Background to this inspection
Updated
21 September 2016
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 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.
This unannounced focused inspection was undertaken by an inspector on the 25 August 2016. This inspection was arranged to check that improvements to meet legal requirements planned by the provider after our comprehensive inspection in April 2016 had been made. We inspected the service against two of the five questions we ask about services: Is it safe? Is it effective?
Before our inspection we reviewed the information we held about the service, this included the provider’s action plan, which set out the action they would take to meet legal requirements.
During our inspection we visited the home and looked at various records relating to the management of the service and staff training records. We also toured the communal areas of the ground floor to check they were safe and clean.
Updated
21 September 2016
We carried out an unannounced comprehensive inspection of this service on 13 April 2016 and three breaches of regulation were found. This was because people’s safety was compromised as the provider had not undertaken regular safety checks of the premises. In particular the gas safety check and the Legionella test were out of date. The provider also did not have a safe and clean environment in the kitchen area which meant people were at risk of harm. Additionally, there were risks that people might receive inappropriate care because of the lack of evidence that staff had received training to undertake their roles.
After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches of regulations described above.
We undertook a focused inspection on the 25 August 2016 to check they had followed their action plan and to confirm they now met legal requirements. This inspection was unannounced.
This report only covers our findings in relation to these requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Roanu House on our website at www.cqc.org.uk
Roanu House provides accommodation for up to six people who require personal care on a daily basis. The home accommodates people who have mental health needs and/or learning disabilities. At the time of our inspection there were six people living at the home. One of the six people lived there at weekends only.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager had only been in post since February 2016 and had registered with the CQC.
During our focused inspection we found the provider had followed their action plan. Premises safety checks had been completed and were available for us to view. There were systems in place to ensure future checks and audits were completed in a timely manner.
Broken and unsuitable furniture had been replaced. The home was clean and hygienic to help protect people from the risks associated with the premises.
There was now a systematic approach to staff training. The registered manager at Roanu House was able to monitor the training staff had received. Staff training records had been updated and staff training was being refreshed.
Whilst the provider had taken sufficient action to meet the legal requirements that were being breached at the last inspection, we have not improved our rating for the service. As we need to see consistent improvements over time before we are able to change the rating of this service from ‘requires improvement’.