Roche Abbey Care Home

Inspectors found enough suitably trained staff on duty during the visit. Recruitment checks were in place.

“There were enough suitable trained staff to meet the needs of the service.” from the report

Staff knew how to respond to possible abuse. Safeguarding concerns were recorded and reported to the safeguarding authority.

“People we spoke with told us they felt safe living at the home.” from the report

People's choices were respected, and the report found that the home was working within the principles of the Mental Capacity Act.

“People told us they were supported to make decisions and their choices were respected.” from the report

People and relatives spoke positively about the registered manager and said concerns were listened to and followed up.

“People and relatives spoke highly of the registered manager and felt she was approachable and listened to any concerns or issues raised.” from the report

Some people had lost considerable weight, but care plans did not explain clearly enough how this risk should be managed. Reviews and actions were not recorded properly.

“People had lost considerable weight, the care plans and supporting documentation did not give details of how to manage this.” from the report

The home's audits did not identify several problems found during the inspection. This led to a breach of Regulation 17.

“The provider had failed to ensure governance systems were effective. This is a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

The home was generally visibly clean, but some mattresses, chairs, pressure cushions and kitchenettes needed a thorough clean.

“We found soiled seat cushions and mattresses and kitchenettes required a thorough clean.” from the report

Inspectors saw people being given meals and then left while staff served others. Some people were not encouraged to eat or offered suitable food if they would not sit at a table.

“People did not always receive person-centred care. We observed the dining experience could be improved.” from the report

People received medicines as prescribed, but some records did not show carried-over amounts or that topical medicines had been applied. The manager addressed this after the inspection.

“However, we found some minor documentation issues.” from the report