Rose Court Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service under the new provider. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s need had been assessed and planned for. Individual care plans were person centred, risks were assessed and reviewed monthly to reflect changes in people’s needs and there was clear information about how staff should meet their needs. This helped ensure people received appropriate care.

Assessments of people’s nutritional needs were clear and included information about specialist diets, health conditions that affected their diet and their dietary preferences. People were given choices about food and were given regular drinks. Calorie rich diets were provided for people who needed these.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Theprovider involved people and their families with the development of their care plans, Care plans included information about people's lives, which helped staff make meaningful connections with them. Aperson told us “When they help me, they seem to understand to do it in a way that gives me confidence. They are focused on us and don’t just see it as a job. Another person said “The staff are very professional.”

People mostly received care and treatment that was safe and in line with their choices. Staff had access to clear guidance around people's needs, wishes and preferences in relation to their care and support needs.

Staff were supported through training and supervision to deliver care and support to people in line with legislation, and good standards.

The registered manager regularly monitored people’s needs, which also helped ensure people’s care and support was delivered in line with their individual preferences and took account of any changes.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services

The management and staff established good links with external health professionals and people had access to appropriate health professional support such as GPs, opticians, and district nurses. This helped ensure people received regular routine health screening and had access to other peripatetic professionals.

Staff felt they worked effectively with external professionals. They shared information with them and followed their advice when needed. A staff member described how they had provided essential information about a person to a visiting paramedic, which helped to maintain the person’s physical health and wellbeing

There was evidence of timely referrals and service worked well with other agencies to ensure people’s care and treatment needs were met. A health professional commented, “The Registered Manager is quite new. Doing their best, easy to communicate with and they always follow any advice they are given.”

People were supported to stay healthy and maximise their independence choice and control by being as mobile as possible and eating a healthy diet. The chefs had guidance in the kitchen, which described people’s specific dietary needs and explained how these needed to be met.

Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Referrals to health professionals and specialist advice and guidance, had been made to GPs, speech and language therapist or community nursing team, which ensured people’s health needs were safely met.

External professionals, such as a visiting district nurse, had confidence that the staff understood people’s conditions such as diabetes and pressure sores. The district nurse said the staff listened and followed their instructions, which helped ensure risks to people’s health were effectively managed.

We noted several people were on dietary supplements to support weight management. We also saw some people were provided with milk shakes between meals, as their care plans had documented

The service clearly recorded people’s health needs, goals and outcomes in their care plans. There were also guidelines for staff to monitor people and help improve their outcomes. Staff documented their observations and the support they had provided to people.

Relatives and people using the service said they felt staff knew them well and understood how to support and monitor their wellbeing effectively.

A person told us, “I eat what I can and I leave the rest.” This person indicated that they were encouraged to eat by staff because they were underweight.

A family member told us their relative had settled in well and felt safe. They added that, since they had started eating properly again, they exhibited less confusion than before admission. The family member explained how they visited every day and took their relative out. We saw the person using the service was clearly looking forward to their outing, which this had resulted in improvements to their health and had led to a good outcome.

Staff told us they monitored people throughout their shifts and reported any concerns to senior members of the team when needed. We saw, during the lunch time, that staff monitored people’s dietary and fluid needs and provided support when needed. Staff were attentive and considerate of people’s individual circumstances.

People were informed about their rights around consent and staff respected how they wished to receive person-centred care and treatment. We saw staff consistently sought consent to enter people’s rooms and a person told us, “They [staff] knock on my door before entering and ask permission before helping”.

The provider assessed people's mental capacity to make decisions and made sure choices were presented in ways which people could understand and consent to.

For people who lacked the mental capacity to make their own informed decisions, staff consulted with their representatives to make sure decisions were made in their best interests