Rosehill House Residential Home

Updated 20 April 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 3 inspectors and an assistant inspector.

Service and service type

Rosehill House Residential Home 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.

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 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.

Inspection activity started on 9 March 2023 and ended 17 March 2023. We visited the service on the 9 March 2023 and 14 March 2023.

What we did before 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, including Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 5 people living at Rosehill House, 8 relatives and 3 visiting healthcare professionals about their experience of the care and support provided. We spoke with 4 care staff, the registered manager and 2 provider representatives. We reviewed documentation in relation to 4 people, 2 staff recruitment files, medicines records and other documentation relating to the service.

Updated 20 April 2023

About the service

Rosehill House Residential Home is a residential care home providing personal care to up to 27 people. There were 14 people living at the home at the time of the inspection. Accommodation is provided over two floors in a detached period building with a large garden.

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

The providers governance systems did not always ensure effective oversight of the service. Quality assurance checks that were completed did not always identify improvements required to ensure people's safety

The provider was not promoting safety through the layout and hygiene practices of the premises. The service required renovation and modernisation.

There were not always sufficient numbers of staff to meet people's needs and ensure their safety. We found not all staff had completed refresher training in areas the provider had deemed mandatory, but the manager was in the process of planning and reviewing training. The provider had an appropriate procedure for the recruitment of staff.

Staff supported people 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. However, records relating to consent and capacity needed improving and we have made a recommendation about this.We issued a recommendation about this.

Staff supported people to eat a nutritionally balanced diet and to maintain their health. The registered manager assessed people's needs prior to them using the service. Staff treated people with kindness and respect and spent time getting to know them and their specific needs and wishes.

Staff told us they felt supported by the registered manager. People told us they felt safe living in the home, and they were happy with the service provided. Staff understood how to protect people from harm or discrimination and had access to safeguarding adults' procedures.

We observed positive interactions between staff and people who lived in the home. However, people were provided with limited opportunities to express their views about the service.

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

Rating at last inspection and update

The last rating for this service was good (published 9 December 2021).

Why we inspected

We received concerns about the lack of robust infection prevention and control and ineffective governance and management of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective, and well-led only. For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating.

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 has changed from good to requires improvement based on the findings of this inspection.

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

Enforcement and Recommendations

We have identified breaches in relation to risk management, infection prevention and control, medicines and quality monitoring.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.