- Care home
Rosehill House
Assessment report published 13 June 2025
Contents
Ratings
Our view of the service
Date of assessment: 7 April 25 – 02 May 2025
Rosehill House is a care home providing accommodation and personal care for older adults, some of whom may have a physical disability, a sensory impairment or be living with dementia. It is registered to accommodate up to 23 people. At the time of the assessment there were 18 people residing at the home.
At the last inspection in January 2018, we rated the home good. This assessment was undertaken due to the receipt of information of concern in relation to culture, risk management, governance and oversight. We found concerns were substantiated. The service is now rated inadequate.
The provider was in breach of the legal regulation relating to good governance. Concerns were significant and widespread. Risks to the environment had not been identified or mitigated, including window safety. Health and safety risk assessments were in place; however, they were not current, did not always identify all risks and contained no control measures.
Safe recruitment practices had not been followed and there were mixed views on staffing levels.
Falls, safeguarding concerns and complaints were logged, however there was no evidence of analysis for themes, trends and learning.
Care plans and risk assessments were in place, however they were not always detailed and there was no evidence people were involved in the planning of their care. Hospital passports had been developed but had not been updated or replaced once shared with the hospital.
There was no process to record the application of topical medicines (creams). Other medicines were managed appropriately. The principles of the Mental Capacity Act (2005) were not understood or followed.
People’s needs were assessed, and their nutritional needs met. People were treated with kindness, compassion and dignity by staff who knew them well and understood their needs and preferences.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
People, and their relatives were positive about the care and support received, however some felt there was a lack of activities. One person said, “The staff are nice, they are lovely. They listen to what I want. Family can come and visit me anytime. They are missing an activities person at the moment.” Another person told us, “Whatever I want they sort it out. I’ve no complaints, they are here when I want them. There are no activities, the girl who used to do them has just left. I would like more activities, possibly getting out.”
Relatives were also generally positive about the care their loved ones received. Comments included, “The staff are very caring and supportive” and “It is a lovely environment. It is warm and homely and that is what I want for my [relative] and the residents.” There were mixed views around involvement in care planning, with some relatives saying they hadn’t been involved whilst others said they had. Relatives also commented on a lack of activities, saying, “There are no activities, my [relative] would respond more to activities and the carers interacting a bit more. There is nothing on the family noticeboard regarding activities or indeed menus.” And, “They have had activities but nothing for a while now. Certainly, could do with more activities again,” and “There are no updates about family meetings for relatives either and that would be nice.” The provider confirmed they had recently recruited 2 activities co-ordinators.