Rosebery House

Updated 17 November 2022

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

This inspection was undertaken by two inspectors.

Service and service type

Rosebery House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rosebery House is a care home without nursing care. 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 the Care Quality Commission 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.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we reviewed the records of the home. These included three staff recruitment files, medicine records, accidents and incidents and quality audits along with information about the upkeep of the premises. We looked at four care plans and risk assessments along with other relevant documentation to support our findings. This included 'pathway tracking' two people living at the home. This is when we check that the care detailed in individual plans matches the experience of the person receiving care. It is an important part of our inspection, as it allows us to capture information about a sample of people receiving care.

During the inspection process we spoke with five people, four visitors, a visiting healthcare professional and eight staff members. This included the registered manager. We also received feedback from two further health and social care professionals.

We spent time observing people in areas throughout the home and could see the interaction between people and staff. We watched how people were being cared for by staff in communal areas, this included the lunchtime meals.

Updated 17 November 2022

About the service

Rosebery House is a residential care home providing accommodation and personal care for up to 30 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 29 people using the service.

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

There were enough staff working to provide the care and support people needed. However, we made a recommendation that the provider reviews deployment of staff at peak times during the day.

People were protected from the risk of harm of abuse because staff knew what actions to take if they identified concerns. Staff received regular training and competency assessments which helped to ensure they had the knowledge and skills to look after people. The home was clean and tidy throughout with no unpleasant odours.

Staff knew people well and understood the risks associated with their support. Care plans and risk assessments provided guidance about risks. People received their medicines safely, when they needed them. Recruitment procedures ensured only suitable staff worked at the home.

The culture of the home was positive and staff worked hard to ensure people lived happy lives. The quality of the service was regularly monitored through audits, discussions and feedback surveys. Improvements were made where needed and there was an ongoing improvement program for the home. They worked well with other organisations. Visiting health and social care professionals spoke highly of the registered manager and staff.

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.

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

Rating at last inspection and update

We undertook an infection prevention and control inspection (published 24 March 2022). This was a targeted inspection therefore we did not re-rate the service at this inspection.

The last rating for this service was requires improvement (published 28 July 2021). The provider completed an action plan after this inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended that the provider seek appropriate guidance in relation to the storage of prescribed topical creams. At this inspection we found topical creams were stored appropriately.

Why we inspected

We looked at infection prevention and control measures (IPC) 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 inspection was prompted in part due to concerns received about the care people received, this included continence care, staff training and IPC. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this report.

At our inspection, published 28 July 2021 a breach of legal requirements was found which related to IPC. At this focused inspection we also checked they had followed their action plan and to confirm they now met legal requirements

Follow up

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