Archived: Rosemount Care Home

Updated 14 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 27 March and 4 April 2018. The first day was unannounced and the second day announced. One inspector carried out the inspection.

We used 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.

Prior to the inspection we contacted external commissioners of the service from the local authority and the Clinical Commissioning Group (CCG), as well as the local authority safeguarding team and the local Healthwatch. We used their feedback during the planning of this inspection.

During our inspection we spoke with nine people and five relatives. We also spoke with a range of staff including the registered manager, one nurse, one senior care worker, three care workers, an activity co-ordinator and the cook. We reviewed a range of records including four people’s care records, medicine records, five staff files, training records and other records relating to the quality and safety of the home.

Updated 14 June 2018

The inspection took place on 27 March and 4 April 2018. The first day of inspection was unannounced and the second day announced. We last inspected the home on 15, 19 and 20 December 2016. We found the provider had breached the regulations relating to safe care and treatment and good governance because the arrangements for managing medicines were not always safe. We rated the home as ‘Requires Improvement’. Following this inspection, to reflect the improvements the provider has made, we have rated the service as Good.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions is the service safe. We found progress had been made and the provider was now meeting the regulations. In particular, medicines were administered safely and there was a structured approach to quality assurance to check on the effectiveness of medicines management.

Rosemount Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Rosemount Care Home accommodates up to 60 people. At the time of our inspection there were 53 people living at the home, some of whom were living with dementia.

The home had a registered manager. 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, relatives and staff told us the registered manager was supportive and approachable.

People and relatives had positive feedback about the care provided at the home. They told us the care people received was good and staff were kind and considerate. We observed there were positive interactions between people and staff.

People, relatives and staff told us the home was safe.

There were sufficient staff on duty to meet people’s needs. People told us staff responded as quickly as they could to their requests for assistance. We noted staff were visible around the home and available to support people when needed.

Staff had a good understanding of safeguarding procedures and the provider’s whistle blowing policy. They knew how to raise concerns and told us they would not hesitate to do so if they were concerned about people’s safety.

The provider followed the agreed local safeguarding procedures when dealing with safeguarding concerns. Previous concerns had been fully investigated involving advocates when needed.

There were effective recruitment processes to help ensure new staff were recruited safely.

Health and safety checks were completed and risks were assessed to help maintain a safe environment. Personalised evacuation plans were written to help ensure people received the support they needed in an emergency.

Management supported staff well and staff received the training they needed. Records confirmed training, supervisions and appraisals were up to date.

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.

Staff supported people to meet their nutritional and healthcare needs. We saw people received support with eating and drinking in line with their needs. Care records showed people had input from a range of health care professionals.

People’s care plans were accurate and contained personalised information which reflected their particular circumstances.

Previous complaints had been fully investigated and resolved in line with the provider’s complaint procedure.

There were opportunities for people, relatives and staff to provide feedback about the home. This included regular meetings and using the electronic system to provide on-going feedback at any time.