Rowan Court Care Home

Updated 18 December 2019

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 Care Act 2014.

Inspection team

This inspection was carried out by two inspectors, an assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Rowan Court 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.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

We spoke with seven people who used the service and four relatives about their experience of the care provided. We spoke with 12 members of staff including the registered manager, deputy manager, regional manager, senior care workers, care workers, the chef, housekeeping and wellbeing staff. We also spoke with two visiting professionals. We observed care delivery to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at two 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 reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We reviewed information shared by the registered manager about how medicines audits had been reviewed.

Updated 18 December 2019

About the service

Rowan Court is care home providing personal and nursing care to 70 people aged 65 and over at the time of the inspection. The service can support up to 76 people in four separate units each with adapted facilities. Two provided residential care, one specialised in providing nursing care and another provided care for people living with dementia.

People’s experience of using this service and what we found

People spoke highly of the care and support provided by staff. Staff were described as kind, caring and respectful. People were supported to make choices about all aspects of their care and their privacy and dignity was protected.

The staff were responsive to people's needs and wishes and provided exceptional person-centred care. People received positive support to engage in activity which was meaningful to them.

People's safety was maintained, through personalised risk assessments which were reviewed regularly. People received their medicines on time and had ready access to healthcare professionals as and when required.

The home was adapted to meet people’s needs. Meals were well presented and enjoyed by people. Staff had training to meet people’s individual needs and there was clear guidance in assessments and care plans.

The home had developed excellent links with several community groups and organisations. People were encouraged to provide their views and opinions about the home and care provided through meetings which were run by people living at the service. The home completed a range of audits and quality monitoring processes to help support this process.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 9 November 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.