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Rowley House Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 July 2021

About the service

Rowley House Nursing Home is a residential care home providing personal and nursing care to 26 people aged 65 and over at the time of the inspection. The service can support up to 35 people in one adapted building.

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

Although improvements had been made, we found they had not been fully embedded. People’s total fluid intake was not always recorded. Whilst we found no evidence of harm, systems for managing people’s medicine during a period of respite was not effective.

Sluice and laundry room doors were unlocked allowing people unsupervised access to COSHH products. This posed a risk to the people who lived at the home. A fire exit was blocked by wheelchairs, although they were removed by staff. Whilst most safeguarding issues were raised and acted on, we found one concern where the registered manager had not identified a potential safeguarding involving another agency.

Improvements had been made to the governance systems. Including regular audits being carried out, however they had not identified the errors or incidents we found.

Improvement had been made to people’s risk assessments, which were up to date and reflective of their current needs. Infection, prevention and control systems in place were effective. People were supported by enough staff who were trained to meet their needs. Lessons were learnt when things went wrong.

We found improvements to assessments of people’s capacity to consent to their care and treatment. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to eat and drink to maintain a healthy diet although records were not consistently updated. People’s needs were assessed, and care was delivered in line with their preferences and requirements. Staff worked with other health and social care professionals and people had access to healthcare services. The home was adapted to meet people’s needs.

People were supported and well treated and had input into their care and decisions made. Staff respected people’s dignity and privacy and promoted their independence. Improvements had been made to ensure people’s care plans were more person-centred. People’s communication needs were met, and they were supported to follow interests and maintain relationships. The provider acted on complaints to improve care. People’s end of life wishes were considered.

The registered manager had improved the culture in the home and staff and managers shared an open and honest and person-centred approach to care. The provider acted on their duty of candour. People, their relatives and staff were involved in the service and changes had been made to the home to improve the quality of care being delivered.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 January 2021) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found the provider had met previous enforcement actions and with a new registered manager in place there had been vast improvements. However, not enough improvement had been made and the provider was still in breach of regulation. The service remains rated requires improvement, it has been rated requires improvement for the last four consecutive inspections.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identifie

Inspection areas

Safe

Requires improvement

Updated 28 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 July 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 July 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 July 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 28 July 2021

The service was not always well-led.

Details are in our well-Led findings below.