Rockfield Residential

Updated 4 August 2021

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

The inspection was conducted by one inspector.

Service and service type

Rockfield Residential 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.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We conducted a tour of the service and spoke with two people who used the service. We also spoke with the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. These included two people’s care records and a variety of records relating to the management of the service, including audits.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two members of care staff via telephone and we attempted to contact two relatives.

Updated 4 August 2021

About the service

Rockfield Residential is a residential care home providing personal care for up to 17 younger adults with mental health conditions. At the time of this inspection, 12 people were using the service.

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

People felt safe living at Rockfield Residential and had built positive relationships with a consistent staff team.

The service had adapted to ensure government guidance in relation to COVID-19 management was implemented and followed. Where risks in relation to COVID-19 had been identified, these had been managed appropriately but records did not always reflect this. The provider took action to address this.

Staff received regular support from their line managers and spoke positively of the management team. Appropriate training had been provided and further training specific to people’s medical conditions was planned.

People were encouraged to remain as independent as possible and were supported to make day to day decisions. A healthy, balanced diet was promoted, and people were encouraged to make their own choices with regards to meals and times they ate.

The principles of the Mental Capacity Act 2005 were followed. 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.

Effective quality assurance processes were now in place. Regular audits were completed to monitor the quality and safety of the service and action had been taken when shortfalls were found.

Some areas of the service had been refurbished. A renewal program was in place to address other areas of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 19 September 2019)

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an unannounced comprehensive inspection of this service on 31 July 2019. A number of recommendations were made, and the location was rated as requires improvement.

We undertook this focused inspection to check that improvements had been made. This report only covers our findings in relation to the key questions Effective and Well-led which contain those requirements.

We looked at infection prevention and control measures only 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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.