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Archived: Rosedale Manor Care Home Improvements required

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Reports


Inspection carried out on 7 May 2014

During a routine inspection

Rosedale Manor is a care home for up to 80 people. At the time of the inspection 55 people lived in the home. It provides care and support for people with severe and enduring mental health needs; older people who have dementia and people who require nursing care. Rosedale Manor is a two storey purpose built home which is divided into three units.

A new manager had been in post two weeks at the time of this inspection and therefore they were not currently registered with the Commission.

People told us they were happy living at the home and they felt that the staff understood their needs.

We found that people where possible were involved in most decisions about their care and support. Staff made appropriate referrals to other professionals and community services. We saw that the care staff team understood people’s care and support needs, and the staff we observed were kind and treated people with respect.

We found the home was clean and hygienic.

Records showed that CQC had been notified, as required, of all the incidents in the home that could affect the health, safety and welfare of people.

We looked at the care records of six people who lived at Rosedale Manor. We found there was detailed information about the care and support people required and that it was written in a way that recognised people’s needs. This meant that the person was put at the centre of what was being described. We saw that records had been reviewed over the last month, which meant that staff had up to date information about the people they supported.

We found that good recruitment practices were in place and that pre-employment checks were completed prior to a new member of staff working at the home.

We saw that Rosedale Manor had systems in place to ensure that people were protected from the risk of potential harm or abuse. We saw the home had polices and procedure in place to guide staff in relation to the Mental Capacity Act 2005 and deprivations of liberty safeguards, safeguarding and staff recruitment.

Inspection carried out on 20 March 2014

During an inspection to make sure that the improvements required had been made

We carried out this inspection to check that improvements had been made in areas of concern that we had found on our previous visit in October 2013.

We spoke to eight people who lived in the home and three relatives. They all told us that the home had improved significantly in the last six months. Comments we received included; �I have noticed a big improvement in the level of care to people who are not mobile. People were left waiting to go to the toilet, now staff respond much quicker� and �I have no concerns about the staff.�

We spoke to the temporary manager, the regional manager and seven other members of staff. They all told us that they were very pleased with the improvements that had been made in the home.

We observed medicines being administered. One person told us ��Staff are very caring and kind, they give me my medicines every day��. Due to people having varying degrees of dementia we found it difficult to obtain their direct views about medicines but overall we found medicines were being safely and appropriately managed.

We looked at the systems in place to safeguard people who lived in the home from harm and saw that these had been improved. We looked at the quality assurance arrangements in place and we saw that that these had also significantly improved. We also looked at some the home's records and saw that they were legible and completed correctly.

Inspection carried out on 17 October 2013

During an inspection to make sure that the improvements required had been made

We carried out this inspection to follow up concerns from our inspection in June 2013. The provider had given us an action plan of how they were planning to address these concerns. We are not satisfied that any of these issues have been dealt with or resolved.

We spoke to eight people who lived in the home and most of them told us that they were not happy with the standard of care being provided. One person said; �I don�t really know how long I have been here now I have lost track of it, every day is the same so it�s hard to remember...I don�t like TV much and that�s all there is really�I have asked but there�s no point as no one is interested so I don�t bother anymore I just get on with it."

We looked at the procedures in place to safeguard people from harm and abuse and found that they were not always followed and risks were not always identified and managed properly. We looked at the medication administration procedures and found that they were not always safely administered and not at the correct times.

We looked at the quality assurance procedures in the home and found that the audits were not being completed properly and that issues were not being identified or followed through.

We looked at the records in the home and found that they were not to an acceptable standard. They were inconsistent, lacking in the detail recorded and on some occasions illegible.

Inspection carried out on 26 June 2013

During a routine inspection

We spoke to 20 people who lived in the home and two relatives. They told us the care in the home was good but most told us that they were bored and there wasn't enough for them to do. We spoke to the registered manager and three members of staff who all told us that they were happy working in the home.

We looked at consent issues and the care and welfare of people in the home. We saw that the home dealt with consent issues well but we had concerns about the care that people in the home were receiving.

We looked at the procedures in place to protect people from harm and we had concerns that the home was not following these procedures and was not protecting people properly.

We looked at the staffing levels in the home and found that this was adequate to meet people's requirements but that people needed more activities and stimulation to meet all their needs.

We looked at the quality assurance procedures in the home and found that the audits were not being completed properly and that issues were not being identified or followed through.

We looked at the records in the home and found that they were not to an acceptable standard. They were inconsistent, lacking in the detail recorded and on some occasions illegible.

Reports under our old system of regulation (including those from before CQC was created)