Rosedene Nursing Home

Updated 23 December 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 team consisted of an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Rosedene Nursing Home 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. Rosedene Nursing Home is a care home with nursing care. Care Quality Commission [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 CQC 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. This included 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 8 people about their experiences of living at the care home and 2 visitors, including a person’s relative and an external social care professional. We also spoke to various members of staff who worked at the care home including, the registered manager, the deputy Chief Executive Officer [CEO], 3 nurses, including the clinical lead nurse/deputy manager, 6 support workers, including 2 senior support workers, a domestic assistant, and the office manager.

Throughout our visit we observed positive interactions between people living and working in the care home.

In addition, we reviewed a range of records. This included 6 people’s care plans, 4 staff files in relation to their recruitment, multiple medicines records and a variety of records relating to the overall management and governance of the service.

After our site visit we received email feedback 3 people’s relatives and 3 external health and social care professionals.

We also continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection visit including, records relating to staff rosters and training, quality monitoring audits, which included feedback from people living at the care home, their relatives and staff working there. We received this information as requested, which was used as part of our inspection.

Updated 23 December 2023

About the service

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location was supporting 5 people with a learning disability or autism. We therefore assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Rosedene Nursing Home is a residential care home providing personal and nursing care to up to 67 people. The service provides support to both younger and older adults with complex mental health care needs. Some people residing at the service were also living with dementia or as described above have a learning disability or autistic spectrum disorder. At the time of our inspection there were 42 people living at the care home. The care home accommodates people in 1 adapted building comprising of 2 floors, each with their own separate facilities.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support

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 were kept safe and were confident any concerns they raised would be listened to. Staff understood how to protect people from poor care and abuse. Staff received training on how to recognise and report abuse and knew how to apply this knowledge. Enough staff were deployed to meet peoples assessed needs whose suitability and fitness to work at the care home has been thoroughly assessed. The premises was kept clean, and tidy, and staff followed current best practice guidelines regarding the prevention and control of infection. People received their prescribed medicines as and when they should. The provider worked well with external health and social care agencies and professionals to plan and deliver people’s packages of care.

Right Care

The care and support provided by staff was person-centred. Staff knew and understood people, and responded well to people’s individual needs. Risks to people and staff were assessed, monitored, and reviewed. Staff were aware of how to manage risks people they supported might face and how to keep them safe.

Right culture

The care home’s culture was positive, open, and honest, with leadership and management that was clearly identifiable and transparent. The provider sought the views of people living in the care home, their relatives, and staff working there. Staff were aware of and followed the provider’s vision and values which were clearly defined. Staff knew their responsibilities, accountability and were happy to take responsibility and report any concerns they may have. Complaints, concerns, accidents, incidents, and safeguarding issues were appropriately reported, investigated, and recorded. The service quality was reviewed regularly, and appropriate changes made to improve people’s care and support if required.

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

Rating at last inspection

The last rating for this service was good (published 11 May 2022).

Why we inspected

We received concerns in relation to how the care home was being managed, specifically relating to an increase in the number of incidents involving people living at the care home being harmed. As a result, we undertook a focused inspection to review the key questions of safe and well-led.

We did not inspect the key questions of effective, caring and responsive. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service and for both key questions safe and well-led remains good based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosedene Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information, we may inspect sooner.