We carried out an unannounced inspection of Rosebridge Court on 22 and 23 September 2016. The home was last inspected on 30 July 2014, when we found the service to be compliant with all the regulations we assessed at that time.
Rosebridge Court is a modern purpose built care home which provides support for up to 46 people that require either; residential care, general nursing, dementia nursing or have a mental health diagnosis. At the time of the inspection there were 45 people living at Rosebridge Court.
The home is divided into two separate units, each one catering for a specific client group. Allendale unit on the ground floor largely provides support to people requiring mental health care, whilst the Darby unit on the first floor, caters for people requiring residential or nursing dementia care. Both units have spacious lounge areas, separate dining rooms and an activity room. They have a range of well-equipped bedrooms, including some with assistive technology; all are en-suite with views across the garden.
At the time of the inspection the home had a registered manager. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
We saw that the home was clean and had appropriate infection control processes in place. Daily, weekly and periodic cleaning schedules were in place and up to date. A ‘cleaning specification’ document was used to record the task, equipment and cleaning material required, any hazards associated with the task, what PPE was required and the method of cleaning.
All the people we spoke to told us they felt safe. Relatives expressed no concerns about the safety of their family members and were complementary about the level of care provided. The home had appropriate safeguarding policies and procedures in place, with detailed instructions on how to report any safeguarding concerns to the local authority. Staff were all trained in safeguarding vulnerable adults and had a good knowledge of how to identify and report any safeguarding or whistleblowing concerns.
Both the registered manager and staff we spoke to demonstrated a good knowledge and understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS), which is used when someone needs to be deprived of their liberty in their best interest. We checked whether the service was working within the principles of the MCA, and whether any conditions on authorisations to deprive a person of their liberty were being met. We found that the provider had followed the requirements in the DoLS and related assessments and decisions had been appropriately taken.
We saw medicines were stored, handled and administered safely and effectively. All necessary documentation was in place and was completed consistently. Staff responsible for administering medicines were trained and had their competency assessed annually.
Staff spoke positively about the training available. We saw all the staff had completed a comprehensive induction programme and on-going training was provided to ensure skills and knowledge were up to date.
Staff confirmed they received regular supervision and annual appraisals, which along with the completion of monthly team meetings, meant they were supported in their roles.
Meal times were observed to be a positive experience, with people being supported to eat where they chose. Staff engaged in conversation with people and encouraged them throughout the meal. We saw drinks were available in all communal areas throughout the home and people were supported and encouraged to drink on a regular basis, with detailed fluid monitoring in place.
Throughout the inspection we observed positive and appropriate interactions between the staff and people who used the service. Staff were seen to be caring and treated people with kindness, dignity and respect. Both people who used the service and their relatives were complimentary about the attitudes of the staff and the standard of care received.
We looked at six care files which contained detailed information about the people who used the service and how they wished to be cared for. Each file contained detailed care plans and risk assessments, which helped ensure their needs were being met and their safety maintained.
The home had two activity rooms and employed two activity co-ordinators. Everyone we spoke to was positive about the variety and frequency of activities available. We saw the activity schedule catered for all interests and abilities and group activities and individual outings were encouraged and supported.
The home had a range of systems and procedures in place to monitor the quality and effectiveness of the service. Audits were completed on a daily and monthly basis and covered a wide range of areas including medication, care files, infection control, health needs and the overall provision of care. We saw evidence of action plans being implemented to address any issues found.