CQC report explained · a residential care home
What the CQC found at Roundham Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risk assessments, staffing, recruitment, medicines and infection control were found to be safe. A broken window restrictor was repaired during the inspection.
- Effective?
- Good
- Staff had the skills and training to meet people's needs. People were supported with food, drink, healthcare and decisions about their care.
- Caring?
- Good
- People said staff were kind and caring. Inspectors saw relaxed interactions, respect for privacy and dignity, and support for people's independence and relationships.
- Responsive?
- Good
- Care plans were personalised and included people's preferences and routines. People had access to activities, community trips, family visits and support at the end of life.
- Well-led?
- Good
- The home was described as well managed, with a stable staff team and systems to monitor quality and make improvements. People and staff were asked for their views.
What inspectors found, July 2019
Roundham Court was rated Good; inspectors found safe, kind and personalised care, with one broken window restrictor repaired during the visit.
This was a planned, unannounced inspection on 03 July 2019. The inspector and an Expert by Experience spoke with people, a relative, staff and healthcare professionals. They reviewed care records, medicines records, staff files and management records.
All five areas were rated Good: safe, effective, caring, responsive and well-led. People said they felt safe, staff were kind and there were enough staff to meet people's needs.
Inspectors found personalised care, suitable activities, good support with food and healthcare, and systems for checking quality. A broken bedroom window restrictor was identified and repaired during the inspection. The home had also been rated Good at the previous inspection.
Kind and respectful staff
People described staff as kind, caring and attentive. Inspectors saw relaxed, friendly interactions and support for privacy, dignity and independence.
“Without exception, people told us staff were kind and caring.” from the report
Personalised care
Care plans included people's preferences, routines and life histories. Staff knew people well and adjusted care to their individual needs.
“People received personalised care from staff who knew them well.” from the report
Safe staffing and medicines
Inspectors found enough staff on duty and safe recruitment checks. People received their medicines when they should, and only trained staff administered them.
“There were enough staff on duty to meet people's needs and keep them safe.” from the report
Activities and community links
People could choose from activities, spend time with relatives and go into the local community. Staff also supported people who preferred to spend time in their bedrooms.
“People enjoyed taking part in social activities, going out in the local community, and spending time with family and friends.” from the report
Good management
The home had a stable staff team and regular checks on quality and safety. Issues were recorded in an improvement plan and actions were taken.
“Quality assurance processes ensured people received high quality care. The service was well managed.” from the report
Window safety issue
minorThe restrictor on one bedroom window was broken when inspectors visited. It was repaired during the inspection, and the manager said regular visual checks were carried out and recorded.
“The restrictor on one bedroom window had broken. We raised this with the registered manager and this was repaired during our inspection.” from the report
- 01How are bedroom windows checked now, and can you show us the records of those checks?
- 02How would you support my relative's specific routines, preferences and communication needs?
- 03What activities and community trips would be available for my relative, including if they preferred to stay in their room?
- 04How would you support my relative with eating and drinking if they were at risk of not having enough?
- 05How would you record and follow my relative's end of life wishes and advanced decisions?
This was an unannounced inspection covering all five CQC questions, including the care provided and the care home's premises; all five ratings remained Good. This explanation was written from the published report of 18 July 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, January 2017
Rated Good; inspectors found safe, kind and personalised care, with one medicines guidance issue fixed during the inspection.
The inspection took place on 16 and 17 November 2016. The first day was unannounced. One inspector spoke with people, relatives, staff and health professionals, reviewed care and medicines records, checked staff files, and looked around the home.
The home supported 34 older people, including people living with dementia or physical disability. People and relatives said they felt safe and well cared for. Inspectors found suitable staffing, safe medicines systems, detailed care plans, kind staff, varied activities and good support with food and healthcare.
Inspectors found the home well managed. The home had systems to check quality, gather feedback and respond to complaints. One gap was found in guidance for some medicines given as needed, but the manager reviewed the records and added guidance during the second day.
The overall rating was Good. Each of the five areas inspected was also rated Good. This means the inspectors found the service meeting the relevant standards at the time of this inspection.
Personalised care
Care plans included people's likes, dislikes, health needs and preferences. Staff knew how people wanted to be supported.
“People's care plans were informative, and designed to help ensure people received personalised care that met their needs and wishes.” from the report
Kind and respectful staff
Inspectors saw a friendly atmosphere. Staff respected privacy and dignity and encouraged people to make their own choices.
“People were supported by staff who promoted their independence and respected their dignity.” from the report
Activities and stimulation
The home offered activities such as music, crafts, exercises, films, games and quizzes. Staff also supported people to follow individual interests.
“There was a programme of activities and social events meaning people were well occupied and stimulated.” from the report
Good management checks
The home used audits, meetings and feedback to monitor care and make improvements. Records were organised and kept up to date.
“Records were stored securely, well organised, clear, and up to date.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you decide staffing levels when a person's care needs increase or they become unwell?
- 02How do you now make sure instructions for as-needed medicines are clear and kept up to date?
- 03What is the current position on any outstanding Deprivation of Liberty Safeguards applications?
- 04How will my relative and our family be involved in reviewing and changing the care plan?
- 05Which activities are available for people who prefer to stay in their rooms or have particular interests?
This was a full inspection covering all five key questions; the previous inspection in April 2014 found the home compliant with the regulations relevant at that time. This explanation was written from the published report of 12 January 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.
Every inspection of Roundham Court
2 rated inspections over 3 years: the service has held its Good rating throughout.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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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21 live-in carers within about an hour of Torbay
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,400 a week. 17 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.