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CQC report explained · a residential care home

What the CQC found at The Rowans

Goodpublished 23 August 2024, 2 years ago

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

The latest report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors found good infection prevention and control during a COVID-19 outbreak.

This was an announced, targeted inspection on 26 November 2020. It checked infection prevention and control because the home had experienced a coronavirus outbreak.

Inspectors found enough protective equipment, trained staff, regular cleaning and updated infection control guidance. They were assured that the outbreak had been managed safely and that testing was in place.

The home was inspected but not rated overall. The Safe question was also inspected but not rated, so this report does not provide a full judgement on the quality of care.

What inspectors praised
  • Protective equipment

    There was enough PPE, including masks, gloves, aprons and hand sanitiser. Staff were observed using it in line with national guidance.

    “The provider ensured there was sufficient stock of Personal Protective Equipment (PPE) in place including masks, gloves, aprons and hand sanitiser.” from the report
  • Clean environment

    The home had regular cleaning during the day, including high-touch areas, with extra cleaning at night.

    “The staff team cleaned the service as part of their role, including regular cleaning of high touch points throughout the day.” from the report
  • Outbreak management

    Inspectors found that a recent COVID-19 outbreak had been managed well. Core staff moved into the home to reduce the risk of infection spreading.

    “A recent outbreak of COVID 19 at the service had been managed well and the plans in place to support people had been utilised safely.” from the report
  • Testing and risk planning

    The home followed care home testing guidance and had risk assessments for people at higher risk from COVID-19.

    “The provider put in place risk assessments clearly identifying people at high risk of COVID 19 and the measures in place to support them.” from the report
  • Keeping in touch

    The home supported people to keep contact with relatives. Home visits were possible where risk assessments supported them.

    “People were supported to keep in touch with their relatives. Home visits were being facilitated were possible and risk assessments put in place to support the home visits taking place.” 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 prevention and control arrangements are in place now, and how have they changed since this inspection?
  2. 02How do you manage testing and consent for people who may find testing difficult?
  3. 03How would you manage a new infection outbreak, including staffing arrangements?
  4. 04How do you support communication for people who find masks difficult to understand?
  5. 05How are visits with relatives currently arranged and risk assessed?

This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other quality areas were not assessed. This explanation was written from the published report of 18 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.

An earlier report, explained

What inspectors found, February 2019

Rated Good overall; inspectors found safe, kind and person-centred care, with some care documents not routinely available in accessible formats.

This was a planned, announced inspection on 29 January 2019. One inspector spoke with eight people living in the home, four staff members and managers. They observed care, reviewed four care records and checked medicines, staffing, training, safeguarding, accidents and management records.

Inspectors found people were safe and received effective care. There were enough staff, medicines were managed safely, risks were assessed and the home was clean. People were supported to make choices, develop independence, access healthcare and take part in activities they enjoyed.

People described staff as kind and respectful. The home was considered well-led, with systems to check quality and address shortfalls. All five areas were rated Good, and the overall rating remained Good, as it was at the previous inspection in 2016.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to provide the support people had been assessed as needing, including one-to-one support.

    “There were enough staff on duty to ensure people were supported in the ways they wanted to be.” from the report
  • Kind and respectful care

    People spoke positively about staff, and inspectors saw relaxed and respectful interactions. Staff supported privacy, dignity and personal choices.

    “Throughout the inspection we observed that people were relaxed and comfortable in the company of staff.” from the report
  • Building independence

    People were supported with everyday tasks, community activities, work placements and personal goals at their own pace.

    “People were supported to maintain and develop their independence.” from the report
  • Good oversight

    The home used regular checks and action plans to monitor care, the environment, nutrition, records and staff training.

    “Systems were in place to monitor and improve the quality of services provided for people.” from the report
What inspectors were concerned about
  • Accessible care documents

    needs fixing

    Although information was available in words, pictures and symbols in some areas, care plans and menus were not routinely provided in alternative formats. The registered manager said this would be addressed.

    “Although people were involved in developing care plans and menus, we noted that these key documents were not routinely made available in alternative formats.” from the report
Questions to ask them, based on this report
  1. 01Are care plans and menus now routinely available in the alternative formats each person needs?
  2. 02How do you check that each person understands and can take part in decisions about their care?
  3. 03How will you make sure one-to-one support remains available when staff are absent?
  4. 04How are people's goals for independence reviewed and progressed?
  5. 05How are changes in people's health or support needs shared with healthcare professionals?

This was a planned inspection covering all five key questions and the overall quality and safety of the care home; the previous overall rating from 2016 was also considered. This explanation was written from the published report of 15 February 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.

The story over the years

Every inspection of The Rowans

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

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Rowans →

  2. February 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Rowans →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Registered with the Care Quality Commission on 12 June 2014.

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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Care at home

9 live-in carers within about an hour of Lincolnshire

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.

8 can care for a couple. 10 years' experience on average.

“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Julie V., about Martin G.
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Scot H., about Magdalena B.
See live-in carers near LincolnshireProfiles, rates and reviews are free to look at.

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