9 January 2019
During a routine inspection
This inspection took place on 9 and 21 January 2019 and was unannounced. We previously inspected this service in October 2017 when the provider was a partnership. In October 2018 the partnership was dissolved and one of the partners re-registered the home as a new provider, a limited company, of which he is a director and the nominated individual.. This was the first inspection under this registration.
Roseland Lodge 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. Roseland Lodge is an adapted building on three floors with a lift to all floors. The service is registered to provide care and support for up to eight people. At the time of our inspection eight people were living in the service.
The registered manager left the service between our two inspection visits. We received contradictory information as to why they had left the service. The provider told us on our second visit that they intended to close the service in the next two weeks. We are aware that the local authority is working to provide people with alternative accommodation.
There were not sufficient staff available in the service to ensure that people received safe care. The toilet was on the first floor of the service and when people required the support of two staff to visit the toilet this did not leave any staff available to support people remaining on the ground floor. One person and their relative told us about an incident which had occurred on the ground floor when no staff were available.
The provider did not maintain an effective oversight of the service. They were unable to provide us with any quality audits they carried out to ensure that people were receiving a good service.
Care plans were detailed and contained information about peoples individual likes and dislikes and how they preferred to receive their care and support.
People were protected from risks relating to their physical and mental health and possible abuse. Risks to people had been assessed and action had been taken to minimise identified risks. Staff knew how to recognise possible signs of abuse.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff knew people well and displayed a caring attitude to people when providing care and support.
Staff supported people to take their medicines safely and staffs' knowledge relating to the administration of medicines was regularly checked.
The service had sought advice around infection control. This had been implemented and the service was clean with no unpleasant smells.