Rosewood Residential Care Home

Updated 30 July 2019

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 Care Act 2014.

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

Rosewood Residential 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced on the first day and announced on the second day.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We sought feedback from the local Healthwatch for information about the service. We were notified they had no feedback about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider completed a Provider Information Return (PIR) which we used to plan the inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We contacted healthcare professionals for feedback. We received comments from the local GP.

During the inspection

During the inspection, we spoke with six people, five relatives, two healthcare assistants, one senior healthcare assistant, the cook, the head of care and the registered manager. We also spoke with a visiting district nurse.

We reviewed a range of records based on the history of the service. This included four people's care records and medicines records. We also looked at five staff files including their recruitment, supervision and training records. We reviewed records relating to the management of the service, quality assurance records and a variety of policies and procedures implemented by the provider. We also looked at other records the provider kept, such as meetings with people and surveys they completed to share their views.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We received the training data sent to us in a timely manner.

Updated 30 July 2019

About the service

Rosewood Residential Care Home is registered to provide accommodation and personal care for 40 people, some of whom may have dementia. At this inspection, there were 38 people living in the service.

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

People were positive in their feedback. Comments included; “Yes I feel safe here. The staff are generally good people”; “The staff have a good knowledge of what I need” and “It is very homely here. I sleep very well here. It is very quiet. I do as much as I can for myself.”

Our observation showed people were safe at Rosewood. Staff knew what their responsibilities were in relation to keeping people safe from the risk of abuse. The provider followed safe recruitment practices.

People received the support they needed to stay healthy and to access healthcare services. Each person had an up to date care plan, which set out how their care and support needs should be met by staff. These were reviewed regularly. The GP said, “When I visit, I always find the staff friendly and helpful, and I find them very caring towards the patients. I have not been concerned about safety on my visits.”

Medicines were stored and managed safely by staff. There were policies and procedures in place for the safe administration of medicines, which staff followed. Staff training records confirmed staff had been trained in medicine administration.

People continued to receive care from staff who were well supported with induction and training. Staff received one to one supervision and annual appraisals. A member of staff said, “The manager had supported me a lot in the past and they continue to do so.”

Staff understood the importance of promoting people’s choices and provided the support people required while promoting and maintaining independence. This enabled people to achieve positive outcomes and promoted a good quality of life. One person said, “I am encouraged to look after myself, I am as independent as I can be.”

The staff were caring and knew people, their preferences, likes and dislikes well. We received good feedback from people, relatives and healthcare professionals about the quality of care provided by staff.

We observed people’s rights, their dignity and privacy were respected. Staff supported people with their lunch at a gentle pace whilst engaging with them. People continued to be supported to maintain a balanced diet and staff monitored their nutritional health.

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. We saw that People participated in activities, pursue their interests and maintained relationships with people that mattered to them.

The service continued to be well led. Effective quality audits continued to be in place and continuous improvement and learning were embedded in the service. One person said, “The manager is very good. She tries to make the place more homely. They do tell us what is going on."

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 (Report published on 12 January 2017).

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 re-inspection programme. If we receive any concerning information we may inspect sooner.