What the CQC found at Roebuck Nursing Home

People and relatives spoke positively about staff's kindness, empathy and respect. Inspectors also observed friendly and respectful interactions.

“We heard staff interacting well with people while they were supporting them in their rooms. Staff were respectful and friendly.” from the report

Staff received training relevant to their roles, regular supervision and a full induction when they joined.

“New staff had a full induction. This included training and shadowing experienced staff members.” from the report

Staff received training and competency checks for medicines. Inspectors found the records accurate in all but one of the records reviewed.

“We checked a random sample of medicines and their medicines records and found that in all but one reviewed, they were accurate.” from the report

Staff contacted health and social care professionals when needed and followed their advice. Feedback from professionals about care was positive.

“Feedback reviewed from health and social care professionals was positive about the approach and management of care needs in the home.” from the report

Some people did not have detailed choking risk assessments or clear guidance. Inspectors also observed unsafe assistance with eating and found unclear information about supporting someone at high risk of falls.

“Some practices in the home placed people at risk of harm from choking or moving and handling practice.” from the report

People sometimes waited for help, and inspectors saw people eating alone without enough support to prompt them or keep them safely upright.

“On the upstairs unit staff were busy and hardly visible in corridors as they responded to call bells or checked on people in bedrooms.” from the report

People had few activities and some spent much of their time in their rooms. Activity records had gaps, particularly for people receiving care in bed or isolating.

“Many people spent the time in their rooms so were at risk of being socially isolated.” from the report

Tables were bare and meals were not always explained to people. Staff did not consistently explain food or support in an engaging way.

“Meals were placed in front of people without an explanation, with cutlery and a drink added afterwards.” from the report

Audits existed but had not found several problems identified by inspectors, including safety, mental capacity records, social isolation and dignity.

“The checks and audits had not identified some of the shortfalls we found at this inspection in relation to safety, MCA, reducing social isolation and promoting people's dignity.” from the report

Bedroom doors were left open when some people were wearing limited clothing, and some care plans did not contain enough personalised information.

“However, people would benefit on staff doing additional checks and having additional plans in place to ensure their dignity was promoted.” from the report