Rosewood Care Home

Updated 1 November 2023

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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

Rosewood Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rosewood Care Home is a care home without nursing care. 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people and 4 relatives of people who used the service about their experience of the care provided. We spoke with the deputy manager and 4 members of staff. We spoke with the provider by telephone.

We reviewed a range of records. This included 4 people's care records and multiple medication records. We looked at 5 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including staff training records, audits, improvement plans, policies and procedures were reviewed.

Following the inspection visit we received further information from the registered manager, who had been on leave at the time of our visit. We received feedback from 2 external healthcare professionals.

Updated 1 November 2023

About the service

Rosewood Care Home is a residential care home providing personal care and accommodation for up to 35 people. The service provides support to older people and those who may be living with dementia. At the time of our inspection there were 32 people using the service. The home is a single storey accommodation, purpose-built building.

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

At this inspection we found some improvements had been made. We were still not assured there was sufficient oversight of the management and monitoring of legionella and safe water systems. Monitoring of staff recruitment processes had also remained inconsistent.

The provider had systems to manage people’s medicines safely. Staff were trained in how to recognise and respond to abuse and understood their responsibility to report any concerns. There were sufficient numbers of experienced staff to meet people’s needs.

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.

People and their relatives, staff and external professionals, gave positive feedback about the registered manager and staff team. For example, a person and their relative spoke very positively about the care provided and about the registered manager. They told us, “Nothing is too much trouble” and the care was “Excellent.” The relative said, “All his needs are met” and told us, “He is safe, so I am safe.” They said the home was kept very clean and tidy. There were plenty of activities offered to people. Staff asked for permission to give care and support and always closed the door for privacy when providing personal care.

Staff we spoke with felt the team was well led. They told us the registered manager was, “Very approachable and accommodating” and worked ‘hands on’ with the team when needed. A health professional told us, “It is so refreshing to go into Rosewood knowing that the residents are receiving excellent care from the staff.”

The provider and registered manager were promoting an open, empowering and inclusive culture within the service. There were a range of systems in place to assess and monitor the quality and safety of the service and to help ensure people were receiving appropriate care and support. The service worked well in partnership with external professionals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 12 August 2022) and there was a breach of regulations. 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 the provider remained in breach of the regulation. The service remains rated requires improvement. This service has been rated requires improvement for the last 2 consecutive inspections.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.

This report only covers our findings in relation to the key questions Safe and Well-led. 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 remained requires improvement based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosewood Care Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified a continuing breach of the regulations in relation to managing the risk of legionella and a new breach in relation to assessing and monitoring the quality and safety of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.