12 January 2019
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This unannounced comprehensive inspection visit was completed on 11 December 2018 by one inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Before the inspection we looked at the information we held about the service and the provider, including notifications the provider is required to send us by law about significant events at the home. We also reviewed information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During our inspection visit we spoke with eight people who lived at Rosemary Lodge and two relatives to listen to their views. We also observed the care provided in communal areas to see how staff interacted with people. We looked at two care plans to see if the planned care reflected how people were supported.
We spoke with the registered manager, the deputy manager, three carers and the housekeeper. We looked at two staff recruitment files to oversee the employment process and records relating to the management of the home.
12 January 2019
This unannounced inspection took place on 11 December 2018.
Rosemary Lodge is registered to provide accommodation and personal care for up to 32 people. Care is provided over two floors and there is a choice of three communal areas for people to use. There were 28 people living in the home at the time of our inspection.
People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Staff knew how to recognise abuse and understood the actions they should take to report concerns. There were risk assessments and management plans in place to support people safely. Medicines were stored, recorded and administered correctly to ensure people had the medicines which were prescribed for them. There were sufficient suitably recruited, trained and supported staff who were aware of infection control requirements to protect people from harm.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were provided with food and drinks which met their needs and preferences and enjoyed a sociable mealtime experience. People’s health and wellbeing needs were monitored and other healthcare professionals contributed to their care whenever necessary.
Staff provided kind, compassionate and thoughtful care which promoted people’s dignity and recognised their right to privacy. Relatives were warmly welcomed and involved. People were given opportunities to take part in social activities inside and outside of the home. Staff knew people well and care was reviewed with people to ensure their support reflected the level of care and assistance they required.
People were complimentary about the management of Rosemary Lodge. People and staff and were given opportunities to share their views of the service. There were audits in place to review the quality of care and identify shortfalls. The registered manager was fulfilling the requirements of their role.
Further information is in the detailed findings below.