Rosewood Lodge & Brook House

Updated 21 September 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector on day one, and two inspectors on day two.

Service and service type

Rosewood Lodge & Brook House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced on both days.

What we did before the inspection

We reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is legally required to tell us about. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with two people about their experience in the home. We completed observations of the service. We spoke with the registered manager and two staff. We reviewed three people’s care records. We looked at the medicines policy and audits, medicine administration records and associated care documents for three people. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We spoke with three staff members via video link. We continued to seek clarification from the provider to validate evidence found.

Updated 21 September 2021

Rosewood Lodge and Brook House provides care and accommodation for up to 20 people with mental health needs. At the time of our inspection, 20 people were living at the home. The home is set out over four floors and consists of two residential properties that have been adapted into one home.

People’s experience of using this service and what we found

We identified concerns relating to infection control management. The home was not clean or well maintained. There were enough staff to meet people’s needs, however there were no dedicated cleaning staff or systems to manage and monitor cleaning was effective. There were shortfalls in staff recruitment files. Some risks were not assessed and managed.

Medicines were managed safely. Staff knew how to recognise and report abuse.

People were supported to have choice and control of their lives. Where restrictions were in place people had agreed to these. However, we discussed with the registered manager keeping the restrictions under regular review and ensuring they were the least restrictive option.

The governance systems in place were not fully effective.

People and staff were positive about the registered manager. Staff supported people to be involved in the home on an informal basis, as this suited people’s needs. There were systems in place to communicate with people and staff. The service worked in partnership with a range of professionals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The rating at the last inspection was good (published 18 February 2019).

Why we inspected

As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place. We inspected and found there was a concern with infection control, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe, effective and well-led.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosewood Lodge & Brook House on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.