Roky Care Ltd

Updated 21 June 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

This service provides care and support to people living in one ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service had a manager registered with the Care Quality Commission. This means that they 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

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 31 January 2022 and ended 25 February 2022. We visited the location’s service on 31 January 2022. We spoke with relatives and provided further feedback on 25 February 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, deputy manager, one care staff and one person. We looked at five staff files including recruitment and supervision records, one person’s care plan, risk assessment and medicines records, audits, infection control and other documents related to the running of the service.

After the inspection

We spoke further with the registered manager and the service manager to validate information we had reviewed. We looked at one person’s reviewed care plan and risk assessment the registered manager had sent to us, training records, supervision records, policies and procedures and other documentation related to the running of the service. We also spoke with one more care staff and one relative.

Updated 21 June 2022

About the service

Roky Care Ltd provides care and support to people in a supported living accommodation for up to five people. The supported living accommodation comprised a terraced house with a rear garden. Each person had their own bedroom, en-suite and kitchenette. There was a large staff office at the rear of the house. The service worked with people living with a mental health condition. At the time of the inspection the service was supporting one person.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

Feedback from relatives was positive about the quality of care the service provided. Staff showed a caring and kind attitude and were passionate about working at the service.

We found that people’s personal risks were not adequately assessed, and not enough guidance was provided to staff to ensure they were aware of how to minimise the known risks. Systems and processes to monitor fire equipment were not in place. Recruitment processes were not robust, and we were not assured staff recruitment was safe. There were multiple audits to monitor the quality of care. However, audits failed to identify the issues found during the inspection.

Following the inspection, the provider submitted updated risk assessments and had addressed the issues found around fire safety. We also reviewed an updated risk assessment which provided more detail and guidance for staff.

Care plans were person centred as they contained people’s views and opinions. However, they failed to explain how staff could support people to achieve these goals.

We have made a recommendation around person centred care planning.

There were systems and processes in place to ensure people received their medicines safely and on time. Staff had been trained in safeguarding and were able to explain to us how they would keep people safe from abuse and how to report any concerns. Overall infection control procedures were in place and we observed staff wearing masks appropriately. Staff had been trained in infection control. There were systems and processes in place to ensure people received their medicines safely and on time.

Staff received a comprehensive induction when they started work. Staff were supported through regular training and supervision. People were supported to eat and drink and maintain a balanced diet. 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.

Staff felt the service was a good place to work and were fully supported by the registered manager. There was an open and inclusive environment which allowed people and staff to share their views and opinions. The service worked in partnership with other agencies to support people’s wellbeing.

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

Rating at last inspection

This service was registered with us on 27 April 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We found three breaches of regulation with regards to assessing risk, staff recruitment and good governance.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.