Rose Tree House

Updated 11 September 2025

Date of assessment: 11 November 2025 to 4 December 2025.

Rose Tree House is a care home registered for accommodation for people who require nursing or personal care. The home provides personal care and nursing care for older and younger adults some of whom may be living with dementia, a physical disability or a sensory need. The home is registered to accommodate up to 44 people. At the time of the inspection 41 people were resident.

The assessment was prompted due to concerns about care provision, medicines management, staffing, the premises and management approach.

Some aspects of nutritional support and menu planning required improvement to meet best practice standards. For example, in relation to altered consistency meals and modified diets.

Medicines were administered safely; however, some PRN (as required medicine) protocols were not in place on the electronic system, and the outcome of administration was not always recorded, body maps were not fully in place for topical applications (creams), and the storage of returned medicines was not always secure.

Quality assurance systems were in place, and the above actions in relation to medicines had been noted across several audits but did not always lead to timely action.

The registered manager responded positively to feedback, implementing changes during the inspection and there was no evidence anyone had come to harm.

There was a positive culture of openness and learning, with lessons learned shared across the staff team and the wider organisation.

Care plans were person-centred and reviewed regularly. People and their relatives were involved in decisions about their care. End-of-life care was planned sensitively, and initiatives such as memory lane coffee mornings supported relatives after bereavement.

Systems for safeguarding, risk management, and infection prevention were in place, and staff received regular training to maintain competence. There was effective communication with health care professionals and relatives which ensured continuity of care.

Leadership was visible and inclusive. Staff described management as approachable and supportive. Equality and diversity were promoted, and the provider had received external recognition for inclusion initiatives.

Updated 11 September 2025

People told us they felt safe and well cared for. They said staff were kind, respectful and supported them to make choices about their care. Staff treated people with dignity and had a warm and caring approach. One person said, “Staff really make an effort to help you if you need anything.” There was a positive, welcoming atmosphere throughout the home.”

People said they were involved in decision making about their care and relatives confirmed they were kept informed about any changes in their loved one’s health. One relative said, “The manager engages with me, and we speak frequently – if there’s any change to [person’s] health, they contact me straightaway.”

Feedback about activities was mixed. Some people said they enjoyed what was offered, while others wanted more variety and opportunities to go out. One person said, “The activities are great and usually well attended,” while another told us, “They’re a bit basic – my only concern is the inability to go out.” Staff said plans were in place to improve the activity offer.

Call bells were answered promptly, and staff responded quickly to non-verbal cues to prevent discomfort.

Relatives praised the staff’s approach to end-of-life care, describing it as compassionate and respectful. People and relatives said they could raise concerns easily and felt listened to, with feedback gathered through meetings, surveys and informal conversations.