Roland Residential Care Homes - 6 Old Park Ridings

We found the following examples of good practice.

¿ The provider aimed to worked in line with the most current government, CQC and Local Authority guidance to enable them to continue keeping people safe and free from infection. The provider’s infection prevention and control policy and procedures informed and directed care delivery and staff support.

¿ Information and guidance was given to all visitors prior to their visit specifying the processes in place to facilitate safe visits. All visitors were screened for symptoms of COVID-19 and were provided with Personal Protective Equipment (PPE). This enabled the service to protect people, staff and visitors.

¿ The service had an open garden area as well as indoor facilities with separate access to allow safe visiting for families.

¿ People living at the home were supported through one-to-one sessions, to understand the COVID-19 pandemic, how this affected them and actions they could take to stay safe.

¿ All staff had received appropriate training, support and guidance throughout the pandemic period.

¿ Staff were wearing PPE in line with government guidance and the providers policy.

¿ Staff worked proactively together to continuously monitor and check people for signs or symptoms of possible infection, so that immediate action could be taken to contain the infection and prevent transmission around the home.

Further information is in the detailed findings below.

There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Roland Residential Care Homes – 6 Old Park Ridings is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This home is registered to provide care for up to ten people who have a mental health diagnosis. There were nine people living in the home at the time of this inspection.

People felt safe living at the service and risks were managed effectively to keep them safe and protect their rights. The provider had effective systems in place to protect people from abuse and had responded appropriately to safeguarding risks.

The provider ran other similar care homes locally which provided a support network for staff and the registered manager and social opportunities for people living in this home. The service supported people to follow their interests in the community and at home.There were positive relationships between people and members of staff.

People were supported to have maximum choice and control of their lives and the service supported them in the least restrictive way possible; the policies and systems in the service supported this practice.People had choice around what they ate, whether they cooked their own meals or had their meals cooked by staff, how they spent their time and could come and go when they wished to.

The service provided support to people to maintain good health and with managing health conditions.People had good support to maintain their independence and their right to privacy was respected. The service helped people with maintaining relationships with their families.

People were involved in planning their care. The service ensured care plans were person centred and updated as and when people's care needs changed.

Effective systems were in place to manage complaints. People told us they were happy with the service. Staff treated them with respect.

The service maintained clear records of care provided, people's health and wellbeing.The provider was continually improving the service and worked in partnership with health and social care professionals to ensure people's health and social care needs were met.

Roland Residential Care Homes, 6 Old Park Ridings, is registered to provide accommodation and personal care for a maximum of ten adults with mental health needs. On the day of inspection there were nine people using the service.

There was a registered manager in place who was present during our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us that they felt safe within the home and well supported by staff. Procedures relating to safeguarding people from harm were in place and staff understood what to do and who to report it to if people were at risk of harm.

We saw positive and friendly interactions between staff and people.

Staff understood people’s individual needs in relation to their care. People were treated with dignity and respect.

Staff had an understanding of the systems in place to protect people who could not make decisions and were aware of the legal requirements outlined in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). When people were not able to have input in to decisions affecting their care, there were records of mental capacity assessments and best interests meetings.

Care plans were person centred and reflected individual’s preferences. There were regular recorded key working sessions. People were involved in writing their care plans and risk assessments and were able to express their care needs.

People were supported to maintain a healthy lifestyle and had healthcare appointments that met their needs. Medicines were administered safely and on time.

People’s views on how the service was run were listened to. There were regular residents meetings that allowed people to have their views and opinions heard.

Staff training was updated regularly and monitored by the manager. Staff had regular supervision and annual appraisals that helped identify training needs and improve the quality of care.

People were supported to have enough to eat and drink. People were encouraged and supported to cook and plan their meals.

There was a complaints procedure as well as an accident and incident reporting. Where the need for improvements was identified, the manager used this as an opportunity for learning and to improve care practices where necessary.

There were regular health and safety audits and monthly medicines audits. These allowed the provider to ensure that issues were identified and addressed.

There were systems in place to identify maintenance issues. Staff were aware of how to report and follow up maintenance.

There was an open and transparent culture in which good practice was identified and encouraged.

One person we spoke with told us that the staff did not understand their specific needs. They told us that they would like to be more independent, but they needed help with all their personal care and daily living needs. When we checked this person's care plan it contained full details of all their needs and how staff should support the person to meet their needs and to become more independent. This person also told us that the support they received at 6 Old Park Ridings was a lot better than they received at the home they lived at previously.

Each person completed their own record of the food they ate at each meal, so that they took some responsibility for monitoring their diets. One person told us that they had seen a dietician who said that they should eat two creamy dessert supplements a day, and they made sure that they followed this advice.

Staff we spoke with confirmed that the training they received provided them with the skills and knowledge they required to carry out their role. They told us that they had received training in mental health awareness so that they understood the needs of people with mental health concerns.

People who use the service told us that they were able to personalise their own rooms and had choices about what they could wear on a daily basis. Family members told us that they could not speak highly enough of the staff group and that they were impressed by the sensitivity and caring attitude of the staff at the home. People also told us that the home had always kept them informed and encouraged them to be involved in the care of their relative. We found that people were generally very happy with the care being provided and made positive comments to this effect.