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Rosedale Care Home Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 October 2020

About the service

Rosedale Care Home Limited is a residential care home providing personal and nursing care to seven people at the of time of the inspection.

The service was not initially developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. However, people were given choices and their independence and participation within the local community was encouraged.

The provider is also the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The management office was in a separate outbuilding on the same site as the service.

People’s experience of using this service and what we found

Systems and processes had not identified windows were not adequately restricted to reduce the risk of people falling from height, or that legally required notifications had not been submitted to the CQC.

People told us at the time of the inspection, they felt safe living at the service. Staff knew how to recognise, and report suspected abuse. However, records showed allegations of abuse had not been reported to the local authorities safeguarding team.

Personal Emergency Evacuation Plans (PEEPS) were in place. We have recommended the service review these. Staff had been safely recruited and people received their medicines on time. Staff had a good knowledge of infection control requirements and wore personal protective equipment in line with government guidance for responding to the Covid-19 pandemic.

We observed positive interactions between staff and people receiving care. People told us staff were kind and caring. People received support from staff that had undertaken training the provider deemed compulsory. However, this was not always undertaken within the required timeframe.

We did not inspect whether the service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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 good (published 20 November 2018). The rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

Why we inspected

The inspection was prompted in part by an allegation of abuse. This was subject to a criminal investigation; therefore, the inspection did not examine the circumstances of the incident.

We received concerns about people’s safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosedale Care Home Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-

Inspection areas

Safe

Requires improvement

Updated 10 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 10 October 2020

Caring

Good

Updated 10 October 2020

Responsive

Good

Updated 10 October 2020

Well-led

Requires improvement

Updated 10 October 2020

The service was not always well-led.

Details are in our well-led findings below.