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Inspection Summary


Overall summary & rating

Good

Updated 14 February 2020

About the service

Rossmore is a residential care home providing personal care to a maximum of 56 people. There are 17 placements for people who require support and treatment following a stroke. There are 25 placements for people who require reablement to prevent hospital admission or to facilitate an early discharge from hospital. Currently, there are six people who are permanent residents at Rossmore.

People’s experience of using this service and what we found

There were improvements in governance and the oversight of the stroke service. The improvements related to closer monitoring of people’s needs, preparation for multidisciplinary meetings, recording systems, and communication between staff. Care and therapy staff reported an improvement in morale and partnership working.

The environment was clean and safe for people. Staff knew how to safeguard people from the risk of harm and abuse. Risk assessments were completed and kept under review, so staff had up to date information on how to minimise risk. The provider had a safe recruitment system and employed enough staff to support people’s needs.

People’s nutritional needs were met. People told us they liked their meals and had enough to eat and drink; the menus provided choices for them. They were supported to access dieticians when needed.

People’s health needs were monitored and met, and they received their medicines in a safe way as prescribed. Staff supported people to access a range of health care professionals when required. Those people admitted to the stroke service had support and treatment provided by therapy staff based at Rossmore such as physiotherapists and occupational therapists. There were good outcomes for people.

Staff approach was described as kind and caring. They treated people with dignity and respect and supported them to be as independent as possible. People had care plans, which were detailed and provided staff with good information on how to meet their needs in the way they preferred.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff had a good understanding of the need to seek consent from people before carrying out care tasks.

People told us staff knew how to care for them. Staff received induction, training, supervision and appraisal to help with their development and confidence when supporting people’s needs.

The provider had a system for the management of complaints, and people felt able to raise concerns knowing they would be addressed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update: The last rating for this service was requires improvement (published 16 January 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection, to show what they would do and by when to improve. At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 14 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 February 2020

The service was good.

Details are in our good findings below.

Responsive

Good

Updated 14 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 February 2020

The service was well-led.

Details are in our well-led findings below.