- Care home
Roebuck Nursing Home
Report from 30 April 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
People, relative, staff and partners all gave positive feedback about the management of the service. All feedback shared stated that the registered manager and senior staff were approachable and receptive to any feedback they gave. There was a robust quality assurance system in place, with checks and audits routinely being completed to monitor the performance of the service. This enabled the provider and registered manager to have effective oversight and take action where improvements or changes were needed. Feedback and any learning from processes was shared with staff, to recognise good practice and ensure any changes were made where needed.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Staff were positive about the culture and approach in the service. They felt the whole team were engaged in helping people live their best lives. A staff member said, “Roebuck Nursing Home is a very well organised home. Especially in healing the pressure ulcers, improving mobility. I have seen bed ridden residents going back with good mobility. We have a good end of life care support. A lot of DTA (people discharged from hospital to go home) residents going back home happy. Depressed once, going happy after joining our team. A good team to care them. A good team to provide tasty and healthy food, a good team to sort the cleaning. (Activity organisers) make residents engaged in activities. A good number of staff making them engaged in 1:1 room activity. Good number of Key Workers assigned for each resident to make sure they are happy and comfortable here. Considering everyone’s wishes.”
The service had an up to date ‘service user guide’ which detailed the aims and objectives of the service. This was available to all people, relatives, staff and stakeholders. Meetings were held and surveys conducted for all stakeholders to ensure their involvement in the delivery of the service.
Capable, compassionate and inclusive leaders
Staff were positive about how the management team engaged with and involved them. They were confident that they would be listened to if they spoke up. A staff member said, “[Registered manager] always asks for any views or suggestions from the staff.”
The provider had a system of support and supervision to support the registered manager. The director completed sought feedback independently, to ensure the service was running safely and inline with their expectations. All methods of obtaining feedback included opportunities to share views on the leadership team.
Freedom to speak up
Staff were positive about how the management team engaged with and involved them. They were confident that they would be listened to if they spoke up. A staff member said, “[Registered manager] always asks for any views or suggestions from the staff.”
The provider had a whistleblower policy in place, with processes in place to support staff in speaking up. The registered manager was able to share a lessons learnt process completed. Whilst the concern shared was not from a whistleblower, the example demonstrated how the process was implemented and staff were supported.
Workforce equality, diversity and inclusion
Staff felt well supported and respected by the management team. A staff member said, “They consider all staff equally and support them with all their needs. The management is there for staff at anytime.”
The provider had a suite of policies in place to support equality, diversity and inclusion. All staff were invited to participate in surveys which included questions and opportunities to provide feedback on their experiences. Action plans were created following these and feedback shared with staff in the form of ‘You said, we did.’
Governance, management and sustainability
Staff told us they knew their roles and responsibilities and were positive about the management and running of the service. A staff member said, “The service runs well for the residents and staff. We have good management team, spot checks are done throughout the shift by the manager, requesting for our suggestions and concerns.”
The provider had a system of audits and checks in place which were completed by the registered manager and senior staff. There was a clear schedule for those required to be completed weekly, monthly, quarterly and annually. Actions from these were included in improvement plans and shared with staff.
Partnerships and communities
People told us they felt staff supported them to access other professionals. Staff acted on their behalf to obtain resources such as specialist wheelchairs, to enable people to live fuller lives.
Staff told us they were provided with information and outcomes following visits from partner agencies and the regular multidisciplinary team meeting held. This supported them to work in accordance with up-to-date information. The registered manager told us, “The MDT (multidisciplinary team) is really working. All professionals, face to face and with the team, not just seniors. We discuss at handover and 10 at 10 meetings, information from OTs and social workers, any referrals, feedback from the professionals, compliments shared. We include all staff.”
It was clear from feedback seen that partners experiences of working with the service was positive. Comments included, “You and your team are excellent health care professionals to work with and are caring and responsive to the resident’s needs” and, “I am always happy when I visit the home. Any queries I have or help that I need are dealt with quickly by the staff”.
There was a clear and robust system in place to ensure partnership working with health & social care professionals, and local partners.
Learning, improvement and innovation
Staff told us information was shared and training provided to drive improvements. A staff member said, “Our service is running really well. Our manager checks home every day and gives feedback; [registered manager] gives us all instructions and changes [to improve the service].” Another staff member said, “I'm sure we are not perfect, but we have training and seminars for us to give our best care to our residents.”
All processes in place were used to effectively identify where learning and improvement was needed. Actions were recorded, planned for and completed. The providers quality assurance system covered all aspects of the service and included people’s experience and feedback received. Where errors were found or learning identified, this was approached positively.