Margaret Roper House

People gave positive feedback about how staff treated and supported them. People appeared calm and at ease in the home.

“People told us they were treated and supported well and enjoyed living at the home.” from the report

People said they felt safe and knew they could speak to staff if they were unhappy.

“People told us they felt safe living at the service.” from the report

The recruitment records checked by inspectors included the required pre-employment checks.

“Recruitment of new staff was safe. Pre-employment checks were completed to help ensure staff members were safe to work with vulnerable people.” from the report

The provider responded positively to the inspection and had begun work on some problems, including fire door repairs and changes to pharmacy support.

“Both the provider and quality compliance team responded in a positive and proactive way to the findings at our inspection” from the report

Care plans and risk assessments did not always explain how risks should be reduced. Some risk ratings were inconsistent or had not been reviewed.

“Risks were not always managed safely. Care plans and risk assessments did not always evidence people received planned care that met their needs.” from the report

Records did not always show the care people needed or received for medicines. Some staff were not up to date with training or competency checks, and medicines policies lacked enough guidance.

“The provider failed to ensure medicines were managed safely, this was a breach of regulation 12 (Safe Care and Treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

Some internal doors were not fire safety compliant. Inspectors also found dirty communal toilets, damaged bathrooms and incomplete cleaning or safety checks.

“The provider failed to ensure the premises were safe to use by people, this was a breach of regulation 12” from the report

Records did not always show that people had agreed to their care plans. Mental capacity assessments were not always completed when there were concerns about a person's ability to consent.

“Failure to assess mental capacity and ensure consent was sought in line with the principles of the MCA, is a breach of Regulation 11” from the report

Audits did not always identify problems or lead to timely action. The home had no registered manager and had been without one for over 12 months.

“The provider failed to operate effective systems to assess, monitor and improve the quality and safety of the service” from the report

Some refresher training was overdue. Care plans and daily records did not always give or record the support people needed with specific diets and fluids.

“We recommend the provider ensures systems in place to train and support staff are more effective and refresher training is provided in line with best practice guidance.” from the report