- Care home
Rose Cottage Nursing Home
Assessment report published 10 September 2026
Contents
Ratings
Our view of the service
Date of assessment 27 July to 08 August 2026.
The service is a nursing home which provides accommodation and nursing care for adults and people with dementia. At the time of the assessment 19 people were living in the service.
There was an active learning culture at the service where incidents and accidents had been clearly recorded, investigated with clear outcomes and actions implemented to prevent reoccurrence. This had improved since the last assessment of the service.
People were safeguarded from the risk of abuse, and leaders reported concerns to relevant statutory authorities when required.
Staff were recruited safely and had received training relevant to their roles which showed an improvement since the last assessment.
Safe systems were in place to support people when moving between services. People’s needs were assessed on a regular basis. We observed people to be clean, well-presented and appropriately dressed. People’s bedrooms contained personal belonging, which were important to them, creating a homely environment.
There were regular opportunities for people, relatives and professionals to provide feedback on their care and experiences of living at the service. There was a shared culture within the service, with leaders and staff demonstrating commitment to ensure people had their needs met. There was a consistent team of staff with no agency workers used. Staff felt able to speak up about any concerns they had and felt treated fairly by leaders.
People had care plans in place which reflected their future wishes and end-of-life preferences.
External professionals spoke positively about the management of the service. They told us the service worked collaboratively with healthcare professionals to support people’s needs and described communication as effective. Professionals also commented that staff knew the people they supported well.
However, we identified shortfalls relating to the safety of the environment. Risks were identified within communal areas which had the potential to cause harm to people. This included doors which contained chemicals not being locked so people could gain access and nails sticking out of a radiator cover.
Information relating to fire evacuation procedures was not consistent across records, resulting in conflicting guidance for staff. In addition, the business continuity plan (BCP) did not accurately reflect the people living at the service, as some current residents had not been included and some people who no longer lived at the service remained listed.
We also observed infection prevention and control (IPC) practices that did not always effectively mitigate risks to people.
Risks associated with oxygen use and choking were not always documented appropriately.
Although the registered manager took immediate action to address these issues during the assessment, they had not been identified through the service’s governance systems. Therefore, it was unclear whether these concerns would have been recognised and addressed without the Care Quality Commission’s (CQC) involvement.
In addition, we observed occasions where people’s dignity was not consistently maintained during medicines administration and when a person became unwell. Medicines practices were not always in line with best practice guidance.
The registered manager acknowledged our feedback and developed an action plan to address these concerns.
We identified two breaches of the legal requirement in relation to safe care and treatment and governance.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People and their relatives provided positive feedback about the service. People told us they felt safe and had access to regular experienced and well-trained staff to meet their needs.
Comments from people and relatives included, “The staff are great and there is a good atmosphere, it’s not just ‘doing to’ people; it's a very nice place,” and “All the staff are very considerate. The staff talk to [Person] and are very kind and considerate. It’s such a weight off my mind. The care is so good; I can’t fault it.”
People and relatives provided positive comments about the management of the service and the support they received. They felt the provider acted on any concerns they had. Where people had moved from other service, they felt the transition was well co-ordinated and managed by the team. People told us they had access to other external healthcare provider and were supported to access health appointments.
One person described the service as, “A cracking little home, the place was recommended to us, and we would be happy to recommend it to anyone.”
Some relatives commented about a lack of opportunities to access outside activities at the service, which the registered manager was in the process of resolving.