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CQC report explained · a residential care home

What the CQC found at Rockingham House

Goodpublished 15 August 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found systems for infection prevention, PPE, testing, visiting and managing COVID-19 risks. They also recorded that the provider had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control, safe visiting arrangements and support for families.

This was an announced, targeted inspection on 25 February 2022. Inspectors checked infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.

They found the home was clean and well ventilated. Staff had suitable personal protective equipment, infection control training and regular COVID-19 testing was available for staff and residents.

Visits were not restricted, although screening, booking arrangements and protective equipment were used. The home was meeting the COVID-19 vaccination requirements in place at the time.

The service was inspected but not rated. This means the inspection did not provide a full quality rating for the home or most of the five areas.

What inspectors praised
  • Family visits

    Visits were not limited, and people could see their families in a comfortable room. Screening and PPE were provided when visitors arrived.

    “Visits to the home were not limited in any way and people were supported to have their families visit in a room which was the most comfortable for them.” from the report
  • Clean environment

    The home was clean and well ventilated. Extra cleaning covered areas that people touched frequently, with audits and an action log in place.

    “The home was clean and well ventilated with additional cleaning in place which included all high touch areas.” from the report
  • Infection control

    Staff had access to PPE and training on using it, hand washing and infection control. The infection prevention and control policy was up to date.

    “Staff wore PPE to minimise the risk of COVID-19 infection transmission.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now?
  2. 02How are visits managed now, and are there any restrictions or booking requirements?
  3. 03How do you manage staffing pressures when staff are absent because of COVID-19?
  4. 04When was the home last assessed for the Effective, Caring, Responsive and Well-led areas?
  5. 05What cleaning checks and action plans are currently used for high-touch areas?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 4 March 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.

An earlier report, explained

What inspectors found, August 2018

Rated Good; inspectors found safe, kind and person-centred care, with minor improvements needed to records and the environment.

This was an unannounced inspection on 28 June and 5 July 2018. Inspectors spoke with residents, relatives, staff and health professionals. They also reviewed care plans, medicines records, staff files, maintenance records and audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, detailed care plans, kind staff and good links with health professionals.

There were some minor issues. The provider was asked to improve records showing who took part in activities. Some paintwork was chipped or worn, and the provider acted straight away after inspectors raised a possible risk from single-paned windows.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs. Medicines were stored, recorded and given safely, with checks on staff practice.

    “Medicines were managed and administered safely.” from the report
  • Kind and respectful care

    Staff treated people with kindness and respect. They offered choices and protected privacy and dignity.

    “Staff were consistently kind and caring in the way they spoke with and supported people throughout our inspection.” from the report
  • Personalised care

    Care plans included people's histories, interests and communication needs. Staff knew people well and reviewed plans regularly.

    “These contained very detailed and person-centred information about their needs and guidance for staff on how best to meet those needs.” from the report
  • Open management

    Inspectors found the management approachable and actively involved. Audits and action plans were used to monitor and improve the home.

    “There were clear systems and processes in place to support the effective management of the service.” from the report
What inspectors were concerned about
  • Activity records

    minor

    The home offered many activities, but inspectors recommended keeping clearer records of what was available and who took part.

    “We recommended the provider develop record keeping around activities to more clearly evidence the range of activities on offer and which people joined in.” from the report
  • Worn paintwork

    minor

    Some paintwork was chipped or worn, making areas harder to keep clean. Audits had identified most of these issues and action or plans were already in place.

    “Paintwork in some areas was chipped or worn making it harder to keep clean.” from the report
  • Window safety assessment

    needs fixing

    Inspectors asked the provider to consider whether safety glass was needed for single-paned windows above ground level. The provider took immediate action.

    “We spoke with them about ensuring this explored whether safety glass was needed for single paned windows above the ground floor.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to record which residents take part in activities?
  2. 02Have the planned carpet, seating and dementia-friendly improvements been completed?
  3. 03What action was taken about safety glass for the single-paned windows above the ground floor?
  4. 04How do you check that medicines continue to be administered and recorded safely?
  5. 05How are residents and families involved when care plans are reviewed?

This was an unannounced inspection of the overall service and all five CQC questions, including care, staffing, medicines, the environment and management. This explanation was written from the published report of 15 August 2018 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.

The story over the years

Every inspection of Rockingham House

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Rockingham House →

  2. August 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rockingham House →

  3. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2011

    Registered with the Care Quality Commission on 13 April 2011.

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.

Next steps

Weigh the report against the rest

Care at home

28 live-in carers within about an hour of North Yorkshire

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.

“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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See live-in carers near North YorkshireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.