Rosetrees

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

Rosetrees is a care home registered to provide accommodation, personal care and support for up to 53 older people including people with dementia. The home is operated and run by Jewish Care, a voluntary organisation. At the time of our inspection, 52 people were living in the home.

The home is purpose built with dining and lounge areas on each floor. The home has 53 bedrooms with ensuite facilities split across three floors. The two floors are accessible via lifts and there is an accessible garden. The home shares kitchen and laundry facilities with another care home from the same provider. The home is part of the Betty and Asher Loftus centre, a community hub with access to a synagogue, shop and a café.

There was a registered manager in post. 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.

People using the service told us they felt safe at the service. The service had robust safeguarding policy and staff had a good understanding of the safeguarding procedure. Staff understood the service’ safeguarding procedure and were able to demonstrate their role in protecting people from harm and abuse. The service had systems to identify and manage risks. Risk assessments were regularly reviewed but needed more details. The care records had some gaps and needed more information on people’s nutrition and hydration needs. Care plans and risk assessments supported the safe management of people's medicines. The service kept accurate records of medicines administered by staff and medicines collection. The service was clean and had effective measures to prevent and control infection.

The service had sufficient numbers of staffing to meet people’s individual health and social care needs. People and their relatives told us staff were always available and easy to get hold of.

The service followed safe recruitment practices. Staff told us they attended induction training and received regular training, and records confirmed this. However there was gaps in staff supervision and appraisals. People and their relatives told us staff were friendly and caring.

There was choice of food at meal times, and staff supported people to eat when this was needed. People told us they were happy with the food.

The service operated within the legal framework of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). People told us staff asked their consent before supporting them. The registered manager and staff demonstrated a good understanding of the procedures under MCA and DoLS.

The care plans were personalised and people’s life histories, individual needs and likes and dislikes were recorded. People and their relatives were involved in planning their care. People and their relatives were asked about their views. The service offered people with a range of activities. People and their relatives told us they were asked for their feedback and their complaints were acted upon promptly.

The registered manager was very well recognised by people using the service, their relatives and the staff team for the efficient running of the service. They were passionate and dedicated in improving lives of people by continually reviewing people’s care plans and to ensure the best possible outcomes. The registered manager worked in partnership with various local and national organisations, and with health and social care professionals to ensure the service supported people to maintain healthy lifestyle. The service promoted a community environment within the service by encouraging people from the local community to participate in service’s various social activities.

The service had records of monitoring checks of various aspects of the service. The service maintained efficient systems to improve the quality of care delivery. The registered manager involved people, their relatives and staff in improving the quality of the service delivered.

We have made a recommendation about accessing specialist advice in creating dementia friendly environment.

We examined care records and risk assessments and found they were ensuring people using the service had their care documented effectively. We found that care was of a high standard and risks to people's welfare were minimised.

We found the provider had a strong system in place with regard to administration and documentation of medicine.

We found that staff were well supported and able to raise their concerns if required and that these would be listened to by senior managers.

There was a complaints policy that ensured that complaints could be made easily and responded to effectively.

People felt safe in the home and had 'no complaints at all." Relatives said they would raise any concerns with the manager, who was described as "easy to talk to." Staff knew how to recognise abuse and understood they should report any concerns. We saw from the care plans that relatives had been included in decision-making for people unable to make decisions on their own.

People felt well supported and we could see people being helped at a pace that suited them. Staff had some concerns about staffing levels. The manager said that staff numbers reflect dependency levels and staff can book bank or agency staff if needed. These actions minimised risks to people in the home.