Background to this inspection
Updated
16 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.
Inspection team
The inspection was carried out by one inspector and an Expert 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
Rosedale Centre is a reablement ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Rosedale Centre provides short term rehabilitation care and support for people coming from hospital or the local community. 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
The inspection was unannounced.
What we did before inspection
We reviewed information we held about the service. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with 2 people, the registered manager, deputy manager, 2 duty coordinators, 4 support workers, kitchen and domestic staff. An expert by experience spoke with 1 person who had used the service and 6 relatives.
We observed interactions between staff and people in communal areas, including at lunchtime. We reviewed a range of records. This included 2 people's care records and medication records. We looked at 2 staff files electronically. A variety of records relating to the management of the service, including policies and procedures, were reviewed.
Following the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed all evidence sent to us electronically by the provider.
Updated
16 November 2022
About the service
Rosedale Centre accommodates up to 44 people across four separate units, each of which have separate adapted facilities. Currently 3 of the 4 units were being used. People do not generally stay at Rosedale for more than six weeks although there are, on occasion, exceptions to this. People are admitted following discharge from hospital or from the community in an attempt to prevent hospital admission. At the time of our inspection there were 31 people living at Rosedale Centre.
People’s experience of using this service and what we found
People and relatives told us they felt the service was safe. The home was clean and safety checks were carried out. There were enough staff to meet people’s needs quickly. Any incident or accidents in the home were responded to and learning shared.
Risks to people’s health, safety and well-being were effectively managed. Medicines were administered safely. The provider had effective infection prevention and control systems in place.
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.
The home had a registered manager who had good knowledge of people’s needs and clear oversight of processes in the home. There were systems to assess the quality of the service, which were closely monitored. People, relatives and staff gave us positive feedback and told us they had opportunity to comment on the service. Staff sought us out to tell us how the culture of the service had improved under the management team and staff felt valued and listened to.
For more details, please see the full report which is on the Care Quality Commission(CQC) website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 14 July 2021).
The provider completed an action plan after the last 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.
Why we inspected
We carried out an unannounced focused inspection of this service on 7 June 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
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 COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosedale Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.