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CQC report explained · a residential care home

What the CQC found at Rowan House

Goodpublished 13 July 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm and there were enough staff. However, environmental risks and medicine storage temperatures were not always monitored properly, although the provider said these issues would be addressed.
Effective?
Good
Care plans were personalised and staff were trained and supported. Not everyone had a healthcare action plan or health passport.
Caring?
Good
Inspectors saw warm, respectful care. People were supported to make choices, express their views and develop their independence.
Responsive?
Good
People were supported to follow their interests, try new activities and build relationships. Information was provided in ways people could understand.
Well-led?
Requires improvement
Managers and staff provided good day-to-day support, but quality assurance systems did not consistently identify risks, missing care plans or learning from incidents and audits.
The latest report, explained

What inspectors found, July 2022

Rated Good overall; inspectors found kind, personalised care, but the home’s leadership and quality checks needed improvement.

This was the first inspection since the home registered. Inspectors visited on 27 May 2022. They spoke with one resident, two relatives and six staff, observed care, checked care and medicines records, reviewed staff files and walked around the building.

The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough skilled staff, kind care, good support for choice and independence, and activities that helped people take part in their local community.

Well-led was rated Requires Improvement. The home had quality checks, but these did not always identify risks or missing care information. Inspectors recommended that the provider improve these systems.

What inspectors praised
  • Choice and independence

    People were supported to make decisions, take part in activities and work towards greater independence. Staff adapted support to people's abilities and goals.

    “Staff supported people to have the maximum possible choice, control and independence.” from the report
  • Kind and respectful care

    Inspectors observed warmth and compassion. Staff protected people's privacy and dignity and understood how people communicated.

    “We observed respect, warmth and compassion from staff when interacting with people.” from the report
  • Activities and community life

    People were supported to try new activities, pursue interests and take part in their local community. Activities were adapted to promote inclusion.

    “The service routinely sought out new skills and activities for people to try” from the report
  • Staffing and support

    There were enough staff to provide individualised support, including support for activities and outings. Recruitment checks had been completed safely.

    “The service had enough staff to support people in an individualised way.” from the report
What inspectors were concerned about
  • Quality checks missed problems

    needs fixing

    The home's audits did not always identify risks, missing care plans or missing health information. The provider was asked to review its quality assurance systems.

    “The provider had quality assurance systems in place however these were not always effective in identifying concerns.” from the report
  • Medicine temperature monitoring

    needs fixing

    Medicines were stored securely, but the temperature was not monitored properly. The provider gave assurances that this would be addressed.

    “Medicines were stored securely but the temperature at which medicines were kept was not monitored properly.” from the report
  • Environmental risk checks

    needs fixing

    Some parts of the environment had not been properly checked for risk. Inspectors raised this during the visit and the provider acted quickly.

    “Aspects of the environment had not been effectively monitored for risk.” from the report
  • Missing health information

    needs fixing

    Not everyone had a healthcare action plan or health passport. These documents help healthcare professionals understand how to support a person.

    “We found not all people in the service had a healthcare action plan or health passport.” from the report
  • End-of-life planning

    minor

    No one was receiving end-of-life care at the visit, but care plans for people's end-of-life preferences were not in place. Staff had not received end-of-life care training.

    “Care plans outlining people's preferences for end of life care were not in place.” from the report
Questions to ask them, based on this report
  1. 01What environmental risks were identified, and how do you now check that they remain controlled?
  2. 02How do you monitor the temperature where medicines are stored, and can you show us the records?
  3. 03Does every resident now have a healthcare action plan and health passport?
  4. 04How are residents' end-of-life preferences recorded, and have staff received relevant training?
  5. 05How do you now collect formal feedback from residents and relatives and share learning from audits and incidents with staff?

This was the first inspection of the newly registered home and covered all five CQC questions, including care, medicines, infection control, records, staff files and the building. This explanation was written from the published report of 13 July 2022 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 Rowan House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. July 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Rowan House →

  2. December 2020

    Registered with the Care Quality Commission on 9 December 2020.

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

Weigh the report against the rest

Care at home

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Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.

“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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See live-in carers near North YorkshireProfiles, rates and reviews are free to look at.

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