Keychange Charity Rosemary Mount Care Home

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. At our last assessment we rated this key question as good. At this assessment the rating has remained as good. This meant people were safe and protected from avoidable harm.

This service scored 72 (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.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

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.

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.

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

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.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

Some aspects in the way medicines were managed was in need of improvement. The provider did not always make sure some medicines were recorded on receipt or disposed of in line with good practice.

Medicines that require secure storage should be recorded on receipt on a register in line with legislation. This had not been done, although the medicines had been entered on the provider’s internal medicines management system. The provider’s policy stated, “[Medicines] are to be entered onto the [medicine] register immediately.” We informed the registered manager of our findings and they took immediate steps to remedy this incident by entering the medicine on the register. In addition, relevant staff would complete refresher trainer on this aspect of medicines management.

Within a care home setting, medicines should be returned to the pharmacy when they are out of date, are no longer needed, such as when a prescription has been changed or the person has died, or when a person moves out of the home. Returning surplus medicines that are still relevant and prescribed for people is not good practice. Instead, people’s prescriptions should be reviewed by care home staff before the start of the next 28-day cycle, rather than disposing of medicines due to an excess of stock being identified.

There was no evidence that the above had any negative impact on people.