Updated 1 February 2024
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.
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.