Rose Court Nursing and Residential Home

Updated 23 February 2024

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.

Inspection team

The inspection team consisted of 3 inspectors, medicines 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

Rose Court 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. Rose Court is a care home with 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

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider had completed a Provider Information Return (PIR) within the last year. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and the relatives of 13 people. We also spoke with 25 members of staff including the registered manager, nursing, and care staff as well as kitchen, laundry, and activity staff. We spent time observing care to help us understand the experience of people who could not talk with us.

During the inspection visit we reviewed people’s care records, looked at areas of health and safety, staff recruitment and management systems. We also observed people being given their morning medicines. We looked at medicine records, medicine audits and the home’s medicine policy. We spoke with the GP who was visiting their patients in the service. Additional evidence, sent to us electronically, was reviewed remotely.

Updated 23 February 2024

About the service

Rose Court Nursing and Residential Home is situated in a residential area of Radcliffe near Bury Greater Manchester. The home is purpose built and provides accommodation with nursing and personal care for up to 109 people, some of whom live with dementia. At the time of our inspection there were 87 people living at the home.

People’s experience of the service and what we found:

The registered manager was highly motivated, having a clear vision and was enthusiastic in promoting and supporting teamwork as well as valuing contributions from people, their relatives, and staff. The registered manager worked collaboratively with other agencies to enhance people's experiences as well as promote their rights. Feedback received evidenced a high level of confidence in the registered manager to continually drive improvements, enhancing the experiences of those living and working at Rose Court.

The provider had demonstrated their commitment in supporting the registered manager to develop the service taking into consideration the needs of those currently living at Rose Court. Effective management systems were in place to monitor and review the service helping to identify areas of continuous improvement. Actions identified were added to a home improvement plan and were seen to be addressed in a proactive and timely manner.

People and their relatives said staff were both knowledgeable and respectful, delivering a good standard of care and support which met their individual needs and wishes. An extensive range of activities and opportunities were provided, both in and away from the home, enabling people to maintain their independence as well as promoting their social and emotional well-being.

Care plans reflected the current and changing needs of people. 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.

Plans to help mitigate the risks to people’s health and well-being were in place. People had good access to relevant health care support to help maintain their health and well-being. People received their medicines as prescribed. People were offered balanced and nutritious meals. Kitchen staff knew people’s dietary needs.

Robust recruitment processes were followed ensuring the suitability of staff. Sufficient numbers of staff were available. A comprehensive programme of staff training and development was provided. Staff said they were supported in their role, encouraged to develop new skills as well as being provided with opportunities for career progression.

A good standard of accommodation was provided. Suitable aids and adaptations were available to aid people's mobility and promote their safety. Servicing and maintenance checks were carried out to ensure the premises and equipment were kept safe. Good hygiene standards were maintained throughout the home.

Systems were in place for the recording and reporting of any safeguarding concerns and complaints. People, their relatives and staff were confident their views were listened and responded to.

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 (published 14 November 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.