Roby House Care Centre

Updated 25 October 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Both days of the inspection were carried out by two inspectors.

Service and service type

Roby House is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced and the second day was announced.

What we did before the inspection

We reviewed all the information we held about the service. We also obtained information about the service from the local authority and local safeguarding teams. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection visit

We spoke with 10 people and 5 family members about their experience of the care provided. We also spoke with the registered manager, regional director, 8 care staff, housekeeper, cook and 2 nurses.

We reviewed a range of records. This included 8 people’s care records and a selection of people’s medication records. We looked at recruitment records for 3 staff members employed since the last inspection. A variety of other records relating to the management of the service, including audits and checks were reviewed.

Updated 25 October 2022

About the service

Roby House Care Home provides accommodation, personal and nursing care for up to 55 people in one adapted building over two floors with lift access to the upper floor. At the time of our inspection 52 people were living at the service.

People’s experience of using this service and what we found

The systems in place for checking the quality and safety of the service and making improvements had been strengthened since the last inspection. Risks to people’s health and safety were now identified and safely managed. People were supported by the right amount of suitably skilled and experienced staff and safe recruitment procedures were followed. Medicines were safely managed by skilled and competent staff. There were systems in place for reporting accidents and incidents and learning from them. Managers and staff understood their responsibilities for protecting people from the risk of abuse and harm. Staff followed safe procedures to minimise the risk of the spread of infection. There was a high standard of cleanliness and hygiene throughout the premises.

People’s needs and choices were assessed, and a care plan was developed detailing how their needs were to be met. Staff received the training and support they needed for their role. People’s dietary and healthcare needs were understood and met. The environment was adapted and decorated to meet people’s needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were treated well, and their privacy, dignity and independence was promoted and respected. Staff had formed positive relationships with people and their family members. People and family members were given opportunities to openly express their views and opinions and they felt listened to.

Care plans included people’s wishes and preferences about how their care and support was to be provided. People told us they received the right care and support to meet their needs. People and family members were provided with information about how to complain and they were confident about complaining if they needed to. Complaints were used to improve the quality of the service.

The registered manager was clear about their role and responsibilities and they promoted a positive and person-centred culture. The manager was described as supportive and approachable. Staff worked well together as a team to achieve the best possible outcomes for people. Staff morale was good, and staff felt well supported. There was good partnership working with others to meet people's needs.

Rating at last inspection and update

The provider had made a change to their registration since the last inspection. This is the first inspection under the providers new registration. The last rating for this service was requires improvement (published 17 September 2021) and there were breaches of regulation.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended that the provider review staffing arrangements in line with people’s care and support needs. At this inspection we found the provider had acted on this recommendation and they had made improvements to how staff were deployed.

Why we inspected

This was a planned inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roby House Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.