Archived: Rose Lodge

Updated 25 August 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 26 May 2015 and was unannounced.

The inspection team consisted of two inspectors.

Before our inspection, we reviewed the information we held about the home, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law.

We also contacted the commissioners of the service to obtain their views about the care provided in the home.

During the inspection we spoke with six people who used the service, one visitor, three care staff, the deputy manager and the cook. We looked at the relevant parts of the care records of six people, the recruitment records of three care staff and other records relating to the management of the home.

Updated 25 August 2015

This inspection took place on 26 May 2015 and was unannounced.

Accommodation for up to 17 people is provided in the home over three floors. The service is designed to meet the needs of older people.

At a previous inspection on 12 and 13 June 2014, we asked the provider to take action to make improvements to the areas of care and welfare of people who use services, safeguarding people who use services from abuse, requirements relating to workers, staffing, supporting workers and records. We received an action plan in which the provider told us the actions they had taken to meet the relevant legal requirements. At this inspection we found that some improvements had been made, however, some concerns remained in the area of requirements relating to workers.

There is a registered manager but she was not available during the inspection. The deputy manager was present throughout the inspection. 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.

People were safe and staff knew how to identify potential signs of abuse. Systems were in place for staff to identify and manage risks and respond to accidents and incidents. However, the premises was not always managed to keep people safe. Sufficient staff were on duty to meet people’s needs; however, they were not always recruited through safe recruitment practices. Medicines were safely managed but safe infection control procedures were not always followed.

Staff received appropriate induction, training and supervision. People’s rights were protected under the Mental Capacity Act 2005. People received sufficient amounts to eat and drink and outside professionals were involved in people’s care as appropriate. However, limited adaptations had been made to the premises to support people living with dementia.

We observed interactions between staff and people living in the home and staff were kind and respectful to people when they supported them and people were involved in their care where appropriate.

Information was available to support staff to meet people’s needs and people who used the service told us they knew who to complain to if they needed to.

There were systems in place to monitor and improve the quality of the service provided, however, these were not effective. The provider had not identified the concerns that we found during this inspection.

People and their relatives were involved or had opportunity to be involved in the development of the service. Staff told us they would be confident raising any concerns with the management and that the registered manager would take action.

We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.