Background to this inspection
Updated
15 June 2021
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. 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 consisted of one inspector
Service and service type:
The service is registered to provide accommodation and personal care to adults with long term complex mental health needs. 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:
This inspection was unannounced and took place on 05 May 2021.
Rating at last inspection : The service was rated as Requires Improvement at our last inspection in January 2019,( report published March 2019).
Why we inspected
This was a planned inspection based on the previous rating.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from other professionals who work with the service.
We assessed the 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. We used all this information to plan our inspection.
During the inspection we spoke with two people, four relatives by telephone and four members of staff.
We inspected a variety of records. These included two people’s care records and medicine records. We looked at two staff files in relation to staff recruitment. We also checked records relating to the management of the home and policies and procedures developed by the provider.
Updated
15 June 2021
About the service: Rosemary Residential Care Home provides accommodation and care for up to ten people with mental health needs. There were ten people living at the home when we visited.
People’s experience of using this service:
Care plans had been developed since our last inspection to provide more information about people and their care needs. They were now really person centred. For example, the preferred ways each person chose to be supported in all areas of their life was very clearly set out. Also how to support people with their mental health needs, for example when people felt paranoid, was really well explained.
Staff told us the registered manager was supportive and kind. We saw staff engage with the manager in a friendly and relaxed way during our visit.
People had the right health care support from professionals to meet their mental health and physical care needs. When people were physical or mentally unwell, staff had responded swiftly and worked with health professionals to address their health care needs. Staff followed guidance from mental health professionals to ensure they knew how to support people’s mental health needs.
The way the quality of the service was monitored had improved since our last inspection. There were now helpful checks and audits were completed to determine the quality of the care.
The last rating for this service was Requires Improvement (published 06 March 2019).
Why we inspected:
We carried out an unannounced comprehensive inspection of this service on 23 January 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve around Person Centred Care and Good Governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report covers our findings in relation to the Key Questions, Responsive and Well-led which contain those requirements. We also looked at the key question Safe on this inspection.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to Good . This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosemary Residential Home on our website at www.cqc.org.uk.