We carried out a review of the data available to us about Rosedale Care Home Limited 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 Rosedale Care Home Limited, you can give feedback on this service.
About the service
Rosedale Care Home Limited is a residential care home providing accommodation and personal care to seven people. The service specialises in providing support to people diagnosed with learning disabilities and/or autistic spectrum disorders. At the time of the inspection five people were using the service.
People’s experience of using this service and what we found
Right Support
Staff supported people to have choice, control and independence. People’s rooms were personalised. People chose their own décor and displayed items and pictures that were important to them. One person had an entry door code on their room which was their choice. People did different things each day, supported by staff to follow their own interests and hobbies. Since the easing of COVID-19 restrictions people were getting out and about more and making use of community facilities and resources. A person said, “I go out on my own and sometimes with staff if I’m going to different places. I do lots of walking it does me a power of good.”
Right Care
Relationships between people and staff were good and we saw friendly and humorous conversations taking place. A person said, “When I have a shower, [staff member] puts on music on and sings along doing the different voices. It makes me laugh so much.” Another person told me, “[Staff member] helps me with everything and is always chatting to me.” Staff understood people’s preferred communication methods and used these to ensure people were involved in all aspects of the running of the service. People were supported to remain safe during the COVID-19 pandemic. Staff used pictures, videos and sign language to show people how viruses spread. This helped people to understand why they were in ‘lockdown’ at times.
Right culture
Staff understood why people might become distressed at times and how to support them if this happened. Managers and staff knew how to analyse incidents and share the learning from them to reduce situations which caused people distress. People felt safe at the service and trusted the staff to support them if they had any concerns. Staff said they were confident to raise issues with management. A staff member said, “This is a lovely, really family-orientated place. People makes choices daily, are respected, go out, and do lots of activities.”
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 (report published on 12 October 2020). 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 improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to concerns received about medicines and the management of people’s finances. A decision was made for us to inspect and examine those risks and to assess that the service is applying the principles of Right support right care right culture.
We also looked at infection prevention and control measures under the Safe and Well-led key questions. 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.
Rosedale Care Home Limited is a residential care home providing personal and nursing care to seven people at the of time of the inspection.
The service was not initially developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. However, people were given choices and their independence and participation within the local community was encouraged.
The provider is also the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The management office was in a separate outbuilding on the same site as the service.
People’s experience of using this service and what we found
Systems and processes had not identified windows were not adequately restricted to reduce the risk of people falling from height, or that legally required notifications had not been submitted to the CQC.
People told us at the time of the inspection, they felt safe living at the service. Staff knew how to recognise, and report suspected abuse. However, records showed allegations of abuse had not been reported to the local authorities safeguarding team.
Personal Emergency Evacuation Plans (PEEPS) were in place. We have recommended the service review these. Staff had been safely recruited and people received their medicines on time. Staff had a good knowledge of infection control requirements and wore personal protective equipment in line with government guidance for responding to the Covid-19 pandemic.
We observed positive interactions between staff and people receiving care. People told us staff were kind and caring. People received support from staff that had undertaken training the provider deemed compulsory. However, this was not always undertaken within the required timeframe.
We did not inspect whether the service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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 good (published 20 November 2018). The rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
Why we inspected
The inspection was prompted in part by an allegation of abuse. This was subject to a criminal investigation; therefore, the inspection did not examine the circumstances of the incident.
We received concerns about people’s safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosedale Care Home Limited on our website at www.cqc.org.uk.
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 will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information, we may inspect sooner.
Rosedale Care Home accommodates up to seven people in one adapted residential house in a residential area. At the time of the inspection there were seven people living there. The service provided was not initially developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. However, people were given choices and their independence and participation within the local community encouraged.
This inspection took place on the 9 October 2018 and was unannounced. We had previously inspected this service in April 2016, at that inspection the service was rated ‘Good’. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on- going monitoring that demonstrated serious risks or concerns.
This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The provider was the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service had a positive ethos and an open culture. The provider was approachable, understood the needs of the people in the home, and listened to staff and relatives. There were effective systems in place to monitor the quality of the service and drive improvements. However, the provider needed to ensure that they remained up to date with national strategies around the care and development of services for people with learning disabilities.
People were consistently protected from the risk of harm and received their prescribed medicines safely. Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.
The care that people received continued to be effective. Staff had access to the support, supervision and training that they required to work effectively in their roles. People were supported to maintain good health and nutrition and live fulfilled lives.
People developed positive relationships with the staff. The staff were friendly, passionate about their work and caring; they treated people with respect, kindness, dignity and compassion. People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.
Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty. People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support.
People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received. Information was available in various formats to meet the communication needs of the individuals.
We carried out our inspection on 26 November 2015. The inspection was unannounced.
The service provides accommodation for up to seven people living with a learning disability and similar disabilities. There were seven people using the service at the time of our inspection.
The service has an outstanding query to confirm that it has a registered manager. The manager is also the owner of the Rosedale Care Home, and has managed the service since it commenced. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People felt safe at Rosedale Care Home. This was because staff understood and applied the provider’s policies and procedures to guide them on their responsibilities to keep people safe and how to report any concerns on people’s safety.
People received their medicines as prescribed by their doctor. The provider had effective protocols for the safe management of medicines.
Staff were supported to meet the standards expected from them through training and regular supervision.
People were not deprived of their liberty. Staff sought people’s consent before they provided care and treatment. People were supported in accordance with the Mental Capacity Act 2005.
People were supported to have a healthy and balanced diet. People had access to a choice of meals.
Staff supported people to have access to healthcare services when they needed them.
People spoke fondly of the caring attitudes of the staff that support them. They told us that staff treated them with dignity and respect.
The provider supported people using the service and their relatives to be involved in making decisions about their care and support.
Staff were knowledgeable about the individual needs of the people using the service. We saw evidence that they provided support that met people’s needs.
The provider had effective procedures for monitoring and assessing the quality of service. This promoted people’s safety and continuous improvement of the service.
We were unable to speak with all the people using the service due to their different communication needs however we spoke with two people and observed care staff working with people during the inspection.
We asked people if they were happy living at the home and did staff treat them well, they told us they liked living there and that staff were kind and treated them with respect. We looked at records and saw that people received the care and support outlined in their support plans.
We had been told that people did not receive enough food to eat. We asked people about the food and they told us that the meals were good and that they had plenty to eat. We looked at records and saw that people's meals were recorded and weight charts showed that people had not lost any weight again indicating people's dietary needs were being met.
We looked at other records in regard to people's care and welfare and found that these were up to date and well maintained, we saw that the minibus used to transport people using the service to and from the care home had a full MOT and maintenance record.
People told us that they went on holiday to Turkey and enjoyed this opportunity. "I have a great time when I am there, I had my hair dyed there I really like it."
One person told us that they were never allowed to go out unaccompanied however during the morning we saw that this person actually returned from town on their own. We looked at their support plan and it indicated that they had been supported initially to access town but once they knew the bus route they were enabled to go into town on their own.
The other person told us that staff ask them what they liked and disliked and felt involved in their support plan.
"They listen to my likes and dislikes."