Rosemount Care Home

We found the following examples of good practice.

The provider kept up to date with regularly changing guidance and reviewed and updated policies accordingly.

The registered manager had reduced agency usage where possible and requested consistent agency staff to retain a continuity of care and lessen the impact on people.

The registered manager demonstrated an awareness of the emotional and physiological impacts of isolation and was taking steps to address these.

The service was clean throughout, with additional cleaning in place for high touch areas. The registered manager had acted promptly on advice from infection prevention and control specialists.

Further information is in the detailed findings below.

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

There had been substantial improvements made to the running of the service to ensure people were the main focus of care delivery and they received safe, effective care that met their needs.

Staff knew about safeguarding procedures. There were opportunities for staff to receive training. Staff now worked well with other agencies to ensure people received care and support. Staff said they felt supported by the organisation and were aware of their responsibility to share any concerns about the care provided.

Records provided guidance to ensure people received safe, consistent, person-centred care and support from all staff members. Systems were now in place for all people to receive their medicines in a safe way.

The service supported some people with complex needs. There was evidence of collaborative working and communication with other professionals to help meet people's needs

All people and relatives were complimentary about the care provided by staff. They trusted the staff who supported them. They said staff were kind, caring and supportive of people and their families.

Some people and relatives said communication could be improved. The provider was responsive and had made changes to address people’s feedback and this continued. There were opportunities for people, relatives and staff to give their views about the service. Improvements had been made to involving people in the running of the service and to consult with them.

Improvements had been made to the choice and variety of food to ensure people enjoyed the meals offered to them. Improvements were being made to activities to ensure they were person-centred and of interest to people.

A quality assurance system was in place and it had become more robust to assess the standards of care in the service. The provider had put in place a consistent management team, in the absence of a manager, to ensure the running of the service.

We were assured that the provider was monitoring the use of PPE for effectiveness and people’s safely.

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.

Information was accessible to involve people in decision making about their lives.

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

Rating at last inspection

This service was registered with us on 18/05/2020 and this is the first inspection.

The last rating for the service under the previous provider was rated good, published on 14/06/2018.

Why we inspected

The inspection was prompted in part due to concerns received about staffing, people’s personal and nursing care needs, communication and medicines management. A decision was made for us to inspect and examine those risks. We undertook a focused inspection to review all of the key questions.

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.

We found no evidence during this inspection that people were at risk of harm from these concerns as the provider had taken effective action to mitigate the risks and we were assured was continuing to make improvements to ensure people received safe, effective and person-centred care.

Please see the full report.

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.