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CQC report explained · a residential care home

What the CQC found at Rockliffe Court limited

Requires improvementpublished 17 June 2021, 5 years ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Inspectors were assured about PPE, visits, admissions, social distancing and the infection-control policy. They were only somewhat assured about staff testing, the premises and the accuracy of cleaning records.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Requires improvement
This was not assessed in this targeted inspection.
Well-led?
Requires improvement
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, October 2021

Inspected but not rated; inspectors found good infection-control arrangements, but some testing and cleaning records needed improvement.

This was an unannounced, targeted inspection on 06 October 2021. Inspectors looked at infection prevention and control because of coronavirus outbreaks in care homes.

Inspectors were assured about visitors, social distancing, admissions, personal protective equipment, the infection-control policy and visits. They found enough PPE, stored safely, and staff had training in its use.

The home was only somewhat assured about staff testing, the premises and cleaning records. Staff lateral flow tests were not always registered as required, some cleaning was not recorded accurately, and redecoration work was still ongoing.

What inspectors praised
  • Personal protective equipment

    The home had enough PPE, stored it safely and staff had training to use it.

    “The service had sufficient supply of Personal Protective Equipment (PPE) which was stored safely.” from the report
  • Managing COVID risks

    Separate areas were available to help manage staff and people who were COVID positive.

    “Separate areas were available to enable effective zoning and cohorting of staff when people were COVID positive” from the report
What inspectors were concerned about
  • Staff testing records

    needs fixing

    Staff lateral flow tests were not being registered on the Government website in line with current guidance. The manager said a new system was being introduced.

    “Lateral flow tests for staff were not registered on the Government website in line with current guidance.” from the report
  • Cleaning records

    needs fixing

    Some cleaning was not recorded accurately, including cleaning of office equipment and high-touch points. The manager said more information would be added to the documents.

    “Not all cleaning was recorded accurately, for example office equipment and high touch points.” from the report
  • Redecoration work

    minor

    Improvement work to redecorate the environment was still continuing. The remaining work was included in an action plan.

    “Improvement works continued to be made regarding the redecoration of the environment.” from the report
Questions to ask them, based on this report
  1. 01How are staff lateral flow tests now registered and checked?
  2. 02How do you record cleaning of office equipment and high-touch points, and who checks these records?
  3. 03Which redecoration works remained outstanding after the inspection, and have they now been completed?
  4. 04What systems are in place to prevent and manage infection outbreaks?
  5. 05How are visits and social distancing arrangements kept in line with current guidance?

This was an unannounced targeted inspection of infection prevention and control practices; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 26 October 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.

An earlier report, explained

What inspectors found, June 2021

Rockliffe Court limited was rated Requires Improvement; safety and management had improved, but some checks and records still needed strengthening.

This was an unannounced follow-up inspection on 8 April 2021. Inspectors spoke with six people, three relatives, five staff and a health professional. They reviewed care records, medicine records, recruitment files and management records.

The home had improved since its previous inspection. Inspectors found better cleanliness, safer risk management, improved care records, regular fire drills and suitable staffing. People and relatives said they felt safe and had seen positive changes.

The overall rating was Requires Improvement. Safe and Well-led were both rated Requires Improvement. Medicines were being managed safely, but medicine audits did not always record actions needed. Some personal emergency evacuation plans also needed more detail, and management systems needed to become more consistent.

The previous rating was Inadequate, with multiple breaches, and the home had been in Special Measures. Inspectors found the home was no longer in breach of regulations and was no longer in Special Measures, but CQC said it would continue to monitor the service.

What inspectors praised
  • Improved cleanliness

    The environment was visibly cleaner, with rooms redecorated and old furniture removed. Infection control measures were in place and staff used protective equipment safely.

    “People were protected from the risk of infection.” from the report
  • Safer care systems

    Staff understood safeguarding procedures, accident reporting and fire safety. Risk assessments and care records had improved.

    “The improvements made since the last inspection has supported people to feel safe.” from the report
  • Enough staff

    Staffing levels met people's needs, and recruitment checks were in place to make sure staff were suitable to work with vulnerable people.

    “Appropriate staffing levels were in place to meet the needs of people in the service.” from the report
  • Positive changes

    People and relatives spoke positively about changes at the home, including improvements to rooms and management. Staff training and supervision were up to date.

    “There have been a lot of improvements made since the last inspection, my family member loves their new room, the carers are lovely, and the new management team are more approachable.” from the report
What inspectors were concerned about
  • Medicine audit records

    needs fixing

    Medicines were managed safely, but monthly audits did not always show what action was needed. CQC recommended reviewing medicine record keeping.

    “However, monthly audits did not always contain information relating to any actions required.” from the report
  • Evacuation plans

    needs fixing

    Personal emergency evacuation plans were in place and up to date, but some did not contain enough detail about people's individual needs.

    “However, some required more detail to ensure staff had the relevant information to support people’s individual needs.” from the report
  • Consistency of management

    needs fixing

    Management oversight had improved, but the report said further work was needed to make systems consistent and continuous.

    “Further improvements were required to ensure consistency and continuity.” from the report
Questions to ask them, based on this report
  1. 01How do you record and follow up actions identified in monthly medicine audits?
  2. 02Can you show me how my relative's personal emergency evacuation plan reflects their individual needs?
  3. 03How are managers checking that the improvements found at this inspection are being maintained?
  4. 04What recent checks have been made on care records, accidents, safeguarding concerns and other safety risks?
  5. 05How will you tell families if further problems are found or if the service is inspected again?

This was an unannounced follow-up inspection focused on Safe and Well-led; the report did not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 17 June 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.

The story over the years

Every inspection of Rockliffe Court limited

5 rated inspections over 6 years: the service has slipped, from Good to Requires improvement.

  1. October 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Rockliffe Court limited →

  2. June 2021Requires improvementup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Rockliffe Court limited →

  3. June 2021Inadequatedown from Requires improvement
    Safe: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  4. September 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. December 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2013

    Registered with the Care Quality Commission on 22 May 2013.

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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