Roland Residential Care Homes

Updated 2 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 31 October 2018 at the home and was unannounced. On 9 November 2018 we contacted relatives by phone to obtain their feedback. The inspection was carried out by one adult social care inspector.

Before the inspection we looked at information that we had received about the service and formal notifications that the service had sent to the CQC. We also looked at safeguarding notifications that the provider had sent to us. Providers are required by law to inform CQC of any safeguarding issues within their service.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with six staff including the registered manager and five care staff. We also spoke with four people living at the home. We looked at three care records and risk assessments, seven people’s medicine records, five staff files, and other paperwork related to the management of the service including staff training, quality assurance and rota systems. Following the inspection, we spoke with four relatives and received written feedback via e-mail from a fifth relative.

Updated 2 February 2019

Roland Residential Care Homes – 4 Compton Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is a terraced house over two floors that accommodates up to seven people. At the time of the inspection there were seven people living at the home.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

Risk assessments gave staff detailed guidance and ensured that risks were mitigated against in the least restrictive way. Risk assessments were reviewed and updated regularly.

People received their medicines safely and on time. People’s medicines were reviewed by healthcare professionals on a regular basis. People were encouraged to understand their medicines and why they had been prescribed.

People's mental health was supported and regularly reviewed. People were encouraged to understand their own mental health to aid well-being.

Staff had received training in safeguarding and understood how to report any concerns. People were actively encouraged to raise concerns.

Staff were recruited safely and appropriate checks conducted before commencing employment.

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

People could choose what they wanted to eat and drink and helped create weekly menus. People were encouraged to eat a healthy diet and this was discussed with them.

We observed caring and supportive interactions between staff and people. Staff knew people well and people appeared comfortable around the staff.

People could practice their faith and were supported by staff to attend places of worship.

There was an open culture within the home and staff felt comfortable raising issues or seeking advice from colleagues and the registered manager. People, relatives and staff were positive about how the home was run.

There was good oversight and governance of the home including regular audits for various aspects of care and the environment.

Further information is in the detailed findings below.