CQC report explained · a residential care home
What the CQC found at The Rowans Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, December 2020
Inspected but not rated; inspectors found strong infection control measures, with some damaged furniture and bins still awaiting replacement.
This was an announced, targeted inspection on 4 December 2020. It looked only at infection prevention and control because of the coronavirus outbreak response.
Inspectors found that visitors were screened, PPE was used, testing was carried out and procedures were in place for safe admissions and isolation. People were also supported to keep in touch with family and friends.
The home was clean and tidy overall. Inspectors noted some damaged furniture that was difficult to clean and some bins that were not foot operated, but replacements had been ordered.
The service was inspected but not rated. This means the inspection checked infection control arrangements rather than giving a full overall quality rating.
Visitor safety
Visitors had temperature checks, health screening and supervised access. They were expected to follow infection control guidance and wear suitable PPE.
“All visitors were supervised to ensure they followed infection control guidelines and wore appropriate personal protective equipment (PPE).” from the report
Family contact
The home supported people to stay in contact with relatives and friends through calls, video calls and window visits. Arrangements also supported visits at the end of life.
“People who used the service were supported to maintain contact with their families and friends through phone calls, video calls, and window visits.” from the report
Testing and isolation
Regular testing was carried out for people living in the home and staff. Clear arrangements were in place for people who needed to isolate.
“Regular testing of people who used the service and staff was completed in line with current guidance.” from the report
Preparedness
The home had plans for managing outbreaks and staffing pressures. Agency staff were used only at this home to reduce infection transmission between services.
“The provider had contingency plans in place which included the use of agency staff who only worked at the service to reduce the risk of transmission to and from other services.” from the report
Damaged furniture
minorSome furniture was damaged and difficult to clean. New furniture had been ordered, but the report does not confirm that it had arrived.
“However, some items of furniture were damaged and difficult to clean, though the provider had new furniture on order.” from the report
- 01Have the damaged items of furniture been replaced, and are all surfaces now easy to clean?
- 02Have the new foot-operated bins been installed in all areas where staff put on and remove PPE?
- 03How are visitors currently screened and supported to follow infection control procedures?
- 04How are people supported to keep in contact with family and friends?
- 05What is the current procedure for testing, isolation and safely admitting new residents?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 25 December 2020 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, March 2019
The Rowans Care Home was rated Good; inspectors found safe, kind and personalised care, with some records and signage still being improved.
This was an unannounced planned inspection on 23 and 28 January 2019. One inspector and an Expert by Experience visited the home. They spoke with people living there, relatives, managers and care staff, and checked care records, medicines, staffing, complaints and quality checks.
All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found enough staff, safe medicines practice, clean surroundings, kind relationships and activities every day. People were supported to make choices and remain as independent as possible.
There were some areas being improved. Some care plans did not yet contain enough detail about specific behaviours, best-interest decisions needed stronger recording, and the home would benefit from clearer bedroom numbering and more signs. Managers acted quickly on issues raised during the inspection.
Kind and respectful care
Staff built positive relationships and supported people with dignity. People were involved in their care and encouraged to do what they could for themselves.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Safe medicines and staffing
Inspectors found enough staff on shift and safe systems for managing medicines. Records showed medicines were given as prescribed.
“Staff followed best practice guidance to manage people's medicines. People received their medicines safely as prescribed.” from the report
Activities and choice
People had regular activities, support to follow their faith and opportunities to access the local community. They were also supported to communicate in different ways.
“Activities took place seven days a week and three times a day, with a different activity at each time of the day.” from the report
Some care plans lacked detail
needs fixingSome records did not explain the triggers for verbal or aggressive behaviour or how staff should respond. A positive behaviour support plan was added during the second visit, and the manager said this would be done for similar needs.
“Some of the care plans we looked at required further detail around people's specific needs.” from the report
Clearer signs were needed
minorInspectors said more signs and clearer bedroom numbering would help people who may become confused when finding their way around the home. The manager had planned improvements.
“The home would benefit from further signage and clear bedroom numbering to reduce further confusion that may be apparent where people were forgetful.” from the report
Best-interest decisions needed stronger records
needs fixingThe provider was improving the way it recorded decisions made for people who could not consent, including signed input from people with relevant knowledge and expertise.
“The provider was improving record keeping ensuring decisions made in people's best interest were clearly recorded, with signed input from those with the associated knowledge and expertise.” from the report
- 01Have all care plans been updated with clear guidance about triggers and responses to behaviour that may challenge?
- 02How do you make sure best-interest decisions are fully recorded and include the required signed input?
- 03Have the planned improvements to bedroom numbering and signs been completed?
- 04How do you check that medicines continue to be given safely and as prescribed?
- 05Which activities and community or faith opportunities would be suitable for my relative?
This was an unannounced planned inspection that looked at the home, care and management across all five CQC questions, and all five ratings were Good. This explanation was written from the published report of 1 March 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.
Every inspection of The Rowans Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018
Registered with the Care Quality Commission on 24 January 2018.
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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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.