Care service description

Roxburgh House is a residential care home for 22 people with a physical difficulty and older people, some of whom may be living with dementia. The service is a large, converted domestic property. Accommodation is arranged over three floors and there is a stair lift to assist people to get to the upper floors. There were 19 people living at the service at the time of our inspection.

Rating at last inspection

At the last inspection, the service was rated Good.

Rating at this inspection

At this inspection we found the service remained Good.

Why the service is rated Good

The registered manager was leading the service and was supported by a senior carer. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the care and has the legal responsibility for meeting the requirements of the law. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were kind and caring to people and treated them with dignity and respect at all times. Staff knew the signs of abuse and were confident to raise any concerns they had with the registered manager. Complaints were investigated and responded to.

People had enough to do during the day, including going out to local shops and cafes. Staff supported people to maintain relationships with their friends and family.

Assessments of people’s needs and any risks had been completed and care had been planned with people and their relatives to meet their needs and preferences and keep them safe.

Changes in people’s health were identified quickly and staff contacted people’s health care professionals for support. People’s medicines were managed safely and people received their medicines in the ways their healthcare professional had prescribed. People were offered a balanced diet and food they liked.

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

There were enough staff to provide the care and support people needed when they wanted it. Staff were recruited safely and Disclosure and Barring Service criminal records checks had been completed. Staff were supported to meet people’s needs and had completed the training they needed to fulfil their role. Staff were clear about their roles and responsibilities and worked as a team to meet people’s needs.

The registered manager had oversight of the service. Staff felt supported and were motivated by them. Staff shared the registered manager’s vision of a good quality service and told us they would be happy for their relatives to live at Roxburgh House. Records in respect of each person were accurate and complete.

Care service description

Roxburgh House is a residential care home for 22 people with a physical difficulty and older people, some of whom may be living with dementia. The service is a large, converted domestic property. Accommodation is arranged over three floors and there is a stair lift to assist people to get to the upper floors. There were 19 people living at the service at the time of our inspection.

Rating at last inspection

At the last inspection, the service was rated Good.

Rating at this inspection

At this inspection we found the service remained Good.

Why the service is rated Good

The registered manager was leading the service and was supported by a senior carer. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the care and has the legal responsibility for meeting the requirements of the law. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were kind and caring to people and treated them with dignity and respect at all times. Staff knew the signs of abuse and were confident to raise any concerns they had with the registered manager. Complaints were investigated and responded to.

People had enough to do during the day, including going out to local shops and cafes. Staff supported people to maintain relationships with their friends and family.

Assessments of people’s needs and any risks had been completed and care had been planned with people and their relatives to meet their needs and preferences and keep them safe.

Changes in people’s health were identified quickly and staff contacted people’s health care professionals for support. People’s medicines were managed safely and people received their medicines in the ways their healthcare professional had prescribed. People were offered a balanced diet and food they liked.

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

There were enough staff to provide the care and support people needed when they wanted it. Staff were recruited safely and Disclosure and Barring Service criminal records checks had been completed. Staff were supported to meet people’s needs and had completed the training they needed to fulfil their role. Staff were clear about their roles and responsibilities and worked as a team to meet people’s needs.

The registered manager had oversight of the service. Staff felt supported and were motivated by them. Staff shared the registered manager’s vision of a good quality service and told us they would be happy for their relatives to live at Roxburgh House. Records in respect of each person were accurate and complete.

The people who used the service, who we spoke to, told us that they were happy with the care and support they received. One person told us “The staff are very good; they know what I need and how I like to be helped so I am very happy here”. Another person said, “The food is very good and there is plenty of it. If someone doesn’t like what’s on the menu they are always offered something else.

People told us and we saw that they could bring their own furniture and possessions for their rooms and we saw that one person had their own phone line so they could contact friends and relatives whenever they wanted to. Other people who used the service told us that they were given their own mobile phone and that staff had spent time with people to show them how to use them.

We saw that care plans had been written based on people's individual assessments of their needs and contained detailed information. For example, care plans recorded people’s medical conditions, along with their individual preferences and choices in relation to their care. We found that people’s records contained a range of assessments, including appropriate risk assessments and we found that care plans were up to date. We saw evidence of monitoring and regular evaluations of the support that was provided, together with involvement and liaison with relatives and various health professionals, to ensure they were kept informed of changes in people's conditions when necessary.

People who used the service said that staff consulted with them about how they wanted to be supported. They also said that they received all of the health and personal care they needed.

We saw that the provider had measures in place to help safeguard people from abuse. There were enough staff on duty to enable people to promptly receive the assistance they needed. We saw that there was an effective system for resolving concerns and complaints.

All of the five people with whom we spoke gave us positive feedback about most aspects of the service. One of them said, “I’ve lived here a while and it’s home. The staff are all so lovely and kind. I do what I want including spending time in my bedroom and it’s very relaxed. There are no fixed rules, the staff are always asking how I am and whether I want anything. “

We saw that some parts of the accommodation were not furnished and decorated to make them comfortable spaces. Also, records did not confirm that an important health and safety check had been completed. We observed that the dining room and one bedroom were not heated adequately. One person who was sitting in the dining room waiting for lunch to be served said, “I feel a bit cool in here at the moment. It was okay before this recent cold weather but the heater can’t heat the room enough when it’s really cold outside.”

People who use services said that the staff treated them with respect and supported them to raise any concerns they had. They said that they received the health and personal care they needed and that they were comfortable in their home. One person said, 'There's quite a nice feeling to things and the staff are always kind to me and helpful. They're absolutely lovely to me'.