Updated 23 July 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Rose Tree House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided. The new manager had applied to register with us.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we held about the service, including the statutory notifications we had received from the provider. Statutory notifications are reports about changes, events or incidents the provider is legally obliged to send to us. We contacted the local authority commissioning and safeguarding teams, the local fire authority, local infection control teams and Healthwatch to request feedback. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and nine of their relatives or friends about the experience of the care provided. We communicated with 17 members of staff including the manager, deputy manager, hospitality manager, operations manager, administrator, nursing and care staff and the providers nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We spoke with two members of the district nursing team and two social workers. We contacted a local GP practice for feedback. Any information received was used to support the inspection findings.
We reviewed a range of records. This included care records for eight people and multiple medicines records. We looked at recruitment records and a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We communicated with the nominated individual and the manager. We also spoke with the local authority to share details of our inspection findings.