Archived: White Rose House

Updated 23 September 2021

The inspection

This was a targeted inspection to check on specific concerns we had about staffing levels, oral healthcare, and leadership & management.

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

This inspection was carried out by two inspectors and an oral health inspector.

Service and service type

White Rose 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.

What we did before the inspection

Prior to the inspection visit, we liaised with the local authority to help inform our inspection. We reviewed information held on the provider, for example, notifications sent to us by the provider. We reviewed information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We reviewed a variety of records related to the quality and safety of the service. This included safeguarding records, risk assessments, care plans, staffing rotas, policies, procedures, and quality audits.

We spoke with five people who used the service and used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with seven members of staff including the registered manager, the area director, a peripatetic manager and support workers.

After the inspection

We continued to analyse the information gathered during the inspection. We also asked for additional information related to safeguarding and governance.

Updated 23 September 2021

About the service

White Rose House is a care home providing personal care to 45 people at the time of the inspection. The service accommodates up to 64 people in one building.

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

People told us they felt safe. One person said, “There’s always someone [staff] with you, the girls are excellent. I’m frightened of slipping, they give you lots of towels, they’ve been excellent with me, they helped me feel safe. Give [staff name] a gold star, they helped me have the courage to have a bath.”

Staff had a good understanding of how to safeguard people from abuse.

Person-centred care was promoted and people told us the staff knew them well and responded to their needs in a person-centred way.

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 told us staff were kind and sensitive. One person said, “Staff are kind, caring, they listen to you.” A relative added, “The carers are respectful, kind and caring.”

Person-centred assessments and care plans had been completed which reflected people’s needs, wishes and preferences. Staff knew people well and told us how they identified if people's needs changed or if they needed additional support.

Systems and processes had been reviewed to ensure the service was compliant with regulations. Although governance systems had improved we still noted room for further improvement as audit systems were not always robust enough.

Staff said they were happy working at the service. They said it had improved considerably over the last few months since the registered manager had been in place who was bringing stability and organisation to the service and support for them.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 17 October 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.