Rosegarth Residential

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 68 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not always have clear responsibilities, roles, systems of accountability or good governance. They did not always act on the best information about risk, performance and outcomes, or share this securely with others when appropriate.

Some governance systems were present but these were not always effective at identifying and addressing key risks, and there was a lack of robust day‑to‑day oversight. The inspection identified gaps in core processes, including repositioning records, and daily notes not consistently recording refusals of care, as well as food textures provided for people on modified diets. The monitoring activity undertaken by the registered manager had not consistently prevented the shortfalls identified. However, we found no impact to people and recognised the provider had a system of regular oversight to mitigate these deficits.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not always focus on continuous learning, innovation and improvement across the organisation and local system. They did not always encourage creative ways of delivering equality of experience, outcome and quality of life for people. They did not always actively contribute to safe, effective practice and research.

The registered manager had a willingness to improve and respond to feedback. People and relatives reported they could raise concerns and saw these issues were addressed. However, improvements were not yet fully embedded, particularly where risks and recording were inconsistent. The tools management used to understand required improvements indicated planned and ongoing actions which were not consistently established at the time of inspection activity.