CQC report explained · a residential care home
What the CQC found at Roxburgh House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2021
Inspected but not rated; inspectors found strong infection control and safe arrangements during the pandemic.
This was an announced, targeted inspection on 3 March 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full quality of care.
Inspectors were assured that the home was protecting people from infection. This included safe use of PPE, testing for staff and residents, social distancing, cleaning, visitor arrangements and plans for managing outbreaks.
The home had a clean environment, an established staff team and a cabin in the grounds for socially distanced family visits. The home was inspected but not rated, so this report does not give an overall quality rating.
PPE and testing
Staff used the required protective equipment and understood how to put it on, remove it and dispose of it safely. A frequent testing programme was in place for staff and residents.
“Staff were wearing the required personal protective equipment (PPE). They were aware of the correct process for the taking on and off of PPE, and its safe disposal in accordance with the relevant national guidance.” from the report
Clean environment
The home was clean and hygienic, with frequent cleaning during the day, including areas that people often touched.
“The environment was clean and hygienic. Cleaning schedules were in place and cleaning was carried out frequently throughout the day, including touch point cleaning.” from the report
Family visiting arrangements
The home had built a cabin in the grounds to allow families and friends to visit while maintaining social distancing. It also had facilities for hand washing and sanitising.
“The home had built a log cabin in the grounds to support families and friends to visit their loved ones.” from the report
Consistent staff team
The home had an established staff team and had not needed to use temporary staff from outside.
“There was an established and consistent staff team which meant the home had not needed to source temporary staff externally.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are staff and residents tested now, and what happens when someone receives a positive result?
- 02Is the log cabin still available for family visits, and what visiting arrangements are currently in place?
- 03How are PPE use, cleaning and hand hygiene checked in practice?
- 04What is the current plan for managing an infection outbreak?
- 05How are new residents admitted safely and supported during any required isolation?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide a full service rating. This explanation was written from the published report of 11 March 2021 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, November 2018
Rated Good; inspectors found safe, kind and person-centred care, with improvements made since the previous inspection.
This was an unannounced inspection on 8 October 2018. Inspectors spoke with people living in the home, relatives, the manager and staff. They looked at care records, medicines, recruitment files, policies and the building.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable staffing, safe medicines systems, regularly reviewed risk assessments and a clean, well-maintained environment.
People were described as receiving kind, respectful and individual care. Staff supported independence, activities, food choices, healthcare needs and end of life wishes. The manager and provider had improved safety and quality checks since the previous inspection.
Kind and respectful care
Inspectors saw warm relationships between staff and people. Staff supported people with dignity and encouraged them to make choices.
“Staff were observed providing kind, caring and friendly support.” from the report
Improved safety
The home had addressed earlier concerns about radiators, fire doors, lighting and other environmental risks. Safety checks and emergency plans were in place.
“During this inspection we found that improvements had been made.” from the report
Safe medicines
Only trained staff supported people with medicines. Records and stock balances were checked and medicines were stored securely.
“Medication management systems and processes were safely in place.” from the report
Individual care
Care records described people's preferences, routines and support needs. Staff encouraged independence and provided care around each person's wishes.
“A person-centred approach to care was evident” from the report
Stronger management checks
The provider and manager used audits, meetings and action plans to monitor care and follow up improvements.
“Quality assurance processes were effectively in place; these helped to monitor and assess the quality and safety of care people received.” from the report
Activities coordinator not in post
minorThere was no activities coordinator at the inspection. Staff were providing activities, but the home should explain how it ensures activities remain regular and varied.
“At the time of the inspection there was no activities co-ordinator in post.” from the report
Refurbishment was still ongoing
minorRenovation work was taking place, including further improvements listed in an action plan. Ask what work remained and whether it affected people's daily lives.
“At the time of the inspection, renovations were taking place to the improve the quality and standards of the environment.” from the report
- 01What refurbishment work was still outstanding after this inspection, and has it now been completed?
- 02Who is responsible for organising activities now that there was no activities coordinator in post?
- 03How are medicine administration skills and staff competency checked now?
- 04How often are care plans and risk assessments reviewed when a person's needs change?
- 05How will my relative's end of life wishes be recorded and followed if their needs change?
This was an unannounced inspection of the overall service, covering all five CQC questions and checking improvements required after the September 2017 inspection. This explanation was written from the published report of 10 November 2018 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 Roxburgh House Care Home
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2016
Registered with the Care Quality Commission on 22 February 2016.
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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38 live-in carers within about an hour of Sefton
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 £1,270 a week. 34 can care for a couple. 11 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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.