Background to this inspection
Updated
10 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014. The inspection took place over two days, 28 and 31 January 2020.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
Rosebank 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 who was 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. At the time of the inspection the registered manager was on long term sick leave. The service was led by the manager who intended to register with CQC.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was 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 also looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern.
During the inspection
Most people at the home were living with dementia and had difficulty speaking with us. However, we spoke with 2 people and three relatives. We looked at five people's care records and four medicine administration records (MAR). We spoke with five care staff, two kitchen staff, the manager, the deputy manager and the provider. We reviewed a range of records relating to the management of the service. These included three staff files, quality assurance audits, incident reports, complaints and compliments. We also sought the views of the local authority’s commissioner of services.
Updated
10 March 2020
About the service
Rosebank Care Home is a residential care home, without nursing. At the time of our inspection the service was providing personal care to 22 people aged 65 and over, most of whom were living with dementia. The service can support up to 28 people in one adapted building covering two floors.
People's experience of using this service
Staff knew people extremely well which enabled them to respond quickly to people’s needs and wishes at the highest personal level. People were treated as individuals and the service went the extra mile to grant people’s wishes and provide activities and experiences that met their individual needs. This greatly enhanced their well-being and improved their quality of life. People and their relatives spoke very positively about activities and the staff, which evidenced the strong person-centred culture we witnessed in the home.
People and their relatives told us staff were extremely caring and kind. Staff's commitment and knowledge enabled people to receive excellent care from a staff group who knew them well. We observed many instances of kindness and compassion from very caring staff. A relative told us, “Staff are extremely caring here, I cannot fault it. They are welcoming and so friendly.”
The manager and staff strived to provide safe care and support. The team worked with GPs and other healthcare professions to ensure the service responded to people's changing needs safely and effectively. People were supported to maintain good health and to meet their nutritional needs.
The manager continually looked for ways to improve people's lives. Staff culture was positive, and the team was extremely caring. This had resulted in the provision of compassionate and very personalised care. The service had a clear management and staffing structure in place. Staff worked well as a team and had a sense of pride working at the service. The provider had quality assurance systems in place to monitor the quality and safety of the service.
People received safe care from skilled and knowledgeable staff. People told us they felt safe receiving care from the service. Staff fully understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place.
Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs and staff responded quickly to support people. Medicines were managed safely, and people received their medicines as prescribed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Outstanding, (published on 10 August 2017.)
Why we inspected:
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care.
Further inspections will be planned for future dates.