Archived: Rosegarth Residential Home

Updated 2 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Our inspection took place on 8 May 2018 and was unannounced. The inspection team consisted of two adult social care inspectors.

Prior to the inspection, we reviewed the information we held about the home. This included information from the local authority commissioning and safeguarding teams and statutory information we had received from the home. The provider had submitted a provider information return (PIR). A PIR gives the provider the opportunity to tell us about the service, what they do well and any planned improvements they intend to make.

We used a variety of methods to gather information about people's experiences at the service. During the inspection, we spoke with seven people, three relatives and one visitor of people who use the service. We observed care and support and used the Short Observational Framework for

Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We looked at the way people's medicines were managed, reviewed two people's care records and other records relating to the management of the service such as maintenance records, quality checks and meeting notes. We looked at two staff files and staff training records. We looked around the home at a selection of people's bedrooms and the communal areas. We spoke with three care staff, the cook/activities co-ordinator, the housekeeper, the hairdresser, the manager and the provider.

Updated 2 June 2018

Our inspection of Rosegarth Residential Home took place on 8 May 2018 and was unannounced. At the last inspection in February 2017, the provider was in breach of legal requirements concerning good governance; effective systems or processes were not always in place to assess, monitor and mitigate risks to people who used the service. At this inspection we found improvements had been made and the service was no longer in breach of Regulations.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of 'is the service safe' and 'is the service well led' to at least good. We found this had been achieved at this inspection.

Rosegarth is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service provides accommodation and personal care to a maximum of 18 older people and people living with dementia in one adapted building. There were 17 people living at the service on the day of our inspection.

The service is owned and managed by an individual and therefore is not required to have a registered manager.

People felt safe and happy living at Rosegarth. Staff had been trained to recognise and report signs of abuse. Safeguarding concerns had been reported and dealt with appropriately. People were comfortable in the presence of staff and told us staff were kind and compassionate.

Accidents and incidents were reported, investigated and analysed for themes and trends. Actions were taken to mitigate risks, such as providing specialist equipment for people where required.

Medicines were managed safely and people received their medicines as prescribed.

The home was clean, well maintained and tidy. Safety checks were up to date. Staff wore aprons and gloves when carrying out personal care. People looked clean and well groomed. We saw staff had respect for people's privacy, dignity and the choices they made.

Sufficient staff were deployed to keep people safe and provide care and support to people living at the home. Staff spent time engaging people in meaningful activities which people clearly enjoyed. Staff were recruited safely and had received training, supervision and appraisal to equip them to carry out their roles effectively. Staff meetings were held and staff opinions of the service quality were sought through an annual survey.

People's nutritional needs were supported and special diets were catered for. The service worked with health care professionals to support people's health care needs and to maintain people's independence wherever possible. People's consent was sought and the service was working within the legal requirements of the Mental Capacity Act 2005.

People's needs were assessed, plans of care formulated and reviewed regularly. People and/or their relatives were involved with these, which reflected the personalised care we observed during our inspection. People and their relatives were asked their opinion of the service quality through surveys and meetings. Actions were seen to have been taken as a result of responses received.

Complaints were effectively dealt with. Health care professionals, people staff and relatives praised the management team and commented on the good level of communication from the service.

Staff told us they were supported and morale was good. Staff worked well as a team to achieve positive outcomes for people living at the service.

A range of effective quality checks were in place to ensure the service worked well at all times. These were used as a means to monitor and drive improvements within the service.