Rosedale House

Updated 26 August 2022

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 one Inspector.

Service and service type

Rosedale House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

The home had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before inspection

Before the inspection we reviewed all of the information available to us, including any information of concern, notifications and the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with the registered manager, four staff, one person who lived at the home and three relatives. We observed how staff interacted with people. We considered all this information to help us to make a judgement about the home. We looked at a range of records relating to the management of the home. This included recruitment documentation, risk assessments, maintenance records, medicines, infection control and quality assurance records.

We continued to review the information we received from the inspection to help us make judgements about the home.

Updated 26 August 2022

Rosedale House is a care home providing accommodation and personal care for up to 36 people. At the time of the inspection, 36 people were living at the home.

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

There had been significant improvements following the inspection of 10 February 2020. Positive changes had been made with a legionella risk assessment now in place. Risk assessments had been put into place to mitigate the risks of burning from the use of hot surface temperature portable radiators. The risks associated with people’s medical conditions were fully recorded within people’s care records and risk assessments.

Relatives told us they felt their family members were safe living at the home. Staff understood their responsibility to protect people from avoidable harm and abuse. Staff confirmed they had received safeguarding training. Risks to people's health and safety were assessed with guidance for staff to follow. Staff were recruited safely and there were enough staff to provide safe and effective care. Medicines were stored and administered safely in line with people's prescriptions. Accidents and incidents were reported and recorded with audits in place to help identify any trends or patterns.

The home had a clear management and staffing structure in place. Staff were enthusiastic and happy in their work. Staff described working together as a team, they provided person-centred care and helped people to achieve their potential. The registered manager had effective quality assurance systems in place to monitor the quality and safety of the home. Staff worked well with external social and health care professionals.

Rating at last inspection

The last rating for this service was Good (published 21 May 2020). At our last inspection we found there were shortfalls in the safety of the premises. These related to management and control of legionella. There was a lack of risk management for the use of hot surface temperature portable radiators. Improvements were needed to ensure staff were safely recruited. At this inspection we found improvements had been made.

Why we inspected

We carried out an inspection of this service on 10 February 2020. We rated the service requires improvement in Safe due to the shortfalls, which we identified. The provider completed an action plan after the last inspection to show what they would do and by when, to improve safe care and treatment.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The key question safe has not been rated Good. The overall rating for the service remains Good. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.

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