Roughcote Hall Farm

Updated 9 March 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector and an Expert by Experience who made calls to relatives following the inspection. 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

Roughcote Hall Farm is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Roughcote Hall Farm is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 9 February 2023 and ended on 13 February 2023. We visited the location on 9 February and made calls to relatives on 13 February 2023.

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. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people about their experience of care and 9 relatives. We observed care to help us understand the experience of people who could not talk with us. We also spoke with 5 staff which included the registered manager, team leader and three support workers. We reviewed a range of records. This included 3 people's care records and multiple medication records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including medicine audits, care plan audits and the training matrix were also reviewed.

Updated 9 March 2023

About the service

Roughcote Hall Farm is a residential care home providing personal care for up to 9 people with Learning disabilities or autistic spectrum disorder, older people and younger adults. There were 9 people living at the home at the time of the inspection. The service can support up to 9 people.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support:

Staff worked with people to plan their own care and manage risks to their safety. The staff ensured the home was safe, clean and well-maintained environment. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care:

Staff understood how to protect people from abuse. There were enough staff to meet people’s needs and keep them safe. Staff assessed people’s needs for support with medicines and this was provided. People were encouraged to engage with staff on how they wanted to be supported.

Right Culture:

The registered manager checked the quality of support provided to people and made changes as a result of feedback. People, relatives and staff told us they felt listened to and involved in the service. People received person centred care and had their needs and preferences met by staff who knew them well. We made a recommendation about seeking advice on window restrictors.

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

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

Rating at last inspection.

The last rating for this service was requires improvement (6 August 2021).

Why we inspected

We carried out an unannounced focussed inspection of this service on 6 August 2021. The provider was rated requires improvement. We undertook this focused inspection to check they had made the required improvements.

For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roughcote Hall Farm on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Recommendations

We have made a recommendation about window restrictors.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.