processes for assuring the quality of care were in place but still not robustly implemented and lacked consistency. Some key quality issues were not addressed. There were some signs of progress beginning to emerge from issues identified at the last assessment, including a manager in post, staff supervision and improved oversight of people’s weight loss. Improvements were still needed to ensure the safe management of medicines, and the quality, consistency and accuracy of records to demonstrate people’s safe care and support.

Care plans and risk assessments were not always accurately or sufficiently in place. Assessments before admission lacked detail and were not always completed in a timely way. Individual risks were not always assessed, including risks around people’s behaviour and the management of medication.

Staff understood how to identify and act upon safeguarding concerns, although reporting processes were not always followed, and incident reports were not always adequately reviewed to identify and mitigate concerns. Where individual safeguarding risks were known this was not always documented so staff could mitigate against these.

There was evidence of effective teamwork, although still some concerns around low morale within the staff team. Staff were kind, caring and respectful in their approach, and mindful of people’s dignity. Staff training was completed regularly, although not all shifts had the presence of staff qualified in first aid.

Some evidence of learning from the last inspection was apparent and some areas were beginning to be addressed, although some repeated concerns remained.

We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 5 February 2026

We received mixed feedback from people and relatives, although overall they felt the service provided good care and support. Some people told us they had to wait for staff to attend to them when they needed support. Not everyone had seen or were aware of their care plan, and not everyone felt they were informed enough about matters affecting them. Some people said they would like to access the community more and their opportunities for independence were limited.

People and relatives told us most staff members were helpful, welcoming and friendly and there was a calm atmosphere around the home. Some people raised concerns about the approach of the night staff. We shared these concerns with the provider, who took action to investigate this.

One person told us, “I like it here, the carers are brilliant and look after me well. I stay in my room, I don't like to go into the lounge. The food is ok. They help me dress and shower and give me medication. I just watch the TV during the day and like to listen to music. I can't walk about so stay put, I have a buzzer if I need help.”

Another person said, “The carers are very nice. If I need them during the night I call them via my buzzer sometimes I have to wait and think they tend to be short on staff on the whole. The food is hit and miss.”

A relative told us, “We were involved in [relative’s] care plan when [they] came in but I don't think this has been updated. If we had any concerns or issues we would probably speak with the manager. We do feel [relative] is safe the majority of the time but at night no, because [relative] wanders and is very unsteady on [their] feet. There are lots of new staff, the older ones seem to know more about dementia than the new ones and some carers are more interactive than others.”