Roxholm Hall Care Centre

Updated 6 January 2021

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 care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 14 December 2020 and was announced.

Updated 6 January 2021

About the service: Roxholm Hall Care Centre is a residential care home that. It provides personal care and support for up to 39 older people, people living with a mental health disorder or with a dementia. At the time of the inspection there were 30 people living in the service.

People’s experience of using this service:

Staff were aware of how to identify signs of abuse, reporting mechanisms and the importance of recording incidents. People had their risk of harm assessed and regularly reviewed. Care plans reflected their needs. The staffing levels were appropriate for the number of people currently living in the service.

Medicines were ordered, stored, recorded, administered and disposed of safely. The service was clean. Lessons were learnt when things went wrong.

Care needs were assessed and care plans reflected individual needs, preferences and choice. Staff had the knowledge and skills to carry out their roles effectively. People were provided with a varied, nutritious and well-balanced diet that met their needs and preferences. Special dietary needs were catered for.

There were good working practices and relationships with other professional groups and external bodies. The layout of the service met the needs of the people who lived there. Signage was suitable to individual need in word and picture format.

Staff were aware of the Mental Capacity Act. The service is compliant with deprivation of liberty safeguard legislation.

People were cared for by kind, caring and compassionate staff. People were involved in making decisions about their care. Where unable, decisions were made in their best interest. People were treated with dignity and respect.

Staff have the knowledge and skills to provide people with personalised care. Staff were aware of their individual needs. Information on making a complaint was available to people and their visitors. We saw that complaints are fully investigated and responded to in a timely manner.

People are supported to share their end of life care needs and preferences and all wishes are recorded

The registered manager was a visible leader. People, their relatives and staff reported significant improvements since the current registered manager has been appointed. People had a voice and their opinion was sought on the running of the home. Staff feel that they are listened to and suggestions on improvements to the service are acknowledged and actioned.

The service learnt from the outcomes of audits. The registered manager and their team were committed to sustaining improvements made and further developing the service.

The quality monitoring processes had improved since our last inspection. The provider was no longer in breach of regulation 17 of the health and social care act.

The provider met the characteristics of ‘Good’ in all areas. This has improved from a rating of ‘Requires Improvement’ at the last inspection in 2017. More information about this is in the full report.

Rating at last inspection: Roxholm Hall Care Centre was last inspected on 04 December 2017 (report published16 February 2018) and was rated as requires improvement overall.

Why we inspected:

We asked the provider to complete an action plan at our last inspection. We wanted to see if the provider had made progress with their action plan and that the service was safe and well-led.

Follow up:

We will continue to monitor intelligence we receive about Roxholm Hall Care Centre

until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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