Roop Cottage Residential Home

Some staff knew people well and had caring relationships with them and their families. Staff were described as kind and patient when providing care.

“Staff spoke with people in kind and caring ways. Some staff knew some of the people well and had established caring relationships with them and their families.” from the report

People and relatives said the food was good, and people were shown visual choices of the food available. However, support with the timing and safety of eating and drinking was not reliable.

“The food is nice and you get plenty” from the report

People's risks were not fully assessed or followed up. Call bells were missing or out of reach, weight loss was not consistently acted on, and hazards in the building remained unresolved.

“Risks to people were not sufficiently assessed, monitored or mitigated.” from the report

Medicines records and staff guidance were not reliable. Some records lacked photographs, some guidance for as-needed medicines was missing or unclear, and nutritional supplements were not always given as prescribed.

“Systems and processes were not in place to ensure the safe management of medicines.” from the report

Staff had not been trained to meet several people's needs, including autism, learning disabilities, nutrition and hydration, oral health and dementia.

“Staff were not trained to support people with autism or a learning disability.” from the report

Inspectors found poor support with personal care and oral hygiene. One person's privacy was not protected, and people's independence and choices were not consistently encouraged.

“People's dignity and respect was not promoted.” from the report

Mealtimes, personal care and daily routines were organised around staff availability. Some people remained in their rooms despite records showing they wanted to spend time elsewhere, and there were few meaningful activities.

“Care was not planned around people's individual needs, interests and preferences.” from the report

Managers had changed, responsibilities were unclear and there was no registered manager. Previous concerns and promised improvements had not been effectively dealt with.

“There was a lack of accountability, understanding of risks and oversight.” from the report