Rosewood Lodge

Updated 26 January 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 team consisted of one 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

Rosewood Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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 the information we already held about the service. This included the last inspection report and notifications. A notification is information about important events, which the provider is required to tell us about by law. We sought feedback from health and social care professionals. We reviewed 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 of this information to plan our inspection.

During the inspection.

We spoke with 7 people who used the service and 6 relatives (3 relatives at the service and 3 relatives by telephone) about their experience of the care provided. We spoke with 3 care workers, 1 chef, 1 domestic assistant, 1 housekeeper, 1 senior care worker and the registered manager. We also talked with a visiting social care professional who attended the service during our inspection. We spent time observing support and communication between people and staff in communal areas of the service.

We reviewed a range of records. This included 4 people's care files, 5 staff files, and a variety of records relating to the management of the service, including training, policies and procedures of the service.

Updated 26 January 2023

About the service

Rosewood Lodge is a residential care home providing personal care to people aged 65 and over, some of whom may have dementia. The home can support up to 19 people in an adapted two floor building with facilities, including en-suite bathrooms. At the time of the inspection, there were 17 people living in the home.

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

People felt safe and happy in the care home. They had risk assessments and care plans, which were reviewed regularly to ensure their needs were met. People lived in a safe, clean environment with suitable equipment and facilities. Staff were checked so they were safe and experienced to work effectively with people and were trained and supported by the provider to do so. Feedback from people, relatives and professionals confirmed staff were kind and caring.

Staff administered, recorded and audited medicines. People were supported to access health care as and when they needed. The food provided was fresh and nutritious. People and relatives told us staff provided varied activities. Care plans were tailored to people's individual needs ensuring their preferences, wishes and equality characteristics such as ethnicity, faith and gender were recorded and taken into account for their care. 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 registered manager sought feedback from people, relatives and staff, and welcomed complaints and compliments. The registered manager told us they used feedback as part of their improvement plan. The registered manager audited various aspects of the home, including staff training, health and safety, and care plans. Staff worked in partnership with 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 and update

The last rating for this service was Requires Improvement (published 5 August 2021) and there was a breach of regulation.

We issued a requirement notice to the provider for breach of Regulation 17 (good governance).

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 some improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection and following concerns raised about the safety of the service.

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, which will help inform when we next inspect.