Updated 28 January 2025
Date of Assessment: 4 March 2025 to 7 March 2025.
Rose Court Care Home is a residential care home providing support for up to 64 adults living with Dementia. At the time of the assessment, there were 62 people using the service.The registered provider has changed since the service was last inspected in February 2022. This is the first assessment for the home under the new provider. At this assessment the service is rated requires improvement. We found the service was in breach of 1 regulation of the Health and Social Care Act (2014) in relation to safe care and treatment. We have asked the provider for an action plan in response to the concerns found at this assessment. The service did not always make sure that medicines and treatments were safe and met people’s needs and preferences. The provider did not always involve people in their medicines care planning. Controlled Drugs (CD) were stored safely. However, high risk medicines did not always have appropriate care plans in place, and medicines risk assessments were not person centred.The provider had governance systems in place to monitor and improve the quality of the service. However, these were not always effective regarding people’s medicines management. This was because the medicines checks and audits that were in place had not identified the concerns we found during this assessment. The provider had a good learning culture and managers investigated incidents thoroughly. People were kept safe and staff understood and managed risks. The facilities and equipment met people’s needs and were clean and well-maintained. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care.
People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. People had enough to eat and drink to stay healthy. Staff worked with all agencies involved in people’s care for the best outcomes and they monitored people’s health to support healthy living. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people to make decisions in people’s best interests where they did not have capacity.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. The provider supported staff wellbeing.
People were involved in decisions about their care. People knew how to give feedback and were confident the provider took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. Staff worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. People with protected characteristics felt supported. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement.