Archived: Rosebery Manor

Updated 8 July 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

Three inspectors and a specialist nurse advisor carried out the inspection. An Expert by Experience spoke with relatives by telephone after the inspection. 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

Rosebery Manor 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. Rosebery Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

The home’s manager was not registered with CQC at the time of our inspection but their registration was confirmed on 30 June 2022.

Notice of inspection

The inspection was unannounced.

Inspection activity started on 22 June 2022 and ended on 24 June 2022. We visited the service on 22 June 2022.

Before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who lived at the home and five visiting friends and relatives.

We spoke with members of the management team including the home’s manager, the care services manager, the nursing care manager, the residential care manager and the dementia care manager. We talked to 10 staff including care, nursing, activities and housekeeping staff, and the chef.

We looked at care records for eight people, including their assessments, care plans and risk assessments. We checked five staff recruitment files, medicines management, health and safety records, records of complaints and accidents and incidents and the home’s business contingency plan.

We spoke with seven relatives by telephone about the care their family members received. We reviewed additional information sent by the manager, including policies, procedures and reports of quality monitoring visits carried out by the provider.

Updated 8 July 2022

Rosebery Manor is a care home with nursing for a maximum of 95 older people, including people living with dementia. There were 72 people living at the home at the time of our inspection.

The home is purpose-built and provides accommodation and facilities over three floors. The second floor provides care and support to people living with dementia; this area is called The Oaks.

People’s experience of using this service:

People felt safe at the home and when staff provided their care. Measures had been implemented to mitigate any risks involved in people’s care. Guidance was provided for staff to ensure they supported people in a safe and consistent way. Staff were recruited safely and understood their role in safeguarding people from abuse.

People were supported to maintain good health and to access healthcare services when they needed them. Staff monitored people’s health closely and acted promptly if they identified concerns. Medicines were managed safely.

Staff had access to the induction, training and support they needed for their roles. Staff communicated effectively with one another and worked well as a team. Handovers and team meetings kept staff up-to-date about any changes in people’s needs or to working practices.

Staff were kind and caring and treated people with respect. They encouraged people to make choices about their care and respected their decisions. People were supported to be independent as possible in managing their own care.

People’s care was designed and planned to meet their individual needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People enjoyed the food at the home and were involved in the development of the menu. People’s specific dietary needs were met. People enjoyed a wide range of in-house and external activities and events.

The home had an effective management team which provided good leadership for staff and communicated effectively with people, relatives and professionals. The management team maintained an effective oversight of the service, which ensured people’s care was well-planned and managed. Staff were positive about their roles and felt valued for the work they did.

The views of people who lived at the home, their relatives and staff were encouraged and acted upon by the management team. People and their relatives felt able to raise any concerns they had and were confident these would receive an appropriate response.

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

Rating at last inspection

This care home is run by two companies: WR Operations 1 Limited and Signature Senior Lifestyle Operations Ltd. These companies have a dual registration and are jointly responsible for the services at the home.

The home was previously run by Signature of Epsom (Operations) Limited and Signature Senior Lifestyle Operations Ltd. The last rating under the previous registered provider was good (published 19 March 2020).

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.

Follow up:

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