Rosebank Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Assessments were completed prior to support commencing and information collated transferred through to care plans which were regularly reviewed and updated. These assessments involved the person, their family and health and social care professionals, where appropriate, to gain a wider picture of people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. However, some care plans and risk assessments did not always contain enough detail to guide staff effectively or had conflicting information. The registered manager agreed to take immediate action to ensure all care records had all necessary information and records of care provided were accurate and up to date. Staff had also not been supported through regular supervision and training to ensure that care and support delivered to people was in line with good practice guidelines and standards. A plan was in place to address this.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Records showed the service worked effectively with health professionals and other partners. One partner commented, “We all work together and it really works. There’s teamwork.” Staff told us they worked well together and as a team to support people, meet their needs and keep them safe. One staff member told us what they liked best about working at Rosebank, “Teamwork skills are unique.” Another staff member told us, “The teamwork.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Records showed people had access to external professionals as required and where health concerns were noted these were followed up. One person told us, “I had a chest infection the other week, staff got me antibiotics the same day after speaking to the GP.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. However, inconsistent recording of care provided did not allow easy management oversight or fully evidence care had been given in line with people’s assessed needs. This was a recording issue, and we found no harm to people. Observations of care given during our visit showed staff knew people well and were responsive to changes in their health or presentation and acted on it immediately.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. We found the service was working within the principles of the MCA. Staff received training in the MCA and understood the importance of ensuring that people fully understood what they were consenting to, and the importance of obtaining consent before care was delivered. One staff member told us, “I gain consent by making sure the resident is fully informed and aware. I explain step by step what I am going to do. I use clear and simple language so residents can understand.” During our visit we saw staff consistently seeking consent from people as well as offering and respecting choices.