Archived: Rosewood Lodge Rest Home

Rosewood Lodge Care Home is a residential care home providing personal and nursing care to 21 people aged 65 and over at the time of the inspection. The service can support up to 24 people.

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

People were cared for in a clean and homely environment. Risk assessments were carried out and staff could explain the reason for the assessments and how they followed them to help keep people safe. Staff deployment was structured to ensure people were safe. The registered manager reviewed staff levels as people’s needs and occupancy levels changed.

All staff had access to and wore personal protective equipment (PPE). The home was registered to regularly test staff and people for COVID-19 infection. Infection control systems and audits ensured a clean environment people.

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

Rating at last inspection: The last rating for this service was good (published 10 September 2019).

Why we inspected

We undertook this targeted inspection to check on a specific concern we had about staffing and the management of risk. The overall rating for the service has not changed following this targeted inspection and remains good.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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 coronavirus and other infection outbreaks effectively.

Follow up

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

This is a residential care home for up to 24 people. The home is situated along the promenade near St Annes town centre. The service offers short to long term care. Private parking facilities are available. At the time of the visit there were 21 people who lived at the home.

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

People were protected from the risk of abuse and kept safe by staff who were trained to protect them. The registered manager recorded and audited any incidents and accidents and learnt from them. People were supported to manage risks in their daily lives. Staff continued to be recruited safely and sufficient numbers of staff supported people to live an independent life as possible. Medicines were managed safely. Infection control systems and audits continued to ensure a clean environment and reduce any risks. The provider ensured safety checks of the home environment were completed regularly.

The registered manager ensured staff received an effective induction and training programme that was continually updated, staff confirmed this. People spoke positively about the quality of meals and praised the cooks for the choices available. People received support with their healthcare needs promptly. 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.

People and their relatives told us staff were kind, caring, respectful and treated them well. They told us staff respected their privacy and supported them to be as independent as possible. The registered manager provided information about local advocacy services, to ensure they could access support to express their views if required.

People told us staff knew them well and provided care that reflected their needs and choices. Activities were varied, and people told us there were trips and entertainment regularly provided. Staff offered people choices and encouraged them to make decisions about their care. People’s communication needs had been assessed and where support was required these had been met. The registered manager managed concerns and complaints in a timely manner and people told us they felt listened to.

The management team were clear about their roles and obligations to people and provided care which resulted in good outcomes for them. They worked in partnership with a variety of agencies to ensure people’s and social needs were met. The registered manager and provider used a variety of methods to assess and monitor the quality of the service on a regular basis.

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

Rating at the last inspection

The last rating for this service was good (published 01 March 2017)

Why we inspected

This was a planned inspection based on the previous rating

Follow up: The next scheduled inspection will be in keeping with the overall rating. We will continue to monitor information we receive from and about the service. We may inspect sooner if we receive concerning information about the service.

This is a residential care home for up to 24 people. The home is situated along the promenade near St Annes town centre. The service offers short to long term care. Private parking facilities are available. At the time of the visit there were 20 people who lived at the home.

At the last inspection in July 2014 the service was rated Good. At this inspection we found the service remained good.

The registered manager had systems in place to record safeguarding concerns, accidents and incidents and take appropriate action when required. Recruitment checks were carried out to ensure suitable people were employed to work at the home. Our observations and discussions with staff and people who lived at the home confirmed sufficient staff were on duty.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.

Risk assessments had been developed to minimise the potential risk of harm to people who lived at the home. These had been kept under review and were relevant to the care and support people required.

Care plans were in place detailing how people wished to be supported. People who received support or where appropriate their relatives were involved in decisions and consented to their care.

Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required.

We observed regular snacks and drinks were provided between meals to ensure people received adequate nutrition and hydration. Comments from people who lived at the home were all positive about the quality of meals provided. One person said, “I must say the food is top notch.”

We found people had access to healthcare professionals and their healthcare needs were met.

People who lived at the home told us they were encouraged to participate in a range of activities that had been organised. Entertainers were arranged on a regular basis.

People who used the service and their relatives knew how to raise a concern or to make a complaint. The complaints procedure was available and people said they were encouraged to raise concerns.

The registered manager used a variety of methods to assess and monitor the quality of the Rosewood Lodge. These included regular audits of the service and staff and resident meetings to seek the views of people about the quality of care being provided.

We were able to speak with residents during the day of the inspection about their care and support. People we spoke with told us they could express their views and were involved in discussions about their care. They told us they felt listened to when discussing their care needs. Comments from residents included, 'Lovely home supported by kind and attentive staff and manager.'

We spent time in communal areas of the home. This helped us to observe the daily routines and gain an insight into how residents care and support was being managed. We observed staff treated people with respect and provided support or attention as people requested it.

During our inspection we contacted the Lancashire contracts monitoring team. They told us they currently had no concerns with the service being provided by the home.