Archived: Rosebery Manor

The home is purpose-built and provides accommodation and facilities over three floors. The second floor provides care and support to people living with dementia; this area is called The Oaks.

People’s experience of using this service:

People felt safe at the home and when staff provided their care. Measures had been implemented to mitigate any risks involved in people’s care. Guidance was provided for staff to ensure they supported people in a safe and consistent way. Staff were recruited safely and understood their role in safeguarding people from abuse.

People were supported to maintain good health and to access healthcare services when they needed them. Staff monitored people’s health closely and acted promptly if they identified concerns. Medicines were managed safely.

Staff had access to the induction, training and support they needed for their roles. Staff communicated effectively with one another and worked well as a team. Handovers and team meetings kept staff up-to-date about any changes in people’s needs or to working practices.

Staff were kind and caring and treated people with respect. They encouraged people to make choices about their care and respected their decisions. People were supported to be independent as possible in managing their own care.

People’s care was designed and planned to meet their individual needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People enjoyed the food at the home and were involved in the development of the menu. People’s specific dietary needs were met. People enjoyed a wide range of in-house and external activities and events.

The home had an effective management team which provided good leadership for staff and communicated effectively with people, relatives and professionals. The management team maintained an effective oversight of the service, which ensured people’s care was well-planned and managed. Staff were positive about their roles and felt valued for the work they did.

The views of people who lived at the home, their relatives and staff were encouraged and acted upon by the management team. People and their relatives felt able to raise any concerns they had and were confident these would receive an appropriate response.

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

Rating at last inspection

This care home is run by two companies: WR Operations 1 Limited and Signature Senior Lifestyle Operations Ltd. These companies have a dual registration and are jointly responsible for the services at the home.

The home was previously run by Signature of Epsom (Operations) Limited and Signature Senior Lifestyle Operations Ltd. The last rating under the previous registered provider was good (published 19 March 2020).

Why we inspected:

This inspection was prompted by a review of the information we held about this service.

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.

Follow up:

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We found the following examples of good practice.

People were supported to maintain contact with those who were important to them. Staff supported people to speak with their loved ones through video calls and the telephone. When people were able to receive visitors, safe protocols were in place including booking appointments, a separate screened area and testing prior to entry. The activities team continued to provide a variety of activities in line with people’s needs and preferences.

The provider had devised and implemented a risk-based approach to how the service operated on a day to day basis. This supported registered managers in making decisions in relation to visiting, activities, dining and maintenance. All decisions were made in line with advice from the relevant professionals.

People were cared for in a clean and hygienic environment. Detailed cleaning schedules were in place and followed. Particular attention was paid to frequently touched areas which were frequently cleaned throughout the day.

The service was separated into zones to minimise the risk of cross infection. Staff were allocated to work in a specific zone and separate changing and break rooms were available in each area. People were encouraged to spend time in their rooms when cases of Covid-19 had been identified. Where this was difficult for people, communal areas had been arranged to support people to maintain social distancing.

People and staff received regular testing for Covid-19 and appropriate action was taken in response to any positive tests. Two staff members had been appointed as testing co-ordinators to ensure the process was managed appropriately. In addition, regular screenings for symptoms of Covid-19 such as daily temperature checks were completed.

Personal protective equipment (PPE) was available to staff, visitors and people living at Rosebery Manor. Staff received training in the safe use and disposal of PPE and we observed this was followed. Any questions or concerns regarding the use of PPE were responded to promptly.

Staff told us they had felt supported throughout the Covid-19 pandemic. In addition to practical support, access to well-being information and counselling were also available.