Roberttown Care Home Limited

Updated 14 December 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by two inspectors and an ‘Expert by Experience’. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Roberttown is a ‘care home’. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with CQC. This means that they and the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

What we did:

Before the inspection we reviewed the information we held about the service. This included any statutory notifications sent to us by the registered provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. We also contacted local commissioners of the service to gain their views. We used the information the provider sent us in the ‘provider information return’. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to formulate a ‘planning tool’; this helped us to identify key areas we needed to focus on during the inspection.

During the inspection we spoke with the registered manager, four members of staff, one kitchen chef, one activities co-ordinator, seven people who were living at Roberttown and two relatives who were visiting at the time of the inspection.

We also looked at care records of four people receiving support, four staff recruitment files, medication records, and other records and documentation relating to the management and quality monitoring of the service.

In addition, a Short Observational Framework for Inspection (SOFI) tool was used. SOFI is a way of observing care to help us understand the experiences of people who could not talk with us.

Updated 14 December 2019

About the service:

Roberttown is three-storey care home that is located in West Yorkshire. Roberttown is registered to provide accommodation and personal care for up to 29 people. At the time of our inspection there were 22 people living at the home.

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

Areas of risk management and safety monitoring had improved since the last inspection. Care records contained up to date and consistent information about the support people received and areas of risk that needed monitoring.

People lived in a safe environment. Health and safety monitoring tools and checks were in place. For instance, people had sufficient personal emergency evacuation plans (PEEPs) in the event of an emergency and all regulatory compliance certificates were up to date and regularly renewed.

Recruitment procedures had improved. Pre-employment checks were carried out and staff were appropriately recruited. Staff received regular supervision and annual appraisals were taking place. Staff were also supported with a variety of training, learning and development opportunities.

Staffing levels were routinely monitored. People received care and support from routine and consistent members of staff.

Medication procedures and policies were complied with. People received medication support by staff who had been appropriately trained and regularly had their competency levels checked. Care records contained individual medication support plans and areas of risk that needed to be managed.

Person-centred care was delivered and tailored around the needs and wishes of the individual. Most care records contained a good level of person-centred information, although we did highlight to the registered manager that documentation needed to be consistent across all care records.

Effective quality assurance measures were in place. Audit tools and checks ensured the quality and safety of care provided was safe, compassionate and high-quality.

We received positive feedback about the variety of activities that were arranged for people at Roberttown. An activities co-ordinator helped to arrange different activities, that were fun, interesting and stimulating.

Safeguarding and whistleblowing procedures were safely in place. Staff received safeguarding training and understood the importance of protecting people they cared for.

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.

There was an up to date complaints procedure in place. Complaints were responded to and managed in accordance with company policy.

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 10 December 2018); we identified multiple breaches of regulation in relation to safe care and treatment, governance systems and staffing. 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 improvements had been made and the provider was no longer in breach of regulations.

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

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