Rosebank Lodge

Updated 10 May 2023

The inspection

We conducted 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 conducted by an 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

Rosebank Lodge 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. Rosebank Lodge 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 CQC 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 not a registered manager in post. An acting manager had been in post for 6 months between October 2022 and March 2023, but had now left. A new acting manager had been appointed and would commence working at the care home by May 2023.

Notice of inspection

This inspection was unannounced. Inspection activity started on 5 April 2023 and ended on 12 April 2023. We visited the care home on the first day of the inspection.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We received email feedback from 4 community health and social care professionals, including local authority social workers and an NHS learning disability nurse, who all worked closely 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 met and engaged with 6 people who lived at the care home and spoke in-person with the regional manager, 3 support workers and a registered manager who ran another of the providers care homes.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not verbally communicate with us.

We reviewed a range of records. This included 4 people’s care and risk management plans, and 3 staff files in relation to their recruitment. We also checked a variety of records relating to the management of the service, including staff rotas, training, multiple medicines records and provider level audits.

We continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection. This included staff recruitment checks, training and supervision records and quality assurance audits conducted by the provider. We received the information which was used as part of our inspection.

Updated 10 May 2023

About the service

Rosebank Lodge is a residential ‘care home’ providing personal care and support to up to 13 people. The service provides support to people with learning disabilities and autistic people. At the time of our inspection there were 9 people living at the care home. The care home accommodates people in 1 adapted building.

A person who lived at the care home in their own self-contained accommodation did not receive any personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

People received a service that was safe for them to live in and for staff to work. The service quality was reviewed regularly, and appropriate changes made to improve people’s care and support if required. This was in a way that suited people best. The care home had well-established working partnerships that promoted people’s participation and reduced the danger of social isolation.

Right Care

Staff were appropriately recruited and trained and there were enough of them to support people to live in a safe way, whilst enjoying their lives. Risks to people and staff were assessed, monitored, and reviewed. Complaints, concerns, accidents, incidents and safeguarding issues were appropriately reported, investigated, and recorded. Staff were trained staff to safely administer people’s medicines.

Right culture

The care home’s culture was positive, open, and honest, with leadership and management that was clearly identifiable and transparent. Staff were aware of and followed the provider’s vision and values which were clearly defined. Staff knew their responsibilities, accountability and were happy to take responsibility and report any concerns they may have.

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 feedback we received from various community health and social care professionals was positive about the standard of care provided at Rosebank Lodge. For example, a community care professional told us, “My clients are very well cared for at Rosebank Lodge and enjoy living there.”

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

This service has been in Special Measures since 15 November 2022 when we rated them Inadequate overall. During this inspection, the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We conducted an unannounced inspection of this service on 15 November 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to comply with the Warning Notices and outstanding requirements we previously served in relation to Regulations 11 (Need to consent), 13 (Safeguarding service users from abuse) and 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014; and, Regulation 18 (Registration) Regulations 2009 - Notifications of other incidents.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.

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 changed from inadequate to requires improvement. This is based on the findings at this inspection.

We could not improve the rating from inadequate to good though because to do so requires consistent good practice over time. We will check this during our next planned inspection 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 COVID19 and other infection outbreaks effectively.

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

Follow up

We will collaborate with the provider to monitor how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.