Background to this inspection
Updated
2 December 2021
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.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 10 November 2021 and was unannounced.
Updated
2 December 2021
About the service
Rosewood Villa accommodates 17 older people across two floors in one adapted building. Some of the people were living with a dementia. At the time of our inspection visit there were 15 people using the service.
People’s experience of using this service and what we found
Medicines were managed safely, in line with best practice. External advice was sought where appropriate.
The premises were well maintained and serviced. Appropriate health and safety checks were in place. Risk assessments were in place and well understood by staff.
Staffing levels were safe with people feeling well supported by staff they knew well; the service did not use agency staff.
The care manager worked proactively with external healthcare professionals. They ensured people had access to primary healthcare services.
Meals were varied and there was a creative approach to trying new foods. Specialised diets were well catered for.
People enjoyed a range of individual and group activities on offer. Community links were strong and contributed to a vibrant range of events.
The home felt welcoming, personalised and vibrant. Feedback was positive regarding the compassionate, affectionate and sensitive approach of staff. The culture was strongly person-centred and respectful of people’s individualities.
People were involved in the planning of their care. Residents’ meetings, one to one time and surveys ensured people had a say in how the service was run.
People’s rooms were clean, well decorated and highly personalised. Communal spaces were well designed in terms of space and popular areas for people to mingle.
Staff received training relevant to people’s needs. End of life care plans were in place and staff received training. More was planned to increase skills and confidence in this area.
The care manager worked well with staff, was a visible leader, and there was a strong team ethic. Morale was high and continuity of care was a key strength of the service.
Notifications had been made to CQC when required.
People’s capacity was assumed unless there were reasons to consider otherwise, and staff acted in line with the Mental Capacity Act 2005. 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.
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 requires improvement (published 21 December 2018).
The provider made immediate improvements and provided assurances about their knowledge of requirements to notify CQC of relevant incidents.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.