Rosemil Care

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first assessment for this newly registered service. This key question has been rated good. This meant people were safe and protected from avoidable harm.

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.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

The provider demonstrated a proactive learning culture by reviewing incidents on a monthly basis and sharing lessons learned with staff through a messaging group. Incidents and their outcomes were also discussed during staff meetings as part of lessons learned. This promoted vigilance and helped prevent recurrence.

Previous incidents had been resolved. The provider engaged the local authority in discussions and ensured care workers received ongoing appropriate support to maintain their wellbeing and improve their care practice.

The provider upgraded their policy system, enabling audits of staff access to policies, ensuring compliance and continuous improvement.

Quarterly workshops were held to review medicines management and encourage staff to speak up about challenges, promoting openness and shared learning.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. A professional told us, “Rosemil Care excels in this area. We have worked with them on several cases, and the handovers have been consistently efficient. They ensure that not only the immediate team but also the local authority is kept informed through thorough, clear updates.”

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

A monthly safeguarding checklist was in place; safeguarding concerns were appropriately reported to the local authority and CQC.

Staff had completed safeguarding training, and safeguarding policies were in place. People told us they felt safe, comfortable, and well cared for when supported by care workers.

Partner agencies confirmed that any safeguarding concerns were discussed with them promptly.

The provider worked with people to understand and manage risks by thinking holistically. Staff

provided care to meet people’s needs that was safe, supportive and enabled people to do the

things that mattered to them.

People confirmed staff supported them to manage risks, such as minimising falls and pressure ulcers. The registered manager chased a referral for a pressure-relieving mattress for a person at risk of sores, showing proactive risk management. A relative told us, “My relative is kept safe by the fact that they are attended to by two care workers at each visit. They appear to work very well together in ensuring my relative is not at risk.”

Risk assessments were available online for staff to access, read, and understand. One care worker told us “Yes, they’re usually clear and detailed. They help me know what to watch for and how to keep people safe. If anything isn’t clear, I make sure to ask for guidance or updates.”

Professionals told us the provider worked closely with local authorities and health specialists, actively participating in multi-disciplinary meetings and strategy discussions. They contributed to safeguarding actions and risk management plans, ensuring timely and effective responses. Partner agencies gave positive feedback, confirming that joint working was successful in addressing complex health needs.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Environmental risk assessments were completed at people’s homes and care workers encouraged to report concerns and when an infection prevention and control (IPC) audit identified issues; corrective action was taken immediately.

As part of the risk assessment process, a fire risk checklist was completed to identify the location of the gas and electrical cupboards within the properties of the individuals supported.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

Call log data showed staff generally arrived and left together for double-up calls and stayed the scheduled length of time, ensuring continuity of care. A relative said, “The timings of the support visits are perfect because they are the times my relative is used to and the times we therefore requested. [The registered manager] was extremely flexible in accommodating this”

Staffing files showed completion of right-to-work checks, criminal record checks, induction, competency assessments, and regular supervision. The training matrix showed compliance with mandatory training and included specialist courses for staff. Most staff had relevant qualifications, ensuring a strong and balanced skill mix.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

People confirmed that care workers consistently wore Personal Protective Equipment (PPE); gloves, aprons, and masks when required, and cleaned up after themselves. The registered manager ensured sufficient PPE supplies and regularly audited its use.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.

People told us care workers reminded them to take their medicines when needed, which supported safe administration. Care workers followed care plans and Medicines Administration Record (MAR) charts, ensuring medicines were given as prescribed and records were completed accurately. Care workers had completed medication administration training and had been assessed as competent.