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What the CQC found at Roxburgh House (West Midlands)

Goodpublished 13 April 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed through visitor checks, social distancing, protective equipment, testing, cleaning and safe admissions. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Roxburgh House (West Midlands) was inspected but not rated; inspectors found good COVID-19 infection controls and visiting arrangements.

Inspectors visited on 18 January 2022 with 24 hours' notice. This was a targeted inspection during the COVID-19 pandemic. They looked at infection control, visiting arrangements and whether staffing pressures were affecting care.

They found measures to reduce infection risks. These included visitor checks, safe admissions, effective use of protective equipment, testing, cleaning and up-to-date infection control procedures. Visits were arranged to reduce contact between visitors, staff and residents.

The home supported people during isolation, including through video calls with relatives and friends. Inspectors were also assured that non-exempt staff and visiting professionals were vaccinated against COVID-19.

The service was inspected but not rated. This means the visit did not give an overall quality rating or a rated judgement for Safe.

What inspectors praised
  • Infection control

    Inspectors found that the home had broad measures to prevent and manage infections, including checks for visitors, cleaning and safe use of protective equipment.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Visiting arrangements

    Visits were booked at suitable times and arranged to reduce contact with other visitors, staff and residents.

    “The service was booking visitors in at a time that suited people and was spaced out to avoid potential infection transmission with other visitors.” from the report
  • Support during isolation

    The home helped people and relatives understand isolation arrangements and offered ways to reduce loneliness, including video calls.

    “The home supported people and their relatives to understand the isolation processes and how the service could help to alleviate them feeling lonely, such as video calls with friends and loved ones.” from the report
  • Safe admissions

    Inspectors found procedures for receiving people safely and helping them understand the isolation process.

    “Roxburgh House (West Midlands) had comprehensive procedures in place to ensure people were received safely into the service in accordance with national guidance.” 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 are you currently managing staffing pressures linked to COVID-19 or other absences?
  2. 02How do you arrange visits, and can visitors use a separate area and entrance as described in the report?
  3. 03What support would my relative receive if they needed to isolate, including help to stay in contact with family?
  4. 04How do you check visitors, staff and visiting professionals for infection risks and vaccination requirements?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was inspected but not rated and did not provide a full service rating. This explanation was written from the published report of 3 February 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.

An earlier report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured about the home’s COVID-19 infection prevention and control measures.

This was an announced inspection on 10 February 2021. It was carried out as part of the CQC’s response to the coronavirus pandemic and focused on infection prevention and control.

Inspectors found that the home was following guidance on visitors, personal protective equipment, testing, social distancing, shielding, hygiene and managing outbreaks. They were assured that people were admitted safely and that the infection control policy was up to date.

The home was not given an overall rating or a Safe rating. This was a targeted inspection, so it does not provide a new rating of the home’s wider care.

What inspectors praised
  • Infection control

    The home had measures in place to reduce the risk of COVID-19 entering or spreading within the home.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Personal protective equipment

    Staff were following PPE guidance, with extra PPE available near residents’ rooms.

    “Staff were adhering to Personal Protective Equipment (PPE) guidelines and extra PPE locations had been set up near to residents' rooms.” from the report
  • Family communication

    When visitors could not enter because of restrictions, staff used video calls and monthly newsletters to keep families informed.

    “As families and visitors were not allowed to enter the home under the current Covid restrictions, staff did video calls with the residents and their families” from the report
  • Staff wellbeing

    Staff had individual COVID-19 risk assessments and regular conversations about their wellbeing.

    “The provider had ensured that all staff had received a personal COVID-19 risk assessment and conversations about their wellbeing were held regularly” 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. 01What infection control arrangements are in place now, and how have they changed since the recent outbreak?
  2. 02When can families visit, and what testing or PPE is required?
  3. 03How will you help residents keep in contact with relatives if visits are restricted?
  4. 04How often are staff tested and given updates about infection control?
  5. 05How are new residents admitted safely during an infection outbreak?

This was a targeted inspection of infection prevention and control as part of the CQC’s COVID-19 response; it did not provide new ratings for the wider care provided. This explanation was written from the published report of 17 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.

The story over the years

Every inspection of Roxburgh House (West Midlands)

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

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Roxburgh House (West Midlands) →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Roxburgh House (West Midlands) →

  3. April 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2011

    Registered with the Care Quality Commission on 31 October 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.

Next steps

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