• Care Home
  • Care home

Archived: Rosewood House

Overall: Good read more about inspection ratings

82 Redmans Road, London, E1 3DB (020) 7702 7788

Provided and run by:
Hamberley Care 1 Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 1 February 2024

Inspection team

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 Health and Social Care Act 2008.

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

The inspection was carried out by 2 inspectors and a specialist advisor. The specialist advisor was a nurse with experience of older people’s care. We were also assisted by an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Rosewood House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced on the first day of our inspection, but we announced the second day.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included any significant incidents that occurred at the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed the previous inspection report and action plans submitted after the last inspection. We contacted the local authority commissioning team to obtain their feedback about the service. We used all of this information to plan our inspection.

During the inspection

Inspection activity started on 28 November 2023 and ended on 13 December 2023. We visited the service location on 28 November and 7 December 2023. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with the registered manager, a regional manager, the regional care and quality manager, the deputy manager, 5 nurses, 3 team leaders, and 2 care workers (known internally as “homemakers”). We also spoke with 10 people using the service and 6 of their relatives.

We reviewed a range of records, both on and off site. This included 14 people’s care records, numerous medicines records and 3 staff files in relation to recruitment. We also reviewed records related to the management of the service, which included incident reports, quality assurance records and minutes of staff meetings. We spent time in the home to understand people's experience of care throughout the day in relation to infection prevention and control procedures and staff awareness of best practice. We also liaised professionals from the local authority via email.

Overall inspection

Good

Updated 1 February 2024

About the service

Rosewood House is a residential nursing care home providing personal and nursing care to up to 90 people. The service provides support to people aged 65 and over, including people living with dementia. At the time of our inspection there were 72 people using the service.

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

The registered manager assessed and mitigated risks to people’s health and safety. People had personalised risk assessments in place for different areas of risk, and clear care plans which contained advice for care workers in how to mitigate those risks. The provider followed good infection prevention and control practises and managed people’s medicines safely.

The registered manager conducted a range of audits and lessons were learned when things went wrong. Notifications of significant events were sent to the CQC as required.

The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA). The provider ensured there were enough staff on duty to support people and conducted appropriate pre-employment checks before hiring new staff.

Staff gave positive feedback about the service and people and their relatives were complimentaryabout the service overall.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (16 May 2023).

At our last inspection we found breaches of the regulations in relation to safe care and treatment as risk assessments were not always clear and good governance, as the provider had not always picked up on concerns through their auditing systems. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve.

At this inspection we found improvement had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced inspection of this service on 28 November and returned announced, on 7 December 2023. We undertook this focused inspection to check they had followed their action plan and to confirm if they met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service is now good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosewood House on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.