Archived: Rosewood Lodge

Updated 31 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 unannounced comprehensive inspection took place on 28 September 2017 and was carried out by one inspector.

Before the inspection, we reviewed all the information we held on the service such as previous inspection reports and notifications. A notification is information about events that by law the registered persons should tell us about. In August 2017, the provider sent us a Provider Information Return (PIR). The PIR is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with three people who used the service, four relatives, the registered manager, the registered provider, an area manager, two care managers, two care staff and two domestic and kitchen staff. After the inspection, we spoke with two relatives by telephone to obtain their views of the service.

We looked at a range of records, which included nine care plans, accident and incident records, daily logs, menus, communication logs, healthcare appointments, capacity assessments, staff files and staff training records. We also looked at other records relating to the management of the service including health and safety records, staff rotas, audits, and medicine administration records.

Updated 31 October 2017

This inspection took place on 28 September 2017 and was unannounced. At our last inspection in 2 August 2016, we rated the service as Requires Improvement because we found shortfalls in safety and management. At this inspection, we found that improvements had been made and we have now rated the service as Good.

Rosewood Lodge is registered to provide care and accommodation for 19 older people some of whom may have dementia care needs. On the day of our visit, 19 people were using the service. The service offered support with end of life care. However, at the time of our inspection, there was no one who required this type of care.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The premises were clean. Regular maintenance and health and safety checks were carried out. Risk assessments were in place for people to ensure potential risks to them were known and managed, such as falls and any health care needs.

People and relatives commented the service was a safe place. People received their medicines on time from staff that were trained to administer them.

There were enough staff on duty to meet people's needs. The provider had made changes to the staffing structure to ensure there was suitable numbers of staff available at all times. Staff on duty had received training to ensure they communicated with people effectively and had the skills to respond to their needs.

The provider carried out the appropriate checks on all new employees before they started working at the service.

The provider involved staff, people and relatives in the development of the service. There was a relaxed atmosphere and people felt comfortable with staff and the management team.

Staff received training in safeguarding people and were able to describe the actions they would take if they had any concerns about possible abuse. The provider also had a whistleblowing policy which staff were aware of and said they were confident they could use.

Staff ensured people had access to appropriate healthcare when needed and their nutritional needs were met. The provider had systems in place to support people who lacked capacity to make decisions for themselves. Staff had an understanding of how to support people who lacked capacity and received training in the Mental Capacity Act 2005.

Staff received regular support through supervision meetings with the registered manager. Their work performances were reviewed on a yearly basis.

People were treated with dignity and their choices were respected. Staff encouraged people to be as independent as possible.

People received personalised care and support, to ensure their individual needs were met. They were encouraged to participate in activities or pursue any hobbies and interests.

People and relatives were able to make complaints or raise concerns and have them investigated. Their feedback was obtained through questionnaires and surveys.

The provider had systems in place to monitor the quality of the service provided to people. Audits and checks were carried out by the registered manager to ensure the service was safe for people and staff.