Rosedale Care Home Limited

Updated 30 April 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team was made up of two inspectors.

Service and service type

Rosedale Care Home Limited is a ‘care home’. 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We inspected this service unannounced on 24 February 2022.

What we did before the inspection

We reviewed information we had received about the service since their registration. We sought feedback from the local authority and commissioners. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection

During the inspection

During the inspection we spoke with four people about their experience of care provided. We spoke with the registered manager, deputy manager, activities co-ordinator, and three care-workers.

We reviewed a range of records. This included three people's care records and multiple medication records. We looked at staff recruitment, meetings, and supervision records. We also looked at records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 30 April 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Rosedale Care Home Limited is a residential care home providing accommodation and personal care to seven people. The service specialises in providing support to people diagnosed with learning disabilities and/or autistic spectrum disorders. At the time of the inspection five people were using the service.

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

Right Support

Staff supported people to have choice, control and independence. People’s rooms were personalised. People chose their own décor and displayed items and pictures that were important to them. One person had an entry door code on their room which was their choice. People did different things each day, supported by staff to follow their own interests and hobbies. Since the easing of COVID-19 restrictions people were getting out and about more and making use of community facilities and resources. A person said, “I go out on my own and sometimes with staff if I’m going to different places. I do lots of walking it does me a power of good.”

Right Care

Relationships between people and staff were good and we saw friendly and humorous conversations taking place. A person said, “When I have a shower, [staff member] puts on music on and sings along doing the different voices. It makes me laugh so much.” Another person told me, “[Staff member] helps me with everything and is always chatting to me.” Staff understood people’s preferred communication methods and used these to ensure people were involved in all aspects of the running of the service. People were supported to remain safe during the COVID-19 pandemic. Staff used pictures, videos and sign language to show people how viruses spread. This helped people to understand why they were in ‘lockdown’ at times.

Right culture

Staff understood why people might become distressed at times and how to support them if this happened. Managers and staff knew how to analyse incidents and share the learning from them to reduce situations which caused people distress. People felt safe at the service and trusted the staff to support them if they had any concerns. Staff said they were confident to raise issues with management. A staff member said, “This is a lovely, really family-orientated place. People makes choices daily, are respected, go out, and do lots of activities.”

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 (report published on 12 October 2020). 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 regulations.

Why we inspected

The inspection was prompted in part due to concerns received about medicines and the management of people’s finances. A decision was made for us to inspect and examine those risks and to assess that the service is applying the principles of Right support right care right culture.

We also looked at infection prevention and control measures under the Safe and Well-led key questions. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

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.