Rowles House Limited

Updated 9 November 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

Rowles House Limited is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rowles House Limited is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people and 3 relatives of people who received support for feedback on their experience of the care provided. We undertook observations as some people could not provide verbal feedback to us. We spoke with the registered manager, administrator, senior care staff, care and kitchen staff. We also received email feedback from 17 staff and 2 professionals who work with the service.

We reviewed a range of records. This included 5 people’s care records and multiple medicine records. We looked at 3 files in relation to staff recruitment and support. We looked at a variety of records relating to the management and running of the service.

Updated 9 November 2023

About the service

Rowles House Limited is a residential care home providing personal and nursing care to up to 26 people. The service provides support to adults, some of whom live with dementia. At the time of our inspection there were 23 people using the service.

People’s experience of the service and what we found:

People were cared for safely and protected from abuse and the risk of abuse. Known risks to people's care were assessed and reviewed regularly. There were enough staff to meet people's needs. Safe recruitment practices were followed to ensure staff were suitable for their roles.

Medicines administration processes were followed so people received their medicines safely in the way they preferred. Staff used personal protective equipment (PPE) when needed and infection control practices were in place.

Accidents and incidents such as falls were reported, recorded and followed up appropriately. Regular analysis was undertaken so patterns or themes could be identified. Lessons were learned when things went wrong and improvements were implemented to reduce the risk of recurrence.

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.

Staff provided positive feedback about their roles, good teamwork and support from the management team.

Quality monitoring processes were undertaken to ensure effective management oversight of all aspects of the service. The registered manager was aware of their regulatory responsibilities including informing the Care Quality Commission (CQC) of notifiable events and incidents. The management team worked openly and transparently for the benefit of people living in the service.

Staff were supported and feedback was encouraged from people, relatives and the staff team. When any issues or concerns were raised, these were taken seriously and dealt with by the management team. The staff team worked well with health and social care professionals to ensure people received care and treatment to meet their needs.

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 Good, published 4 December 2018. A targeted inspection to review infection prevention and control practices was published on 18 December 2020, this did not provide a rating.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow Up

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