Rosebank Care Home

Updated 5 November 2024

Date of Assessment: 13 December 2024 to 30 January 2025. The service is a residential care home service providing personal care for older people living with dementia, mental health conditions and physical disabilities. The assessment was prompted by concerns received about people's safety, dignity, and governance of the service. A decision was made for us to assess and examine those risks. We undertook a focused assessment to review 9 quality statements. For those quality statements not assessed, we used the ratings awarded at the last assessment to calculate the overall rating. We found 2 breaches in relation to safeguarding and governance. However, where restrictions were in place, the service did not always consider less restrictive options, and assessments of peoples’ mental capacity were not always robust. The provider did not have effective systems in place to monitor the service to ensure compliance with the fundamental standards and ensure sufficient oversight of staff training and appraisals. We have asked the provider for an action plan in response to the concerns found at this assessment. However, the provider had safeguarding processes in place and people could raise concerns. People were supported to manage risks. The service assessed and managed the risk of infection. There were enough staff to meet peoples’ needs. Information pertaining to peoples’ protected characteristics was considered and their individual needs were met. The service ensured medicines and treatments were safe and met people’s needs, capacities, and preferences by enabling them to be involved in planning, including when changes happen. The service had a shared vision, strategy and culture which was communicated to staff and people via regular meetings and correspondence.

Updated 5 November 2024

People and their relatives were mostly positive about the quality of their care. They felt safe and were fully involved in planning their care. Most people said they received high quality care from knowledgeable staff who treated them as individuals. One relative said, “I have every confidence in the Home and its care.” We observed staff treating people kindly, allowing people to lead at their own pace and supporting people to maintain their independence. It was noted the service also provided lots of interesting activities to keep people physically and mentally active. Some people could not directly tell us about their experience. We used a structured observation tool to assess whether they received good care. This approach showed people were included and listened to, and staff consistently interacted positively with them. The chef spoke with people every day after meals to establish how satisfied they were with the meals. The chef knew people and their dietary needs well, and ensured fresh, healthy and appetising meals were provided daily. People and their relatives knew the staff well, and felt the manager of the home was involved and approachable. One relative told us, “The staff are a lovely crew. They are always happy and smiling” and, “[The Registered Manager] always has an open door and she always tries to sort things out for you.” However, while people expressed general satisfaction with their care, our assessment found elements of care did not meet the expected standards.