Roche Abbey Care Home

The following is CQC's published account of its assessment, published 4 September 2025. References to “we” mean CQC. It describes findings at that time.

Date of Assessment: 4 August to 12 August 2025. The service is a residential care home providing personal and nursing care to older people and young adults. Some people were living with dementia. We carried out this assessment to check the service had continued to sustain improvements.

The provider had a good learning culture and people could raise concerns. The management team investigated incidents thoroughly. Risks associated with people’s care were identified and managed to keep people safe. The facilities and equipment met people’s needs, were mainly clean and well-maintained. However, some areas required deep cleaning, some fire doors required replacement, and 2 rooms were without window restrictors. These issues were acted upon and have now been resolved. There were enough staff with the right skills, qualifications and experience. The management team made sure staff received training and regular appraisals to maintain high-quality care. People received their medicines as prescribed by staff who were trained and supported to administer them safely.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. People had enough to eat and drink to stay healthy and had access to nutrition and hydration which met their needs. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. They monitored people’s health to support healthy living. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people and took decisions in people’s best interests where they did not have capacity.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. The provider supported staff wellbeing.

People were involved in decisions about their care. Staff provided information people could understand. People knew how to give feedback and were confident the provider took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. Staff worked to reduce health and care inequalities through training and feedback.

The management team and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. The management team worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.