The Rosary Nursing Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Staff were aware of their roles and responsibilities and said they were listened to and supported in their roles. Staff spoke highly of the registered manager and deputy manager and said the management team were visible and were easy to approach. The provider had a range of audits in place which identified areas of improvement. There were systems in place to support learning and improvement in the home. Staff told us they were informed of any areas where improvements were needed and felt motivated to provide the best possible care for people.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The registered manager and provider quality audits included processes where observations were undertaken in the service. This included mealtime observations. Where audits had identified improvements could be made, these were incorporated into action plans and monitored through the quality assurance process. The registered manager and provider also completed visits to the service out of their normal working hours to monitor the service.

Staff spoke highly of the registered manager and deputy manager and said the management team were visible and were easy to approach. Staff told us they felt able to speak up, not only to raise concerns, but also to make suggestions for improvements, and that they were listened to. Staff told us they felt well supported in their roles. They told us they had regular supervision sessions with a manager or supervisor. Staff told us they attended monthly staff meetings and if they were unable to attend, they were provided with minutes of the meetings. Staff praised the leadership at the home. They told us daily meetings were held for staff from all departments. Staff told us they could raise any issues at these meetings. The registered manager told us they were well supported by the provider and regional team. The registered manager commented, “[Name of regional manager] comes at least 2-3 times a month. They are always at the end of the phone; I feel very much supported. We have weekly meetings with the regional team, we can talk about anything that has come up and any issues. We have a really strong regional team.” The registered manager told us they were visible in the home, they carried out a daily walk around the service before the night staff finished their shift. The registered manager told us, “Staff know I am here, and they can approach me if they need anything, I have an open-door policy and they can see me any time.”

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

There were systems in place to monitor the standard of care provided at the service. The registered manager had a range of audits in place which identified areas of improvement. The provider also visited the service regularly to carry out provider level audits. The registered manager arranged a daily head of department meeting to discuss and share any current or ongoing issues and actions that needed to be taken. There was a staffing and management structure in place and staff were clear about their roles and responsibilities. Statutory notifications were submitted as required.

Staff were aware of their roles and responsibilities. One staff member described how the department they worked in was monitored, they told us they could go to the registered manager if needed. Staff told us they felt listened to. The registered manager told us the provider had a senior management structure in place, this included the regional manager, director, and senior operations team.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

There were systems in place to support learning and improvement in the home. These included an annual quality survey for people and relatives, regular relatives and resident’s meetings, staff meetings, staff supervision and the complaints procedure.

Staff told us they were informed of any areas where improvements were needed. For example, documentation. Staff confirmed meetings were held to discuss and communicate any updates and relevant information. Staff told us they were encouraged to give their views. One staff member told us, “We are encouraged to suggest improvements. [Name of registered manager] will always listen to ideas about how to make things better for people. Communication is very good.” Staff said they were encouraged and felt motivated to provide the best possible care for people. The registered manager told us they encouraged staff to approach them with any ideas. They told us, “Staff come up with brilliant ideas.”