Roxburgh House (West Midlands)

Updated 3 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on Tuesday 18 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 3 February 2022

About the service:

Roxburgh House (West Midlands) is a residential home that is registered to provide care and accommodation for a maximum of 44 people who do not require nursing care. People using the service are older people and younger adults, some with Dementia. 40 People were using the service at the time of the inspection.

People’s experience of using this service:

People were supported by staff to remain safe. There were enough staff available to people and people’s needs were attended to in a timely manner. Risk assessments were in place to minimise any potential risk to people’s wellbeing. Staff were recruited in a safe way. People received their medicines as expected.

People felt that staff assisting them knew their needs. Staff received regular supervision and training and had been provided with an induction. Meals were nutritious and people were kept hydrated. People were supported to maintain their health.

People were supported to have choice and control over their lives and staff understood that they should support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's care plans reflected their needs and preferences and staff could explain specific care that people required. Complaints were dealt with appropriately in line with the complaints procedure. People participated in activities that were tailored to their needs. End of life plans were in place and acknowledged by staff.

Quality monitoring systems included audits, checks on staff practice and checks on people’s satisfaction with the service they received, using questionnaires. The provider had systems in place to ensure they kept up to date with developments in the sector and changes in the law. People knew the registered manager and felt they were visible around the home and were approachable.

Rating at last inspection: The rating for the service at our last inspection was ‘Requires Improvement’ with our last report published on 30 December 2017.

Why we inspected: This was a planned comprehensive inspection that was due based on our scheduling targets. At the last inspection the key questions around Safe, Effective and Well led were rated ‘requires improvement’. This was due to concerns around medicines not always given as prescribed. Lack of staff knowledge around Mental Capacity and Deprivation of Liberty Safeguards (DoLS) and fire procedures and some audits not identifying issues. At this inspection we found that these issues had been resolved.

Enforcement:

No enforcement action was required.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.