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CQC report explained · a residential care home

What the CQC found at Roper House

Goodpublished 10 February 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and managed, staffing levels met people's needs, medicines were managed safely and staff knew how to respond to abuse and incidents.
Effective?
Good
Care plans reflected people's communication, sensory and health needs. Staff had relevant training, people received support with food and healthcare, and consent and best-interest decisions were recorded.
Caring?
Good
People and relatives described staff as kind, supportive and respectful. Inspectors saw positive interactions and found that people were supported to maintain privacy, dignity and independence.
Responsive?
Good
Care was personalised and plans were updated when needs changed. People were supported with communication, relationships, interests, activities and end-of-life choices.
Well-led?
Good
Inspectors found effective checks on medicines, infection prevention, incidents and accidents. People, relatives and staff were able to give feedback, and the manager worked with outside professionals.
The latest report, explained

What inspectors found, February 2023

Roper House is rated Good; inspectors found safe, kind and personalised care, with some people saying they did not always like the food.

Inspectors visited without notice on 11 and 12 January 2023. They spoke with people, relatives and staff, reviewed care plans, medicines records and management records, and checked infection prevention measures. A British Sign Language interpreter and an Expert by Experience were part of the inspection.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, suitable risk checks and good support from health professionals.

People were supported to communicate in ways they understood, including British Sign Language, picture formats and finger signing. Staff were described as kind and respectful. People had choices about their rooms, activities, meals and daily lives, and relatives were involved in care decisions.

The report says some people did not always like the food, although the home supported takeaways and meals out where possible. A new activities coordinator was also expected to increase the variety of activities.

What inspectors praised
  • Communication support

    Staff used British Sign Language, picture formats, alphabet charts and finger signing. People could access an independent British Sign Language interpreter for healthcare appointments.

    “People were supported by some staff who were also deaf and used BSL as their first language.” from the report
  • Kind and respectful care

    People and relatives said staff were kind and supportive. Inspectors saw staff treating people with dignity and respecting their privacy.

    “People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
  • Choice and independence

    People could personalise their rooms, choose where to take medicines and use facilities such as the tea room. Staff supported people to make choices and become more independent.

    “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.” from the report
  • Safe medicines

    Medicines were stored securely, records were up to date and medicine counts were accurate. Staff used alternatives before considering medicines to control behaviour.

    “People's medicines were being administered and managed safely.” from the report
What inspectors were concerned about
  • Food preferences

    minor

    Some people said they did not always like the food. The home supported takeaways and meals out as often as possible, but families may want to ask how individual food preferences are being addressed.

    “Although people told us they did not always like the food, some told us they would like to have a takeaway every day or they would like to go to the pub every day for dinner.” from the report
Questions to ask them, based on this report
  1. 01How do you record and respond when someone does not like the food?
  2. 02What activities are now available since the new activities coordinator started?
  3. 03Which staff on the current team use British Sign Language, and how will communication be supported on every shift?
  4. 04How will my relative be involved in care planning and best-interest decisions if they cannot make a particular decision?
  5. 05How do you check that medicines remain necessary and that alternatives to behaviour-control medicines are tried first?

This was an unannounced inspection covering all five key questions, the care and premises, and infection prevention measures; it was the first inspection under the new provider. This explanation was written from the published report of 10 February 2023 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 Roper House

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

  1. February 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Roper House →

  2. January 2020Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. December 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. September 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  5. August 2016Requires improvement
    Safe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
  6. June 2021

    Registered with the Care Quality Commission on 30 June 2021.

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.

Next steps

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