Rookwood Residential Care Home

We last carried out a comprehensive inspection of this service on 18 December 2017. At that inspection we found seven breaches of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulations 2014. The breaches related to the person-centred care, need for consent, safe care and treatment in relation to risks within the environment and people's health and well-being, safeguarding from abuse and staff training and development. We also issued a warning notice with regards to the lack of evidence to demonstrate Good Governance. Due to the breaches found the service was rated Inadequate in the Safe and Well-led domains and Requires Improvements in the Effective, Caring and Responsive domains. The service was given an overall rating of Inadequate and placed in Special Measures.

Following the inspection, we required the provider to complete an improvement action plan to show how they would improve all key questions; safe, effective, caring, responsive and well led to at least good.

Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Rookwood is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection.

Rookwood is a large Victorian building providing accommodation for people over three floors. An office and laundry are sited in the basement. The home is situated on a main road on the outskirts of Bury town centre. On street parking is available to the side of the home. The home is registered to provide accommodation and personal care for up to 17 people. At the time of our inspection there were 16 people living at the home.

The service had a registered manager. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Systems were in place to monitor and review the service. It is recommended that the development of a business improvement plan would help to demonstrate on-going and sustained improvements were being made to enhance the service and experiences of people.

Systems were in place to safeguard people from abuse. Staff were aware of their responsibilities in reporting any issues or concerns so that people were protected.

People were supported by sufficient numbers of staff. Relevant recruitment checks were carried out to make sure people applying to work at the service were suitable.

Action had been taken to ensure that safety and suitability of the environment and equipment so that people were kept safe.

The management and administration of people's medicines was safe demonstrating people received their medicines as prescribed.

People living at Rookwood were involved and consulted with on decisions about how they wished to be supported. Lawful authorisation was in place for those people being deprived of their liberty.

Opportunities for training and support had been provided. This helps staff to develop the knowledge and skills needed to support people safely.

The home was found to be clean and well maintained with good infection prevention and control systems in place. Communal areas provided a good standard of accommodation for people and suitable aids and adaptations were in place to promote people's independence.

Care records contain sufficient information about people's needs, wishes and preferences. This helped to guide staff in the support people wanted and needed. Areas of potential risk to people had been assessed and planned for ensuring their health and well-being was maintained.

People said they enjoyed the choice of meals provided. Advice and support was sought where people were identified at nutritional risk. On-going support was accessed from relevant health care professionals so that people's health and well-being was maintained and people received any treatment they needed.

People were happy with the care and support they received and said staff were caring and friendly. Routines were relaxed, with some people enjoying more relaxed routines whilst others had more structured days with planned activities of their choosing. Staff encouraged people to be as independent as possible.

Opportunities were provided for people and staff to comment about the service. People felt confident any issues or concerns brought to the registered manager's attention would be taken seriously.

Information in respect of people's care was held securely, ensuring confidentiality was maintained.

The five questions we ask about services and what we found