• Care Home
  • Care home

Archived: Rosedale Care Home

Overall: Good read more about inspection ratings

25 Kings Road, Horsham, West Sussex, RH13 5PP (01403) 265236

Provided and run by:
Mr Adelindo Pavoni & Mrs Rosemary Adele Pavoni

Important: The provider of this service changed. See new profile

All Inspections

26 January 2022

During an inspection looking at part of the service

Rosedale Care Home is an 18 bedded residential service registered to provide accommodation and personal or nursing care to older people, predominantly to people living with dementia. Accommodation is provided over three floors. Communal areas include a large sitting room, small sitting room and a dining room. People have access to gardens at the rear of the home. There were 12 people living at the service at the time of the inspection.

We found the following examples of good practice:

The provider adapted the way visitors and external professionals entered and exited the building to minimise the risk of spread of infection. Visitors were directed to enter the service via the ground floor fire door or through the garden. This avoided any unnecessary movement of external visitors through people’s living areas.

The provider had a detailed contingency plan and risk assessments to ensure staff knew what to do to minimise the spread of infection in the event that a person tested positive for COVID-19 or displayed COVID-19 symptoms.

The provider continued to facilitate daily activities and entertainment for people living at the service. For example, on the day of our visit, the local sixth form college social care students were leading a chair exercise session. The provider adhered to the regular COVID-19 testing regime, this included visiting professionals who visited frequently and had close contact with people, such as the hairdresser.

26 February 2019

During a routine inspection

About the service:

Rosedale Care Home provides accommodation with personal care for people over age of 65. The service is registered to accommodate up to 18 people, and was providing personal care to 18 people at the time of the inspection. Any nursing needs were provided by community nursing services.

People’s experience of using this service:

• People received care and support that was safe. The provider had a robust recruitment programme which meant all new staff were checked to ensure they were suitable to work with vulnerable people. All staff had received training in safeguarding vulnerable people.

• There were risk assessments to identify any risk to people and staff understood the actions to take to ensure people were safe. There were sufficient staff to support people with their daily living and activities.

• People received effective care and support. Staff demonstrated a clear understanding of people's needs and received training relevant to their role and the needs of people living in the home. People enjoyed a healthy balanced and nutritious diet based on their preferences and health needs.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice.

• People received care from staff who were kind and caring. Staff respected people's privacy and dignity always. Staff supported people to be fully involved in their care planning and reviews. People were supported to express an opinion about the care provided and the day to day running of the home.

• People received responsive care and support which was personalised to their individual needs and wishes and promoted independence. There was clear guidance for staff on how to support people in line with their personal wishes, likes and dislikes. People were supported to access health care services and to see healthcare professionals when necessary.

• People were supported by a team that was well led. The registered manager demonstrated an open and positive approach to learning and development. Staff said the registered manager was open to suggestions and approachable. Everybody spoken with said they felt the management team was open, approachable and the home was well led.

• There were systems to monitor the quality of the service, ensure staff kept up to date with good practice and to seek people's views. Records showed the service responded to concerns and complaints and learnt from the issues raised.

• The registered and deputy managers worked professionally with agencies outside of the service and ensured a transparent, honest and open approach to their work which was valued by others.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection:

At the last inspection in August/September 2017 the service was rated Requires Improvement (report published on 14 March 2018). At that inspection we found two breaches of Regulations. They related to safe care and treatment and quality monitoring systems.

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The provider is no longer in breach of the two Regulations identified at the last inspection. At this inspection the service has made sufficient improvements to be rated Good.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

29 August 2017

During a routine inspection

Rosedale Care Home is a residential care home registered for up to 18 people with a range of physical and mental health needs, including people living with dementia. At the time of our inspection, the home was fully occupied. Accommodation is provided over three floors and two rooms have en-suite facilities. Four rooms are of shared occupancy. Communal areas include a large sitting room, small sitting room, dining room and a small dining area at the end of the kitchen; people have access to gardens at the rear of the home.

At the last inspection the service was rated Good.

Medicines were not always managed safely and we found areas of concern in relation to the handwritten Medication Administration Records (MAR), some medicines which were out of date but not disposed of, the temperature of the room where medicines were stored and the administration of medicines. We discussed these issues with the registered manager. By the second day, the registered manager had begun to take steps to address our concerns.

A system of audits was in place to measure and monitor the service delivered. However, these audits were not effective in identifying the areas of concern we found at inspection. Care records were not kept securely at the time of our inspection. This was raised with the registered manager during the inspection, who arranged for locks to be installed on the drawers before we returned for our second day, thus keeping people’s personal information confidentially.

Staff were protected from avoidable harm by staff who had been trained in safeguarding adults at risk. People felt safe living at the home and their risks were identified, assessed and managed in a way to mitigate risks. Staffing levels were sufficient to meet people’s needs. Staff had been recruited safely. Premises were cleaned to an acceptable standard.

Staff completed a range of training to enable them to have the skills and knowledge required to care for people in an effective way. Staff received regular supervision with their line managers and attended staff meetings. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were happy with the food on offer at the home and had a choice of what they would like to eat. Healthcare professionals supported people to maintain good health. We identified some issues in relation to the bathing facilities and general upkeep of the home. After the inspection, the registered manager informed us of actions that would be taken to address these.

Staff were warm, kind and caring with people. People spoke highly of the caring nature of the staff. They were involved in decisions relating to their care, as were their relatives. People were treated with dignity and respect. The home had achieved Platinum status for the Gold Standards Framework in relation to their end of life care.

