A family-run independent Warrington care home inspected due to concerns over risk management has been placed in special measures and rated inadequate by the Care Quality Commission (CQC).
Rosevilla Residential Care Home at Collins Green, Warrington, provides accommodation and personal care to older people, including people living with dementia. At the time of the inspection, there were 40 people living in the home.
The inspection took place at the care home between November 29 and December 4 last year and found governance systems failed to identify issues and drive necessary improvements to the quality and safety of the service. Issues identified during the inspection had occurred partly due to a lack of understanding around the requirement for some actions and records that needed to be implemented in order to keep people safe.
People’s prescribed medicines were not always managed safely. Risks associated with fluid thickening powder had not been considered and acted upon to ensure people were kept safe. Records required to show where and how topical medications such as creams and pain patches should be applied were not in place to evidence staff were following prescriber guidance. Advice had not been sought from a pharmacist to ensure that covert medicines (hidden in food or drink) were being given in a safe way. Staff had failed to follow prescriber guidance when administering medicines required to be taken separately to other prescribed medicines.
Risks to people’s health safety and wellbeing had not always been assessed or documented in people’s care plans to help staff support people safely. Risks associated with taking blood thinner medication and falls had not been considered as part of the care planning process. Staff did not have access to guidance around how to identify and respond to people who may experience low or high blood glucose levels.
Accidents and incidents were not subject to review or analysis to help identify patterns and trends. This meant there were missed opportunities to implement necessary changes to help prevent incidents occurring in the future. There were not always enough staff deployed across the service to support people safely.
Safeguarding concerns were recorded and acted upon appropriately. However, inspectors could not always be certain they were reported to relevant agencies, including CQC, in a timely manner.
Assessments were completed to determine people’s capacity to make specific decisions. However, there was no evidence to show that best interests processes were being followed in line with the principles of the MCA.
Whilst people were supported to have maximum choice and control of their lives and supported by staff in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
The layout of the building was suitable to meet the needs of people who needed mobility equipment.
However, inspectors identified some issues regarding the atmosphere and the impact this could have on people living with dementia and those with increased anxiety and distress.
Whilst people’s needs had been assessed, inspectors could not be certain care was being delivered in line with best practice. This was due to a lack of detailed and person-centred information in people’s care plans and some monitoring charts not providing evidence that people had received their meals in line with their assessed needs.
People and family members spoke positively about the care provided by staff and told inspectors staff were kind and caring and knew people well. Observations completed during the inspection further evidenced this.
The inspection took place after the CQC received concerns in relation to risk management. As a result, they undertook a focused inspection to review the key questions of safe and well-led only. During the inspection activity, they identified further concerns relating to MCA.
The overall rating for the service has changed from good to inadequate based on the findings of this inspection.
Inspectors identified breaches in relation to medicines management, risk management, staffing and governance at this inspection.
The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means the CQC will keep the service under review and, if they do not propose to cancel the provider’s registration, they will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, they will take action in line with our enforcement procedures. This will mean they will begin the process of preventing the provider from operating this service.
This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when they inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.
In response to the findings Rosevilla Residential Home owner Peter Nesarajah said: “At Rosevilla Residential Home, we believe in the value of continuous improvement and learning. The recent inspection report highlighted that Rosevilla can do better. This has been received with a spirit of constructive engagement. We view this as an invaluable opportunity to further elevate the quality of care we provide to our residents, and we will learn from this.
“We are particularly grateful for the exceptional support from the local authorities of St Helens and Warrington. Their guidance and ongoing assistance have been instrumental in our journey towards improving our service provision. This collaboration underscores our shared commitment to the well-being and care of our residents.
“Rosevilla is a family run independent care home, we have been serving our community since May 1988.We are dedicated to not only meeting but exceeding the standards expected of us. The journey of improvement is continuous, and we are fully committed to it for the benefit of our residents and their families. Rosevilla is always open for dialogue and feedback from all members of our community. Together, with the support of our local community and authorities, we are confident in our path forward: a path that leads to enhanced care, enriched lives, and a reaffirmed commitment to excellence in every aspect of our work at Rosevilla.”
A full copy of the inspection report can be read by clicking here
1 Comment
To be honest with you, the home is a disgrace and needs to be closed down