CQC report explained · a nursing home
What the CQC found at Roby House Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2022
Roby House Care Centre is rated Good; inspectors found safe, kind and well-organised care, with improvements since the previous inspection.
Inspectors visited on 30 September and 6 October 2022. The first visit was unannounced and the second was announced. They spoke with 10 people, five family members and staff, and reviewed care records, medicines records, recruitment files and management checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were managed, staffing and medicines were safe, care was personalised, and people were treated with kindness, dignity and respect.
The home had improved since the previous inspection, which was rated Requires Improvement and had breaches of regulations. Inspectors found that the earlier problems with risk management and quality checks had been addressed, and the home was no longer in breach.
Improvement since the last inspection
The home acted on the previous inspection findings. Inspectors found enough improvement for the earlier breaches to be removed.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
Safe staffing
Staffing numbers and skills were planned around occupancy and people's needs. People told inspectors there were enough staff available to help them.
“Duty rotas listed the right amount of suitably skilled and qualified staff on duty to meet people's needs and keep them safe.” from the report
Kind and respectful care
Inspectors found positive relationships between staff and the people living there. Staff supported privacy, dignity and independence.
“Staff provided comfort and reassurance to people when this was needed, and people responded positively to this support.” from the report
Personalised support
Care plans recorded people's preferences and people and families were involved in developing and reviewing them. Activities and support to maintain relationships were provided.
“Care and support was planned and delivered in a personalised way.” from the report
Stronger management checks
Quality and safety checks were being used more effectively, and areas needing improvement were acted on in a timely way.
“Regular checks and audits were completed across the service and areas identified as requiring improvement were actioned in a timely way.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you check that staffing levels and staff skills continue to match residents' care needs?
- 02How are risks reviewed for people who cannot use the nurse call bell?
- 03How do you check that medicines are stored, recorded and given safely?
- 04How will you involve our family in reviewing the care plan and people's preferences?
- 05How can we raise a complaint, and how will you tell us what has changed as a result?
This was a planned inspection on 30 September and 6 October 2022; the report gives ratings for all five key questions and says any key questions not inspected would use ratings from the previous inspection. This explanation was written from the published report of 25 October 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2021
Inspected but not rated; inspectors found good infection-control arrangements, but testing and cleaning records were incomplete.
This was an unannounced, targeted inspection on 10 November 2021. It followed concerns about infection prevention and control. Inspectors looked only at these arrangements.
The home had safe visiting and admission procedures. Staff followed shielding, social distancing and personal protective equipment guidance. Inspectors found a good supply of suitable protective equipment and clear infection-control guidance.
There were gaps in records. Not all staff had records confirming regular lateral flow tests, and cleaning schedules were not always completed. The registered manager acknowledged these issues and said they were being addressed.
The overall service was inspected but not rated. The Safe question was also inspected but not rated, so this report does not provide a full rating of the home.
Safe visiting
The home had procedures to reduce infection risks while helping people keep regular contact with family and friends.
“The service followed safe visiting procedures to minimise the spread of infection and people were supported to maintain regular contact with family and friends.” from the report
Protective equipment
There was enough suitable protective equipment, and staff used and disposed of it correctly.
“There was a good stock of the right standard of PPE and staff used and disposed of it correctly.” from the report
Safe admissions
The home had procedures for admitting new people and provided extra support to protect their health and wellbeing.
“Safe procedures were in place for admitting people into the service.” from the report
Incomplete testing records
needs fixingRecords did not show that all staff were completing or confirming regular lateral flow tests in line with current guidance.
“Records showed that not all staff were accessing or providing confirmation in relation to regular lateral flow testing in line with current guidance.” from the report
Cleaning records
needs fixingThe home appeared clean, but staff did not always complete cleaning schedules. This made it difficult to know which areas had been cleaned and when.
“Whilst the home appeared clean and hygienic, cleaning schedules were not always completed to show what tasks had been completed.” from the report
- 01How do you now make sure every staff member completes and records regular lateral flow tests?
- 02How are cleaning schedules completed and checked so there is a clear record of what was cleaned and when?
- 03How do you keep staff updated about changes to infection-control and protective-equipment guidance?
- 04How do you support safe visits while helping residents maintain regular contact with family and friends?
This was an unannounced targeted inspection of infection prevention and control measures only; the service was inspected but not rated. This explanation was written from the published report of 11 December 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Roby House Care Centre
7 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2021Inspected but not ratedSafe: Inspected but not rated
- September 2021Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- October 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- December 2016Inadequatestayed InadequateSafe: InadequateWell-led: Inadequate
- November 2016Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate
- June 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2021
Registered with the Care Quality Commission on 27 August 2021.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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