Archived: Rosemere Care Home

Rosemere Care Home provides residential accommodation and personal care for up to 12 older people with mental health needs.

At the time of our inspection the provider confirmed they were providing care to 11 people.

There was a registered manager in post. 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse and people had risk assessments in place to enable them to be as independent as possible.

Staffing levels were adequate to meet people's current needs, and there were enough staff employed by the service to cover the shifts that were available.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.

Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles.

People medicines were administered safely and on time. Medication was stored safely and audits took place to ensure accuracy.

Staff were well supported by the registered manager, and had regular one to one supervisions as well as regular opportunities to speak with management and get the support they needed.

People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. Consent forms were signed and we observed that people were asked before any care took place.

People were able to choose the food and drink they wanted and staff supported people with this. A varied menu was available for people to choose from and special dietary requirements were catered for. People were supported to access health appointments when necessary, and visiting health professionals were available.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Staff and management had excellent knowledge on people’ individual likes, dislikes and personality.

People were involved in their own care planning and were able to contribute to the way in which they were supported. Staff respected people’s opinion and enabled people to have a voice.

The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required. The people we spoke with knew how to use it.

Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed.

Care plans gave staff guidance about how to support each person with their personal, social and health care needs. We saw that some people required help when eating and drinking and that staff assisted them at their own pace. Care was delivered in a way that ensured people's safety and welfare.

People told us 'I like doing the quizzes and chatting' and 'There aren't many activities, but I enjoy going to the garden opposite, which is nice.' People were provided with some opportunities to go out of the home. One person told us 'We went to [a house and park], which I liked, it was a change.'

People benefitted from comfortable accommodation. One person told us 'I like my room.' Shared rooms contained mobile screening to provide people with privacy when necessary. We saw some records and certificates for the safe maintenance of the premises

People were cared for by staff who were supported to deliver care safely and to an appropriate standard.

People who used the service were asked for their views about the service provided. We saw that people were able to communicate their wishes to staff, who listened and took action.

People had a plan for their care and were receiving the care they needed to stay healthy. There were effective care plans in place for people who were at risk of pressure sores to their skin. People were helped to take the medication they needed in a safe way.

There were sufficient numbers of staff employed in the home, but they did not always follow safe practices for moving people who had mobility difficulties.

People knew how to make a complaint if they needed to and their concerns and comments were listened to and responded to.