We carried out a review of the data available to us about Rose Garden on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rose Garden, you can give feedback on this service.
Rose Garden is a nursing home providing personal and nursing care for up to 40 people aged 65 and over. At the time of the inspection 38 people were living at the home.
The home was purpose built and provided accommodation over two floors.
People’s experience of using this service and what we found
People and their relatives were happy with the care they received. We did receive some mixed feedback from relatives, about staffing levels in the home. However, staff felt staffing levels worked well and our observations during our inspection were that people’s needs were met. Comments on care included, “They treat her with dignity and respect, never heard any unkind words”, and “They've been marvellous, her care’s been excellent, nothing but praise for them”.
People were safe. Risk assessments provided guidance on how to support individuals and manage risks associated with their care. Staff received training in safeguarding and knew how to report any concerns. There were suitable recruitment procedures in place to reduce the risk of unsuitable staff being employed and enough staff on duty to meet people’s needs.
Staff were trained and supported to be able to carry out their roles effectively. People’s health needs were met, with processes in place to manage wounds and refer to health professionals when necessary. 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.
The service was responsive to people’s needs. Staff understood people as individuals with their own unique needs and preferences. The service was working towards an accreditation in relation to end of life care. People were given opportunities to socialise and take part in activities. There was a process in place to manage and respond to complaints.
The home was well led. There were systems in place to monitor the quality and safety of the service. Staff morale was positive, and staff felt supported and able to discuss issues with the management team. The registered manager had supportive links with other health and social care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 August 2019 and this is their first inspection.
Why we inspected
This was a planned inspection to give the home a 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.
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.
We found the following examples of good practice.
On arrival at the home, measures were in place to screen visitors to the home. This included taking temperatures and recording contact details for tracing purposes. Lateral flow tests were also used to screen people attending the home. Any visitors were asked to wash their hands on arrival and there was hand sanitiser available throughout the building.
People’s wellbeing was supported by keeping in contact with friends and family through video calling and by using a visiting pod when circumstances allowed.
The home was well ventilated, and staff sat apart at tables to complete record keeping.
There were good supplies of Personal Protective Equipment (PPE) and we saw staff were wearing this as they worked. There were designated areas for staff to don and doff PPE and clinical waste bins to discard used items.
Staff were cohorted so they worked together on the same floor. This minimised the risk of transmission across the staff team. We also saw how staff used separate entrances to reach the floor they were working on. The registered manager reported that no agency staff were being used and staff weren’t working across different care home.
Regular testing of both staff and people using the service were carried out to identify any positive cases and take the necessary precautions to ensure the safety of others.
At the time of our inspection people who had tested positive for Covid were all on the same floor and were isolating in their individual rooms. There were signs on doors to warn staff that this was the case.
There were systems in place to keep the home clean, taking account of frequent touch points such as door handles. New steam cleaning equipment had been bought since the pandemic started, to assist in deep cleaning the home. Infection control audits were carried out to monitor infection control procedures and ensure any areas of concern were identified.