Archived: Rowlandson House

Updated 13 February 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: Two inspectors carried out the inspection

Service and service type Rowlandson House is a ‘care home’. 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.

There was no registered manager in the service. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This was an unannounced inspection. We did not give the provider notice of our intended arrival

What we did:

Before the inspection: We reviewed the information, we held about the service. This included the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally required to let us know about. Notifications enable us to monitor the service.

Following our last inspection in October 2018. The service was rated as inadequate and we imposed conditions on the provider. We requested information to show compliance with the conditions. Not all information was supplied within the required timescales. Further information was supplied to the CQC on 2 January 2018. We reviewed this information prior to our inspection.

On 11 January local authority commissioners advised us that the home was due to close and they were acting to ensure people could be transferred safely to other care homes. We decided to carry out this inspection on 15 January 2019 to check to see if people were safe.

During our inspection: We looked at four people’s care records. We spoke with one person who used the service and carried out observations of people who were unable to tell us about their experiences. We checked seven people’s medicines records.

following the inspection we continued to work closely with the local authority.

We were advised by local authority representatives who were in the home at the time of our inspection that all people who were using the service would have moved out no later than Friday 18 January 2019.

Following our inspection: We continued to work closely with the local authority.

Updated 13 February 2019

About the service: Rowlandson house is a residential care home that was providing personal and nursing care to 17 people, two of whom were in hospital at the time of our inspection.

People’s experience of using this service

At the time of our inspection, people were experiencing significant change as the provider had decided to close the home.

Staff were supporting the reassessments of people to enable them to move to other homes which could meet their needs.

Nutrition plans were provided to Care Quality Commission (CQC) to meet the requirements imposed on the service following the last inspection. The plans indicated people were at risk of health conditions due to having a low body mass index (BMI). The operations manager told us this information was being passed as a priority to staff in other care homes and the advice of dieticians had been sought.

Since the last inspection improvements had been made in the administration of people’s medicines. The local clinical commissioning group and a pharmacy had worked with staff at the home to improve oversight of the medicines. This had assisted staff to more closely monitor people’s stock of medicine.

The home required cleaning to reduce the risks of cross infection.

Additional hoists had been provided to negate the need for staff transporting a hoist between floors.

Fire evacuation equipment was in place.

We passed on our concerns to local authority representatives to ensure people’s needs could be met in their new care homes.

Rating at last inspection: At the last inspection carried out in September and November 2018 we rated this service as inadequate. (Report published 11 December 2018).

Why we inspected: This inspection was planned to check improvements to the service were underway. However, we learned on 11 January 2019 of the impending closure of the home and we carried out this inspection to check people were safe.

Follow up: The service was due to close on 18 January 2019. We will speak to the local authority to confirm everyone who used the service has moved out.