Background to this inspection
Updated
6 May 2023
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 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 1 inspector.
Service and service type
Rosedale is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rosedale is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 7 people who used the service and 4 relatives about their experience of the care provided. We spoke with 7 members of staff including the registered manager, care manager, administrator, care workers, catering and domestic worker and the hairdresser.
We reviewed a range of records. This included 4 people’s care records and multiple medication records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
We continued to seek clarification from the provider to validate evidence found. We sought feedback from the local authority and professionals who work with the service. We looked at training data and quality assurance records. We spoke with 1 professional who knew the service.
Updated
6 May 2023
About the service
Rosedale Care Home provides accommodation with personal care for people over the age of 65. The service is registered to accommodate up to 18 people and was providing care to 13 people at the time of the inspection.
People have a range of care and support needs including diabetes and some people were living with dementia and the frailties of old age. Any nursing needs were provided by community nursing services.
People’s experience of using this service and what we found
People told us they were content living at Rosedale. They told us staff were kind towards them and knew their needs well. People were encouraged to make their own choices and retain their independence and people’s care plans were individualised and person-centred. A health professional told us, “It’s a very personalised home, staff know people inside and out. It’s a lovely atmosphere.”
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People felt safe living at Rosedale and where risks to people had been identified there was good guidance in place for staff. Staff were able to tell us how they kept people safe and had a good knowledge of how to identify and report any potential safeguarding concern.
People were cared for by enough staff who had been trained and demonstrated competence in their roles. Staff received the support they required through continual learning and development and regular supervision with their line manager.
Medicines practices were good, and people received the medicines they required in line with their prescription.
People lived in an environment that was checked for its safety and suitable for their needs.
The environment had been improved and there were action plans in place to further enhance the environment. Relatives commented “Its tired and could do with a lick of paint but you can’t fault the care.” The garden was appreciated by people who told us they use it in the summer.
People were provided with enough food and drink prepared in a way that met their needs. One relative told us, “[Loved one’s name] is particularly delighted with the food. “There was also a range of activities available including getting out and about. Staff told us they were keen to develop this further.
People and relatives spoke confidently about the registered manager and gave positive feedback. One person said, “He is amazing.” A relative told us, “He’s approachable, easy to talk to and gets things done, nothing is too much trouble.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 11 March 2022 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 20 March 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service is good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.