What the CQC found at Rodwell House

The home had improved how it reported, investigated and reviewed possible abuse and accidents. Staff had a better understanding of when to raise concerns.

“Better systems were in place for management and staff to learn from potential safeguarding as well as from day to day accidents which may occur at the service.” from the report

People received the medicines they needed. Records were up to date, medicines were stored safely and staff showed good clinical knowledge.

“People's medicine administration records were up to date, and 'as required' medicines were in place and the effectiveness of these medicines recorded.” from the report

Mental capacity assessments and best-interest decisions had improved. DoLS authorisations were in place where needed and restrictions were kept as limited as possible.

“MCA assessments had been carried out where appropriate in relation to people's care needs.” from the report

People and relatives said the food had improved. The home offered choices and adapted food for different dietary needs.

“People were provided with food appropriate for their needs or wishes. For example, a soft or puree diet, gluten free or vegetarian.” from the report

Staff training and supervision had improved. Staff had access to clinical and mandatory training, and people generally felt staff had the skills to support them.

“Training stands at 99% compliant. Those who have not completed their mandatory training cannot work on the floor.” from the report

Inspectors found that staff did not always follow people's safety plans. One person's call bell had been removed, and other risk information had not been reviewed or acted on consistently.

“The continued potential risk of harm to people was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

Some records did not reflect serious weight loss or explain clearly how staff should encourage a person to eat and drink. This created a risk that needs would not be managed properly.

“A second person's nutrition risk assessment stated they were low risk of losing weight despite drastic weight loss.” from the report

People who stayed in their rooms, including people cared for in bed, did not always receive enough one-to-one contact or activities. This could leave them socially isolated.

“However, on the first and second floor, where many people were cared for in bed, we did not see much engagement with people and records confirmed this.” from the report

The ground floor had improved, but the first and second floors still offered little for people who did not want to stay in their rooms. Many memory boxes were also largely empty.

“Despite these improvements, we found no changes to the first or second floor, meaning if people did not wish to spend their time on the ground floor, there was nowhere else for them to go other than their rooms.” from the report

Inspectors heard concerns about a cultural divide among staff and staff speaking in their own language in front of people. This had affected staff and had been noticed by people living at the home.

“Yet, we heard there was a cultural divide amongst staff which was creating a detrimental effect on staff and people had noticed this.” from the report