Rosewood House

Updated 22 February 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 was carried out 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

Rosewood House 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. Rosewood House is a care home with 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 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

This inspection was unannounced.

Inspection activity started on 31 January 2023 and ended on 13 February 2023. We visited the service on 31 January 2023.

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, Healthwatch 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. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

During the inspection

We spoke with 13 people and 7 relatives about their experience of the care provided. We spoke with 15 members of staff including the Nominated Individual, registered manager, clinical lead, care practitioner, 9 support workers including 1 senior support worker, the activities coordinator and maintenance person. We received feedback from 4 health and social care professionals. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

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 talk with us.

We reviewed a range of records. This included 5 people’s care records and multiple medicine records. We looked at 4 staff files in relation to recruitment and staff training. A variety of records relating to the management of the service, including training information, policies and procedures and quality assurance documents were reviewed.

Updated 22 February 2023

About the service

Rosewood House is a care home providing personal and nursing care to up to 78 people. The service provides support to older people including people who live with dementia or a dementia related condition. At the time of our inspection there were 70 people using the service.

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

There was a welcoming, cheerful and friendly atmosphere at the service. A person told us, “It’s very good here. Staff are very nice, it’s their attitude. They’re lovely.” Staff spoke positively about working at the home and the people they cared for. They said communication was effective to ensure they were kept up-to-date about any changes in people’s care and support needs.

People and relatives were positive about the caring nature of staff and had good relationships with them. They trusted the staff who supported them. People said they felt safe with staff support. A person commented, “I feel safe here. It’s friendly and I feel secure. If I didn’t feel safe, I would go and speak to staff.”

People's diversity as unique individuals with their own needs was respected by staff. The staff team knew people well and provided support discreetly and with compassion. A person told us, “Staff know me very well, what I like to eat and how I like to be cared for.”

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.

Records provided guidance to ensure people received safe and effective care and support from all staff members. Risks were assessed and mitigated to keep people safe. Staff contacted health professionals when people’s health needs changed. People’s nutritional well-being was monitored to support their nutritional health. A person commented, “The food’s lovely, it’s very good. We get a good choice and enough to eat.”

Staff followed good infection control practices and the home was clean and well maintained. A relative commented, “This home is very well maintained and clean. [Name]’s bedroom has recently been re-decorated, and it looks lovely.”

There were sufficient staff to support people safely. A person told us, “There seem to be enough staff, even at weekends. We do lots of activities here, bingo, Tai Chi and sometimes we have animals come to visit.” Staff recruitment was carried out safely. Staff followed effective processes to assess and provide the support people needed to take their medicines safely.

A governance system was in place to monitor the quality of the service through audits and feedback received from people, their relatives and staff. Improvements were made as a result of analysis of any accidents, incidents and feedback to ensure people received safe and person-centred care. Processes were in place to manage and respond to complaints and concerns.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 5 January 2018).

Why we inspected

We received concerns in relation to people’s care, staffing and medicines management. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

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 remained good based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns, the provider had taken effective action to mitigate the risks to ensure people received safe and effective care. Please see the safe, effective and well-led sections of this report.

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.

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

Follow up

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