Updated 14 April 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Roebuck Rise is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was not a registered manager in post. The current manager had applied to become the registered manager, but the registration process had not been completed prior to the manager being appointed to new position with another provider. The current deputy manager had been selected to become the new manager and was being supported by the present manager to complete the CQC registration process.
Notice of inspection
This inspection was announced. This inspection had to be rearranged on two occasions in 2022 due to the inspection team contracting COVID-19 and a subsequent outbreak within the staff team at the service. 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 manager would be in the office to support the inspection and to confirm the COVID-19 outbreak was over.
What we did before the inspection
We reviewed information we had received about Roebuck Rise since it first began to provide a service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority, safeguarding team and other health and social care professionals who work with the service. We checked information held by Companies House and the Information Commissioner’s Office. We checked for any online reviews and relevant social media, and we looked at the content of the provider’s website. We asked the registered manager to prepare some documents in advance of visiting the service’s office. We used this information to plan our inspection.
During the inspection
We spoke with two people about their experience of care and support provided by the service. We spoke with the manager, the nominated individual and the deputy manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records, including two people’s care records and medicines administration records and five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found and spoke with four community health and social care professionals who enga