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Rosewood Lodge & Brook House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 September 2021

Rosewood Lodge and Brook House provides care and accommodation for up to 20 people with mental health needs. At the time of our inspection, 20 people were living at the home. The home is set out over four floors and consists of two residential properties that have been adapted into one home.

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

We identified concerns relating to infection control management. The home was not clean or well maintained. There were enough staff to meet people’s needs, however there were no dedicated cleaning staff or systems to manage and monitor cleaning was effective. There were shortfalls in staff recruitment files. Some risks were not assessed and managed.

Medicines were managed safely. Staff knew how to recognise and report abuse.

People were supported to have choice and control of their lives. Where restrictions were in place people had agreed to these. However, we discussed with the registered manager keeping the restrictions under regular review and ensuring they were the least restrictive option.

The governance systems in place were not fully effective.

People and staff were positive about the registered manager. Staff supported people to be involved in the home on an informal basis, as this suited people’s needs. There were systems in place to communicate with people and staff. The service worked in partnership with a range of professionals.

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

Rating at last inspection

The rating at the last inspection was good (published 18 February 2019).

Why we inspected

As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place. We inspected and found there was a concern with infection control, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe, effective and well-led.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 21 September 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 21 September 2021

At our last inspection we rated this key good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Caring

Good

Updated 21 September 2021

Responsive

Good

Updated 21 September 2021

Well-led

Requires improvement

Updated 21 September 2021

The service was not always well-led.

Details are in our well-Led findings below.