Background to this inspection
Updated
18 December 2020
The inspection
This was a targeted inspection to check on a specific concern we had about the management of risk and staffing levels.
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
One inspector carried out the inspection.
Service and service type
Rosewood Lodge Care Home 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with seven members of staff including the operations manager, registered manager, care workers, maintenance staff and the chef.
We reviewed a range of records. This included four people’s care records and a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
18 December 2020
About The service
This is a residential care home for up to 24 people. The home is situated along the promenade near St Annes town centre. The service offers short to long term care. Private parking facilities are available. At the time of the visit there were 21 people who lived at the home.
People’s experience of using this service and what we found
People were protected from the risk of abuse and kept safe by staff who were trained to protect them. The registered manager recorded and audited any incidents and accidents and learnt from them. People were supported to manage risks in their daily lives. Staff continued to be recruited safely and sufficient numbers of staff supported people to live an independent life as possible. Medicines were managed safely. Infection control systems and audits continued to ensure a clean environment and reduce any risks. The provider ensured safety checks of the home environment were completed regularly.
The registered manager ensured staff received an effective induction and training programme that was continually updated, staff confirmed this. People spoke positively about the quality of meals and praised the cooks for the choices available. People received support with their healthcare needs promptly. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People and their relatives told us staff were kind, caring, respectful and treated them well. They told us staff respected their privacy and supported them to be as independent as possible. The registered manager provided information about local advocacy services, to ensure they could access support to express their views if required.
People told us staff knew them well and provided care that reflected their needs and choices. Activities were varied, and people told us there were trips and entertainment regularly provided. Staff offered people choices and encouraged them to make decisions about their care. People’s communication needs had been assessed and where support was required these had been met. The registered manager managed concerns and complaints in a timely manner and people told us they felt listened to.
The management team were clear about their roles and obligations to people and provided care which resulted in good outcomes for them. They worked in partnership with a variety of agencies to ensure people’s and social needs were met. The registered manager and provider used a variety of methods to assess and monitor the quality of the service on a regular basis.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was good (published 01 March 2017)
Why we inspected
This was a planned inspection based on the previous rating
Follow up: The next scheduled inspection will be in keeping with the overall rating. We will continue to monitor information we receive from and about the service. We may inspect sooner if we receive concerning information about the service.