CQC report explained · a residential care home
What the CQC found at Rodina House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe medicines management, suitable risk assessments and staff who understood safeguarding. Fire safety had improved since the previous inspection.
- Effective?
- Good
- People received food, drink and healthcare support suited to their needs. Staff had training, supervision and development opportunities, although staff competency assessments during induction were not always recorded.
- Caring?
- Good
- Staff were described as kind, patient and respectful. People were supported to make choices, remain independent and have their privacy and dignity respected.
- Responsive?
- Good
- Care plans reflected people's needs and preferences and were reviewed as needs changed. People had a range of activities, and the home had introduced goals to help respite residents regain skills before returning home.
- Well-led?
- Good
- The provider had improved oversight and used audits, meetings and feedback to identify improvements. The report also says the registered manager no longer worked at the home and the provider was applying to become the registered manager.
What inspectors found, February 2019
Rodina House: rated Good; inspectors found kind, person-centred care and improvements since the previous inspection.
Inspectors visited on 23 and 24 January 2019. The first day was unannounced. They reviewed care plans, medicines, staff records, complaints, accidents, audits and the building. They spoke with people living there, visitors, staff and a healthcare professional, and observed care and lunchtime.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable risk assessments and staff who understood safeguarding. People were supported with food, healthcare, activities, choices and personal care.
The report says improvements had been made since November 2017. These included fire safety, care planning, activities and oversight of the service. Some work was still under way, including recording staff competence and activities more consistently.
Kind and respectful care
People told inspectors that staff were kind and friendly. Staff supported people at their own pace and respected their privacy, dignity and choices.
“Staffs approach to people was gentle and patient and they supported people at their own pace.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and saw call bells answered promptly. Medicines were handled safely by trained and assessed staff.
“People received the support they needed in a safe and timely way because there were enough staff working each shift.” from the report
Personalised activities and support
People could choose from group and individual activities. Care was adapted to people's interests, communication needs and personal routines.
“Throughout the inspection people were busy and engaged in a range of individual and group activities.” from the report
Improvements since 2017
The report says the home had acted on earlier requests to improve fire safety, care planning, activities and management oversight.
“At this inspection we found improvements had been made and a rating of 'good achieved.” from the report
Staff competence records
needs fixingNew staff were observed and supported during induction, but their competency assessments had not been recorded. Inspectors recommended that the provider improve its records.
“However, assessments of competencies had not been recorded.” from the report
Activity records
minorThe provider had identified that records did not consistently show which activities people took part in or whether they enjoyed them. Staff were aware that recording needed to improve.
“The provider had identified information about what activities people took part in and whether they enjoyed them was not consistently recorded.” from the report
- 01Who is currently the registered manager, and has the provider's application to become the registered manager been completed?
- 02How are staff competency assessments recorded now, especially during induction?
- 03How do you record which activities each person enjoys and whether activities remain meaningful for them?
- 04How would you support someone staying for respite care to regain the skills they need before returning home?
- 05What changes were made after the improvements identified at the November 2017 inspection?
This was an inspection of the overall quality of the home, covering all five CQC questions, and it included the premises and care provided. This explanation was written from the published report of 16 February 2019 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, February 2018
Rodina House is rated Requires Improvement; inspectors found kind care and good food, but fire safety, activities and management records needed improvement.
Inspectors visited on two days and spoke with people, relatives, staff and a health professional. They observed care, checked the building and reviewed care plans, medicine records, staff files, rotas, training records and management documents.
The home was caring and effective overall. People were treated with kindness and respect. Staff understood people's preferences, supported their independence and provided good food and access to health professionals.
There were important shortfalls. Fire evacuation plans were not clear, some medicine guidance needed more detail, activities were limited, and records and quality checks were not consistently reliable. Some fire safety and medicine improvements were made during the inspection, but the inspectors said these needed to become established practice.
The overall rating of Requires Improvement means the home was not consistently meeting the required standard. The separate ratings were Good for Effective and Caring, and Requires Improvement for Safe, Responsive and Well-led.
Kind and respectful care
People were treated with warmth, dignity and respect. Staff understood people's personal preferences and supported them to remain as independent as possible.
“Staff treated people with kindness, compassion and respect and promoted people's independence and right to privacy.” from the report
Good food and choice
People enjoyed the food and were involved in choosing meals. The home offered different options and recorded people's dietary needs and preferences.
“People told us that they enjoyed the food at Felix Holme and through observations at lunch-time, enjoyed their meals.” from the report
Responsive health support
The home involved health professionals when people's needs changed. Care plans included detailed guidance for individual support needs.
“Records showed that the provider sought guidance from health professionals where additional support needs were identified.” from the report
Clean and maintained environment
Inspectors found the home clean, warm and well maintained. Equipment and the call system were checked regularly.
“We observed good practise in infection control. The environment was clean, warm and well maintained” from the report
Fire safety arrangements
seriousAt the start of the inspection, there were no clear evacuation plans for each person, no clear fire procedure and no fire drills. Five staff did not have up-to-date fire training. Improvements were made during the inspection but needed to be embedded.
“There was not a clear fire protocol in place and people did not have Personal Emergency Evacuation Plans to ensure their safe evacuation in the event of a fire.” from the report
As-required medicines
seriousSome guidance for medicines given when needed did not explain enough about why and when the medicine should be used, or whether it had worked. Medicine competency checks had only been completed for one staff member.
“More detailed information was required to ensure that 'as required' medicines were administered efficiently.” from the report
Limited activities
needs fixingThere was no activity coordinator because of illness, and activities offered during the inspection were limited. Records did not always say what one-to-one activities had taken place or how long they lasted.
“People were not always provided with a range of activities to ensure their social stimulation and well-being.” from the report
Incomplete management records
needs fixingAudits were not completed consistently and did not always find inaccurate or incomplete records. Responsibilities were not shared clearly, leaving too much work with one manager.
“Quality audits were not consistently completed and incomplete or poor records were not identified.” from the report
Training records
needs fixingThe home could not reliably show when staff training had happened or when it needed renewal. Certificates were missing or undated, and the training list was not up to date.
“The training plan and staff certificates failed to identify if staff had received up to date training.” from the report
Respite care planning
needs fixingRecords for people staying for short periods did not always explain how their individual needs and safety would be supported. One person's diabetes care had no clear guidance for staff.
“The documentation for those people who were at Felix Holme for a short stay (known as respite care) needed to be developed” from the report
- 01What fire evacuation plan is now in place for my relative, and when was the last day and night fire drill completed?
- 02How do you check that staff are competent to give medicines, including medicines given when needed?
- 03What activities are currently available, and how do you record whether they suit each person's interests and wellbeing?
- 04Who is responsible for checking care plans, audits and staff training records, and how often are these checks completed?
- 05How are the needs of people staying for respite recorded before they arrive, including diabetes, medicines and personal goals?
This was a comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led, including observations, discussions and reviews of care, medicine, staffing and management records. This explanation was written from the published report of 8 February 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.
Every inspection of Rodina House
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- February 2019Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2018Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2016
Registered with the Care Quality Commission on 30 September 2016.
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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Most charge £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
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