Archived: Rosedale Court

Rosedale Court provides accommodation nursing and personal care for up to 81 people some of whom may be living with dementia. At the time of our inspection 79 people were living at the service.

At our last inspection the service was rated as Good. At this inspection we found the service remained Good.

The service was safe. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.

The service was effective. People were cared for and supported by staff who had received training to support people to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to other health professionals were made when required.

The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.

The service was responsive. People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The registered manager responded to complaints received in a timely manner.

The service was well-led. Staff, people and their relatives spoke very highly of the registered manager. The service had systems in place to receive feedback and monitor care. The registered manager had a good oversight of the service through their use of audits.

Rosedale Court is registered to provide accommodation and care, including nursing care, for up to 81 older people some of whom may be living with dementia. It also provides a rehabilitation service. There were 79 people living in the service on the day of our inspection.

There was a manager in post but they had not yet registered with us. 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 were supported in a way that ensured their safety and welfare. Sufficient numbers of well trained and supported staff had been safely recruited to meet people’s assessed needs. People received their medication as prescribed. There were safe systems in place for receiving, administering, storing and disposing of medication.

The manager and staff had a good understanding of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) and had made applications appropriately when needed.

Staff knew how to protect people from the risk of harm. They had been trained and had access to guidance and information to support them with the process. Risks to people’s health and safety had been assessed and there were care plans and risk assessments in place to ensure people were cared for safely.

People were supported to have enough food and drink to meet their needs. People’s care needs had been assessed and catered for. Their care plans provided staff with good information about how to meet people’s individual needs and preferences and how to care for them safely. The service monitored people’s healthcare needs and sought advice and guidance from healthcare professionals when needed.

Staff were kind, caring and compassionate, they knew people well and ensured that their privacy and dignity was maintained at all times. People participated in activities of their choosing and were able to express their views and opinions. Families and friends were made to feel welcome and people were able to receive their visitors at any time.

People knew how to raise a concern or complaint and were confident that their concerns would be listened to and acted upon.

There was an effective system in place to assess and monitor the quality of the service and to drive improvements.

The manager registered with the Care Quality Commission had recently moved to a different post within the organisation and the person currently managing the service was going through the process to register as the manager.

During our inspection we visited all the units in the service. We spoke with three people who used the service and observed the care provided to people who were unable to communiate with us. We spoke with two groups of relatives and three relatives individually. We also spoke with five staff members, the manager and the regional care director.

We considered our inspection findings to answer questions we always ask; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led?

This is a summary of what we found;

Is the service safe?

People told us they like living in the service and felt safe.

We spoke with the manager and regional care director about Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DOLS).They told us that the service had not made any applications under the Act. They were aware of the recent High Court judgement and the provider was in the process of implementing the findings where appropriate. Where people did not have the capacity to consent the provider had acted in accordance with legal requirements. Mental capacity assessments had been carried out where appropriate. However we found that these did not always detail the decisions that were being made. We discussed this with the manager on the day of our inspection and they told us that this would be addressed.

We saw records which showed that health and safety checks were carried out regularly. These included fire assessments, electrical equipment checks and lifting equipment checks.

Is the service effective?

People living in the service and their relatives told us they felt that they were provided with a service that met their needs. One relative said, "They (staff) all go the extra nine yards."

People's care records showed that care and treatment was planned and delivered in a way that was intended to ensure people's health and welfare. The records were regularly reviewed and updated which meant that staff were provided with up to date information about how people's needs were to be met.

Is the service caring?

We saw that staff interacted with people living in the service in a caring, respectful and professional manner. People told us that staff treated them with respect. One person said, "They always explain things."

We observed staff treating people with compassion and patience when the activities of daily living proved challenging.

Is the service responsive?

People's care records showed that where concerns about people's well-being had been identified the staff had taken appropriate action to ensure that people were provided with the support they needed. This included referral to other care professionals such as a chiropodist or general practitioner.

People using the service were provided with the opportunity to participate in activities which interested them.

Is the service well-led?

The provider was able to demonstrate that there were suitable systems in place to assess and monitor the quality of the service provided and that these were implemented effectively. Staff were supported to gain relevant qualifications to help them meet people's needs.

People told us that they could do what they wished and were given choices in their daily lives.

Peoples' medicines were being managed safely and staff were competent in managing this aspect of peoples' care.

Staff said that they were well supported and had opportunities for training. We saw that staff were kept up to date with training in essential areas such as moving and handling. Staff had also received training in dementia care to help ensure good and consistent practice for people living with this condition.

People spoken with thought that the staff knew what they were doing and were available to them when they needed assistance.

People were happy with the quality of the service and there were good systems in place to ensure that the quality and safety of the service was monitored and maintained.