21 June 2022
During an inspection looking at part of the service
Roseacres is a residential care home providing accommodation and personal care to older people and people living with dementia. The service can accommodate up to 35 people and at the time of the inspection there were 29 people using the service.
People live in an adapted home spreading across two floors served by a lift. Some people have en-suite facilities while others share communal bathrooms located in close proximity to their rooms. People have access to communal dining, living areas and a large garden.
People’s experience of using this service and what we found
Whilst people and their relatives told us they received safe care, we found risks associated with people’s care and health were not always managed appropriately. In many cases, risk assessments lacked clear guidance for staff which could lead to poor care. Systems were in place to ensure staff were recruited safely, however, we found there were times when the service was short-staffed which could affect people’s care.
The provider had not addressed issues around the crowdedness of the lounge areas which we found at the last inspection. We found some areas in the service to be quite busy and noisy during certain times of the day.
The service had quality assurance systems in place, although these systems were not always effective as they had not identified the issues we found at this inspection.
People received their medicines safely and as prescribed. Staff received training in safeguarding and knew how to recognise and report signs of abuse. The service had implemented appropriate infection prevention and control measures to protect people, staff and visitors from catching infections.
People received a comprehensive assessment before their admission into the home which ensured they received the right care and support.
Staff were supported through robust induction processes, supervision and regular training. People were provided with healthy meal choices and stayed hydrated. Staff supported people to maintain good health and access a range of healthcare services when needed. 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. Where people were unable to make decisions about their care, the service engaged with their relatives and staff for feedback.
There was an open and inclusive culture at the service. People, relatives and staff spoke positively of the management and the support they received. The team worked in partnership with healthcare services and other professionals to achieve good outcomes for people.
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 6 November 2017).
Why we inspected
This focused inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the key questions Safe, Effective and Well-led. For those key questions not inspected, we used the ratings awarded at the last 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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseacres on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to the safe management of people’s risks and good governance of the service, at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.