About the service Rosedale Court is a residential care home providing personal and nursing care to up to 81 people. The service provides support to older people and people with nursing care needs, some of whom may be living with dementia. At the time of our inspection there were 68 people using the service.
People’s experience of using this service and what we found
The provider’s processes for monitoring the quality and safety of the service were not effective and had failed to promptly identify and address concerns. Risks to people’s safety were not always managed appropriately and there was a lack of detailed, up to date guidance about people’s individual needs and preferences. The provider’s processes for managing incidents and safeguarding concerns were not robust.
People’s care was not personalised, and it was not always clear how people and those important to them were involved in planning and reviewing their care. People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
The provider had not always ensured people’s eating and drinking support needs were fully met, with staff available to provide encouragement and support to eat. People’s medicines were managed by staff who were trained to administer them; however, people’s medicines records did not always contain all the necessary information. The provider worked in partnership with a number of different health professionals. However, we received mixed feedback about how promptly concerns with people’s health were escalated to other agencies.
The provider had not ensured all staff were appropriately trained and received regular supervisions to support their learning and development. Recruitment checks were not always fully completed.
People told us staff were kind and caring in their support. People were supported to take part in different leisure activities; however, we received mixed feedback about the variety and quality of these activities.
People, relatives, and staff told us felt comfortable raising any issues or concerns with the management team and spoke positively about the culture of the service and the approachability of management. The provider arranged regular meetings and social events to promote engagement with the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 12 August 2021)
Why we inspected
The inspection was prompted due to concerns received about the management and oversight of risks to people’s health and safety, safeguarding concerns, staffing and medicines. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Responsive and Well-Led sections of this full report.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment, support with eating and drinking, personalised care, and management oversight at this inspection. We have made recommendations about the provider’s recruitment systems and mental capacity assessment processes.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.