Housing 21 - Rokeby Gardens is a Good-rated extra care service in Doncaster providing personal care to 26 of its 56 residents, demonstrating safe practices, person-centred care, and strong leadership across all five key questions. No regulatory breaches or areas for improvement were identified at this inspection, which maintained the Good rating from the previous inspection in November 2017.
Strengths
· Safeguarding systems and staff training in place; staff demonstrated clear understanding of abuse recognition and reporting procedures.
· Sufficient staffing with rotas planned 4 weeks in advance to ensure consistency of carers for people.
· Medicines administered safely with MAR chart audits and staff competency checks in place.
· Person-centred care plans that were detailed, regularly reviewed, and involved people in decisions about their care.
· Proactive end of life care approach including achieving the Gold Standard Framework and a bereavement support pack for relatives.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; duty of candourGood