Rosetrees

Updated 30 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector, a specialist advisor and two Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Rosetrees is a care home. The service is operated and run by Jewish Care, a voluntary organisation. At the time of our inspection, 49 people were living at the service.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

Inspection site visit activity took place on 10 April 2019 and was unannounced.

What we did:

Prior to our inspection, we reviewed information we held about the service, including previous reports and notifications sent to us at the Care Quality Commission. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with 18 people and seven visiting relatives. We also spoke with two volunteers and one healthcare professional to gain their feedback on the service.

We spoke with the registered manager, the care manager, the learning development trainer and assessor, the living well facilitator, one housekeeping supervisor and five care staff.

We looked at the care plans and records related to the care of nine people. We looked at three staff records, which included their recruitment, induction and on-going supervision. We looked at the staff training matrix, the minutes of staff and resident’s meetings and records related to the quality monitoring of the service.

Updated 30 May 2019

About the service:

Rosetrees is a care home registered to provide accommodation, personal care and support for up to 53 older people. At the time of our inspection, there were 49 people, some of whom were living with dementia. Accommodation was provided in a purpose-built home across three floors, with communal areas on each floor.

People’s experience of using this service:

People and their relatives told us they and their loved ones felt safe living at the service. Comments included, “I feel very secure here”, “Staff are always available to help” and “Yes, this is a safe place and we are pleased with the care.”

People continued to be safeguarded from the risks of abuse and staff knew what action to take if they suspected abuse. Risks associated with people’s care were identified and managed to keep people safe. Medicines continued to be managed and administered safely.

Staff continued to receive training and support to ensure they had the skills and knowledge to carry out their role effectively. People had access to healthcare professionals when needed. People spoke positively about the meals provided; all meals were prepared on site and met people’s dietary requirements. 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 and their relatives praised staff for their caring attitude and kind approach. People’s equality, diversity and individuality was respected. Staff interactions with people demonstrated caring and positive relationships with people and their family.

People’s needs were regularly reviewed and updated with their involvement and their relative where required. Effective systems were in place for staff to share information about people, so they could respond to people’s changing needs in a timely and coordinated manner. People had opportunities to take part in activities within the service and the wider community.

There were systems in place to monitor the quality of the service to enable the registered manager and provider to drive improvement. People felt that the management team were approachable and that if they had concerns they would be listened to.

Rating at last inspection: Good (Report published in October 2016).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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