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CQC report explained · a residential care home

What the CQC found at Rookwood Residential Home

Goodpublished 31 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe medicine systems, suitable risk assessments and good infection control. Accidents and incidents were reviewed, with action taken to reduce the chance of them happening again.
Effective?
Good
People's physical, mental health and social needs were assessed before they moved in. Staff had relevant training, people received suitable food and drink, and health referrals were made promptly.
Caring?
Good
People described staff as kind, welcoming and helpful. Staff respected people's dignity, supported independence and involved people and relatives in decisions about care.
Responsive?
Good
Care plans were detailed and personalised. People were offered activities suited to their interests and abilities, and complaints were investigated and used to improve care.
Well-led?
Good
The manager and provider promoted an open and person-centred culture. Audits covered areas such as medicines, falls, care plans and activities, although new roles and responsibilities were still being embedded.
The latest report, explained

What inspectors found, December 2019

Rookwood Residential Home was rated Good in all five areas; inspectors found safe, kind and personalised care, while noting the manager was not yet registered.

This was an unannounced planned inspection on 28 and 29 November 2019. One inspector spoke with seven people, three relatives and 11 staff. They also observed care and reviewed care, medicine, staff and management records.

The home provided personal care for 22 people aged 65 and over, including some people living with dementia. Inspectors found enough staff, safe medicines practice, detailed care plans, good support with food and health needs, and kind and respectful care.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous Good rating, published on 28 June 2017.

What inspectors praised
  • Prompt support

    Inspectors saw people receiving help quickly when they asked for it. Call bells were answered promptly.

    “We observed people being supported quickly when they asked for help, while call bells were responded to quickly.” from the report
  • Kind and respectful care

    People spoke positively about staff's kindness and emotional support. Staff also helped people maintain their dignity and independence.

    “I'm as happy as I'll be. Staff are very kind. They always greet me as if I'm an old friend” from the report
  • Personalised care plans

    Care plans included people's histories, preferences and desired outcomes. Staff used this information to provide care suited to each person.

    “People's care plans recorded the outcomes people wished to achieve and how to achieve them.” from the report
  • Activities and inclusion

    People could take part in a range of activities, including activities adapted for people with dementia or visual impairment. Staff also offered activities to people who preferred to stay in their rooms.

    “The coordinators do go into people's rooms if they don't want to come out of their rooms.” from the report
  • Quality monitoring

    The home used regular audits to check care and identify improvements, including reviews of falls and medicines.

    “Regular audits and monitoring were completed on areas such as people's medicines, accidents and falls, care plans, activities and oral health care.” from the report
What inspectors were concerned about
  • Manager registration

    minor

    There was no manager registered with CQC when inspectors visited. The manager was about to begin the registration process.

    “The service did not have a manager registered with the Care Quality Commission.” from the report
  • New roles still settling

    minor

    The home had recently experienced management changes and introduced new senior carer roles. Inspectors said responsibilities were not yet fully embedded.

    “Full roles and responsibilities were still being fully embedded” from the report
Questions to ask them, based on this report
  1. 01Has the manager now completed registration with CQC, and if not, what is the current position?
  2. 02How have the new manager, deputy manager and senior carer responsibilities been embedded since the inspection?
  3. 03How will you assess and monitor my relative's risks, including falls, mobility and hydration?
  4. 04How will my relative's food, communication, activities and dementia support be personalised?
  5. 05How are complaints and incidents reviewed, and what changes have been made as a result?

This was an unannounced planned inspection covering the premises and care provided, with all five CQC questions assessed. This explanation was written from the published report of 31 December 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.

An earlier report, explained

What inspectors found, June 2017

Rated Good; inspectors found safe, kind and personalised care with strong management across all five areas.

This was an unannounced inspection on 31 May 2017. Inspectors observed care, spoke with people, relatives, staff and health professionals, and checked care records, medicines, staffing, training, complaints and quality checks.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably checked staff, safe medicines arrangements, good food and healthcare support, and respectful care.

People were involved in decisions about their care and had access to activities and services that matched their interests. The home had remained Good since the previous inspection on 14 May 2015.

What inspectors praised
  • Enough staff

    Staffing levels were consistent and inspectors found enough skilled and experienced staff to keep people safe and cared for.

    “We saw there was enough skilled and experienced staff to ensure people were safe and cared for.” from the report
  • Safe medicines

    Medicines were ordered, stored, given and disposed of safely. Records checked by inspectors were accurate.

    “People continued to receive their medicines safely.” from the report
  • Kind and respectful care

    Inspectors saw staff speaking warmly with people and respecting privacy, dignity, choices and independence.

    “We observed staff speaking to people in a warm and caring manner throughout the inspection, and spending time to chat with people about issues they were interested in.” from the report
  • Personalised support

    Care plans described people's needs and preferences, and people or relatives were involved where possible. Staff also responded quickly to individual requests.

    “The care plans were detailed and gave descriptions of people's needs and the support staff should give to meet these.” from the report
  • Activities and food

    People had a choice of food and drink and took part in varied activities, including crafts, music, exercise and trips.

    “One person told us "There is always something going on, it's nice to see".” from the report
  • Strong management oversight

    The management team was described as approachable, and audits covered medicines, care planning and infection control.

    “Quality assurance audits completed by the registered manager and provider were embedded to ensure a good level of quality was maintained.” 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. 01How many staff are usually on duty now, and has this changed since the 2017 inspection?
  2. 02Has the electronic care plan system been fully implemented, and how are missed tasks or changes in people's needs followed up?
  3. 03How will my relative and our family be involved in care planning and regular reviews?
  4. 04How are medicines checked now, including records of medicines given and any changes made by health professionals?
  5. 05What activities are currently available, and how are people's personal interests and choices used to plan them?

This was an unannounced inspection covering all five CQC questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 28 June 2017 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 Rookwood Residential Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. December 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rookwood Residential Home →

  2. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rookwood Residential Home →

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

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 27 January 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.

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