Roseacres

Updated 28 September 2022

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

This inspection was carried out by one inspector and two Experts by Experience who are people who have personal experience of using or caring for someone who uses this type of care service. One Expert by Experience spoke with people and observed interactions at the service while the other Expert by Experience spoke with relatives by telephone for feedback on the care provided. This inspection also involved an inspection manager who was present on-site and whose main role was to observe the inspection activity as part of CQC’s quality assurance process.

Service and service type

Roseacres 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. Roseacres 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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 sought feedback from the local authority and professionals who work with the service. 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 10 people who used the service and 13 relatives about their experience of the care provided. We observed mealtimes and interactions between people and staff. We spoke with 10 members of staff including the registered manager, a divisional director, administrator, maintenance person, senior carers and care assistants. The registered manager was on leave the day we inspected the service, however, we spoke with them the following week.

We reviewed a range of records. This included six people’s care records and multiple medicines records. We looked at six staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures, staff training, quality assurance, health and safety and meeting minutes, were reviewed.

Updated 28 September 2022

About the service

Roseacres is a residential care home providing accommodation and personal care to older people and people living with dementia. The service can accommodate up to 35 people and at the time of the inspection there were 29 people using the service.

People live in an adapted home spreading across two floors served by a lift. Some people have en-suite facilities while others share communal bathrooms located in close proximity to their rooms. People have access to communal dining, living areas and a large garden.

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

Whilst people and their relatives told us they received safe care, we found risks associated with people’s care and health were not always managed appropriately. In many cases, risk assessments lacked clear guidance for staff which could lead to poor care. Systems were in place to ensure staff were recruited safely, however, we found there were times when the service was short-staffed which could affect people’s care.

The provider had not addressed issues around the crowdedness of the lounge areas which we found at the last inspection. We found some areas in the service to be quite busy and noisy during certain times of the day.

The service had quality assurance systems in place, although these systems were not always effective as they had not identified the issues we found at this inspection.

People received their medicines safely and as prescribed. Staff received training in safeguarding and knew how to recognise and report signs of abuse. The service had implemented appropriate infection prevention and control measures to protect people, staff and visitors from catching infections.

People received a comprehensive assessment before their admission into the home which ensured they received the right care and support.

Staff were supported through robust induction processes, supervision and regular training. People were provided with healthy meal choices and stayed hydrated. Staff supported people to maintain good health and access a range of healthcare services when needed. 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. Where people were unable to make decisions about their care, the service engaged with their relatives and staff for feedback.

There was an open and inclusive culture at the service. People, relatives and staff spoke positively of the management and the support they received. The team worked in partnership with healthcare services and other professionals to achieve good outcomes for people.

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 6 November 2017).

Why we inspected

This focused inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the key questions Safe, Effective and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.

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

Enforcement

We have identified breaches in relation to the safe management of people’s risks and good governance 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 continue to monitor information we receive about the service, which will help inform when we next inspect.