About the service Roseville Care Centre is a residential care home providing personal and nursing care to 87 people aged 65 and over at the time of the inspection. The service can support up to 103 people across five areas, each of which has separate adapted facilities. One of the wings specialises in providing care to people living with dementia. Another area was being developed to care for people who were isolating due to COVID-19.
People’s experience of using this service and what we found
Medicines were not always managed safely.
Effective infection prevention and control systems were in place. One relative told us, “We met [relative] in reception, [relative] sat at one side and I was at the other. We had to wear masks and wash our hands. They have done a good job of keeping everyone safe.”
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; however, the policies and systems in the service did not always support this practice. Records relating to people’s capacity to make decisions was not always in place or completed correctly.
Quality assurances processes were in place but had not identified or resolved all of the issues we found during our inspection. Some records were not up to date or accurate.
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 22 May 2019) and there was one breach 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 enough improvement had not been made/ sustained and the provider was still in breach of regulation.
Why we inspected
We undertook this targeted inspection to check whether the breach of regulation and other concerns identified at the last inspection had been addressed. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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 identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We have identified continuing breaches of regulation in relation to safe care and treatment. Please see the action we have told the provider to take at the end of this report.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseville Care Centre on our website at www.cqc.org.uk.