Archived: Rose Cottage Residential Home

Updated 21 September 2017

We undertook an unannounced focused inspection of Rose Cottage Residential Home on 1 September 2017. This inspection was completed to check that improvements, to meet legal requirements planned by the provider after our comprehensive inspection on 3 February 2017 inspection, had been made. We inspected the service against one of the five questions we ask about services: is the service well-led? This is because the service was not meeting a legal requirement in relation to this question at our last inspection.

This unannounced inspection was carried out by one inspector.

Before our inspection we reviewed the information we held about the service including notifications. A notification is information about important events which the provider is required to tell us about by law. The information we looked at included the provider's action plan, which set out the action they would take to meet legal requirements.

We contacted the local safeguarding authority which is responsible for investigating any safeguarding concerns they are informed about. We also looked at the action plan the provider sent to us in March 2017 to ensure the necessary improvements had been made.

During the inspection we spoke with two people living in the service, two visiting relatives, the manager, one team leader, one shift leader, one care staff and a member of the housekeeping team. We also spoke with a representative of the provider.

We looked at five people’s care records, quality assurance and audit records, staff meeting minutes and medicines administration records. We also looked at records in relation to the management of the service including quality assurance, incident and audit records.

Updated 21 September 2017

We carried out an unannounced comprehensive inspection of this service on 3 February 2017. A breach of legal requirements was found. This was in relation to information which we must be notified about. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rose Cottage Residential Home on our website at www.cqc.org.uk

Rose Cottage Residential Home is registered to provide accommodation and nursing care for up to 38 people. At the time of our inspection there were 35 people living at the service. The service is a single storey premises located in the village of Broughton near the towns of St Ives and Huntingdon. Most of the rooms have en-suite bathrooms. Each room has a call bell system, a telephone and TV point, and access to the internet. The service is based in a rural location, has landscaped gardens and a naturally occurring pond.

There was not a registered manager in post. However, two new managers had been recruited and they were in the process of applying to become registered. 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.

At our focused inspection on 1 September 2017, we found that the provider had followed their action plan in relation to reporting incidents. They had told us the actions would be completed by June 2017. Legal requirements had been met.

Systems and procedures had been introduced and these had been consistently applied in ensuring CQC had been notified about important events such as any serious injury to a person if this had occurred. Staff had informed external agencies such as a GP service and the local safeguarding authority where necessary.

Management and quality assurance processes that had been implemented since our previous inspection had been effective in driving improvement in the staff culture and audit records. This had resulted in accurate and appropriate reporting of all incidents that by law we needed to be informed about.