Rosenmanor Limited

Updated 25 April 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.

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 2 inspectors.

Service and service type

Rosenmanor Limited 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. Rosenmanor Limited 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. Inspection activity started on 4 July 2023 and ended on 7 July 2023. We visited the service on both dates.

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 3 people, 3 staff, the locality manager and the registered manager who was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provide. We reviewed 4 people’s care records, 5 staff files and the quality audit checks carried out by the management. We checked fire safety, infection control, training, safeguarding and food safety records. We inspected the physical environment of the care home and reviewed people’s medicines.

Updated 25 April 2024

About the service

Rosenmanor Limited is a residential care home providing accommodation and personal care to up to 12 people. The service provides support to people with mental health needs in 2 adjoining properties on a residential street. At the time of our inspection there were 5 people using the service.

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

The provider’s quality assurance processes did not always lead to shortfalls being identified and addressed. This meant risks to people’s safety were not always resolved in a timely manner. We found risks to people from tripping hazards, rusting garden furniture and uncovered radiators which the provider’s safety audits did not identify.

People’s individual risks were assessed and mitigated. Care records provided staff with the information they required to keep people safe. Staff were trained to recognise abuse and to report any safeguarding concerns. People’s medicines were stored appropriately and administered as prescribed. The environment was clean. Safe food hygiene and infection prevention and control practices were followed.

People’s needs were assessed and their care records noted their preferences for care and support. People ate well and were supported with the involvement of a range of healthcare professionals. Staff received regular supervision from the newly appointed locality manager and told us they felt supported in their roles. The environment of the care home (both indoors and externally) had improved since our last inspection.

People told us the staff were caring. Staff recognised people’s cultural and spiritual needs and promoted their independence. Staff supported people to maintain the relationships that were important to them.

People received personalised care and participated in regular reviews of 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 managers and staff worked in partnership with healthcare professionals, local authorities, voluntary mental health services and education providers to meet people’s needs and preferences. The views of people, relatives and staff was gathered through meetings and feedback was used to make changes to the service.

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 7 September 2022). 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 but the provider remained in breach of regulations related to people’s safe care and treatment and the governance of the service.

This service has been in Special Measures since 6 January 2023. 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 carried out an unannounced focused inspection of this service on 02 September 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 improve the effectiveness and governance of the service.

We undertook this unannounced comprehensive inspection to check they had followed their action plan and to confirm they now met legal requirements.

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

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.

Enforcement and Recommendations

We have identified continuing breaches in relation to people’s safe care and treatment and the governance of Rosenmanor Limited at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

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