Rosedale Care Home

Updated 26 August 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 1 inspector.

Service and service type

Rosedale Care Home 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. Rosedale Care Home 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 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.

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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 4 people who used the service and 3 relatives about their experience of the care provided. We spoke with and/or received written feedback from 15 members of staff including the deputy manager, senior care staff and care staff. We also spoke with office, activities, maintenance and kitchen staff. We spoke with 1 visiting health professional. 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, which included aspects of 4 people’s care records, medication records and 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance checks, meeting minutes and policies and procedures were reviewed.

Updated 26 August 2023

About the service

Rosedale Care Home residential care home providing personal and nursing care to up to 20 people in one adapted building. The service provides support primarily to older people, many of whom are living with dementia. At the time of our inspection there were 20 people living in the service.

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

People were cared for safely. They were protected from the risk of abuse by a management and staff team who knew how to follow safeguarding procedures and did so when required. Risk assessments were in place and reviewed regularly and as people’s needs changed. People were supported to use equipment to help keep them safe.

When people lacked or had fluctuating capacity to make decisions, mental capacity assessments and best interest decision making processes were followed. Staff knew how to support people make choices about their daily 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.

Safe recruitment practices were followed to ensure staff were suitable for their roles. There were consistently enough staff to meet people’s care needs and when people needed assistance, this was provided promptly. People were supported safely with their medicines. Good infection control practices were followed including use of personal protective equipment (PPE) when supporting people with personal care and at mealtimes.

Accidents and incidents were recorded and followed up appropriately. Lessons were learned when things went wrong, and measures put in place to reduce the risk of the same thing happening again.

An open and positive culture was embedded in the service. People, relatives and staff spoke positively about the approach and availability of the registered manager and the management team.

There were clear and well organised systems in place to support the registered manager's effective oversight of all key areas of the service. A comprehensive range of quality assurance audits were undertaken to monitor the quality and standard of care provision.

People and their representatives were involved in people's care and had opportunities to provide feedback at care reviews and regular meetings. Feedback was acted upon when areas for improvement were identified.

Staff were supported through team meetings and one to one supervision. Positive feedback was received about good teamwork amongst staff which benefited everyone living and working in the service.

The staff team worked in partnership with health and social care professionals involved in people's care and treatment, to support people achieve good outcomes.

The registered manager was aware of their legal responsibilities and worked in an open and transparent way.

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 01 December 2018). A targeted inspection took place on 08 December 2020 which only looked at infection prevention and control during the COVID19 pandemic period. No rating was awarded at that time.

Why we inspected

This inspection was prompted by a review of the information we held about this 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 COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosedale Care Home 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.