10 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 2 March 2022 and was announced. We gave the service a short notice of the inspection on the day.
10 March 2022
About the service
Rose Hill is a care home providing personal and nursing care for up to 35 older people, including people living with dementia. At the time of the inspection there were 26 people living at the home.
The accommodation is an older style, large residential house, which was converted into a care home. There are two floors and a lift to provide access to the first floor. Rooms are single occupancy, and some have en-suite facilities. There is a large garden to the side and rear of the house.
People’s experience of using this service and what we found
The provider had tackled the issues we had reported on at the last inspection. Improvement had been made but more could be done to ensure that good quality care was monitored and maintained. We made a recommendation about having a more robust quality assurance system and frequent checks in place to keep standards high and to ensure improvement plans covered all aspects of the service.
People were kept safe and safeguarded from harm. Improvements had been made since the last inspection to address safety risks in the environment. People were also protected from the spread of infection. There were enough staff at the home to meet people’s needs and the recruitment of staff was done safely.
People’s living environment had been improved and further work was planned to enhance physical standards in the home.
People received effective care based on an assessment of their needs. Nutritional needs were known and met. People’s health and wellbeing was prioritised, and referrals made in a timely way for specialist health advise. Staff were trained and supervised appropriately.
Staff had been trained in the principles of the mental capacity act since the last inspection. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.
People were treated with dignity and experienced care from staff who were respectful and kind. However, we raised with the provider that staff needed to remember to talk with and engage people when undertaking any care task.
People’s wishes were known and sought. Visitors were welcomed and, where possible, people were enabled to be independent. There was a range of social and one to one activity on offer during the day. People’s communication needs were known and met wherever possible.
The service had a complaints process, and this had been used effectively to make improvements with a person’s care. The service responded openly and honestly to complaints and suggestions, using the opportunity to improve.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 2 August 2018). There had been three breaches of Regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulation. There were some improvements which needed to be made and sustained, and we made one recommendation. The overall rating for the service has changed from Requires Improvement to Good. 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 Rose Hill Nursing Home on our website at www.cqc.org.uk.
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.