Care plans contained detailed, personalised information about people and how they wished to be supported by staff. People and their relatives were involved in reviewing their care plans. An activities co-ordinator arranged activities for people which were individual and reflected people’s preferences. People were happy with the activities on offer. The provider had a complaints policy in place. No formal complaints had been recorded since October 2015.

People and their relatives spoke positively about the care provided at the home and held the registered manager and staff in high regard. Feedback was obtained from people and their relatives about the quality of care provided and the home overall. Staff felt supported by management and enjoyed working at the home. The registered manager worked in partnership with other agencies.

You can see what action we told the provider to take at the back of the full version of this report.

2 July 2015

During a routine inspection

We inspected Rosedale Care Home on 2 July 2015. This was an unannounced inspection. The service was registered to provide accommodation and care, including nursing care for up to 18 older people, with a range of medical and age related conditions, including arthritis, frailty, mobility issues, diabetes and dementia. On the day of our inspection there were 17 people living in the care home.

A registered manager, who was also the provider, was in post and present on the day of 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 happy, comfortable and relaxed with staff and said they felt safe. One person told us “I’m very well looked after, couldn’t be better.” Relatives also spoke very positively about the home and the care provided. One relative told us “The place is safe, clean and hygienic and because it’s comparatively small all the staff know where everyone is and what they’re doing. It really is a homely place and if anyone needs anything they get responded to quickly.”

People received care and support from dedicated staff who were appropriately trained, confident and highly motivated to meet their individual needs.They were able to access health, social and medical care, as required. There were opportunities for additional training specific to the needs of the service, such as diabetes management and the care of people with dementia. Staff received one-to-one supervision meetings with their manager Formal personal development plans, such as annual appraisals, were in place.

People’s needs were assessed and their care plans provided staff with clear guidance about how they wanted their individual needs met. Care plans were person centred and contained appropriate risk assessments. They were regularly reviewed and amended as necessary to ensure they reflected people’s changing support needs.

There were policies and procedures in place to keep people safe and there were sufficient staff on duty to meet people’s needs. Staff told us they had completed training in safe working practices. We saw people were supported with patience, consideration and kindness and their privacy and dignity was respected.

Safe recruitment procedures were followed and appropriate pre-employment checks had been made including evidence of identity and satisfactory written references. Appropriate checks were also undertaken to ensure new staff were safe to work within the care sector.

Medicines were managed safely in accordance with current regulations and guidance by staff who had received appropriate training to help ensure safe practice. There were systems in place to ensure that medicines had been stored, administered, audited and reviewed appropriately..

People were being supported to make decisions in their best interests. The registered manager and staff had received training in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

People’s nutritional needs were assessed and records were accurately maintained to ensure people were protected from risks associated with eating and drinking. Where risks to people had been identified, these had been appropriately monitored and referrals made to relevant professionals, where necessary.

There was a formal complaints process in place. People were encouraged and supported to express their views about their care and staff were responsive to their comments. Satisfaction questionnaires were used to obtain the views of people who lived in the home, their relatives and other stakeholders.

4 September 2013

During a routine inspection

We spoke with three people living at the home and three visitors. All were satisfied with the quality of care provided; people told us that they enjoyed living there. One person said," It's marvellous here. I couldn't ask for more". Another person told us, "It's got a real family feel, this place". A visitor told us, " You worry about placing a parent in a home, but I have total confidence in this place". The home employed an activities co-ordinator. We observed a variety of ongoing social activities on our visit and noted that the home provided an extensive programme of other activities and opportunities to socialise.

We spoke with the home manager and three staff members. They all told us that they actively enjoyed working at the home and felt that they were treated as valuable team members. One staff member told us, "We all get on really well here and everyone is really supportive. The manager is a great leader". Another said, "Lots of us have been here a long time and I think that speaks volumes".

26 March 2013

During a routine inspection

On the day of the inspection there were seventeen people living at the home and one person attending for day care. Throughout the day we saw that staff were communicating with people at a suitable pace, repeating or rephrasing questions and waiting patiently for responses.

We spoke to five people, the manager and three staff. Our observations provided evidence that people's individual wishes and needs were considered and met. The manager and staff were aware of people's likes, dislikes and abilities. Through observation, discussion and review of individual records we saw how these were appropriately supported.

We looked at five care records that provided information on people's assessment of needs, preference's, how their care should be delivered and their daily activities.

People told us that they 'feel safe and secure' at the home and felt happy to speak to the manager or staff if they 'felt they had a problem.'

People told us that the staff were 'extremely caring.' Records confirmed that staff were appropriately trained and skilled to meet the needs of people living at the home.

The home had systems in place to review the quality of the care provided. The business plan for the period August 2012 to July 2013 set out the schedule for reviews such as the physical environment, incident records and surveys by people living at the home in order to review and inform the quality of the service provided. People told us that the home should 'get an A rating.'

11 January 2011

During a routine inspection

When we visited the home people told us that they feel safe and able to raise any concerns with the provider. One person told us that the provider is wonderful and would never let anything happen to them. People told us they usually liked the food and there was always plenty. We saw the food served on the day we visited was hot, home made and well presented. We noted that those people that need support and encouragement to eat were supported in a dignified and respectful manner. One person showed us their room and told us that they had been able to bring their own furniture when they moved in. Two people told us that they enjoy some of the activities that take place at the home like singing and playing musical instruments. We noted at our visit that staff have a good rapport with the people who live here and know them well.