Background to this inspection
Updated
12 November 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.
Inspection team
The inspection was carried out by two inspectors and 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
Rose Garden 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.
Notice of inspection
We gave a short period notice of the inspection in order to ensure there was a senior member of staff available to support the inspection.
What we did before the inspection
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 all information available to us, including notifications. Notifications are information about specific events the service is required to tell us about by law.
During the inspection
We spoke with five people in the home, the registered manager, deputy manager and five staff, including a nurse and care staff. We reviewed records for four people and looked at other records relating to the home such as complaints, safeguarding and three recruitment records.
After the inspection
We arranged a follow up video call with the registered manager to talk about any areas that required further discussion. We also continued to analyse evidence such as audits.
Updated
12 November 2021
About the service
Rose Garden is a nursing home providing personal and nursing care for up to 40 people aged 65 and over. At the time of the inspection 38 people were living at the home.
The home was purpose built and provided accommodation over two floors.
People’s experience of using this service and what we found
People and their relatives were happy with the care they received. We did receive some mixed feedback from relatives, about staffing levels in the home. However, staff felt staffing levels worked well and our observations during our inspection were that people’s needs were met. Comments on care included, “They treat her with dignity and respect, never heard any unkind words”, and “They've been marvellous, her care’s been excellent, nothing but praise for them”.
People were safe. Risk assessments provided guidance on how to support individuals and manage risks associated with their care. Staff received training in safeguarding and knew how to report any concerns. There were suitable recruitment procedures in place to reduce the risk of unsuitable staff being employed and enough staff on duty to meet people’s needs.
Staff were trained and supported to be able to carry out their roles effectively. People’s health needs were met, with processes in place to manage wounds and refer to health professionals when necessary. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service was responsive to people’s needs. Staff understood people as individuals with their own unique needs and preferences. The service was working towards an accreditation in relation to end of life care. People were given opportunities to socialise and take part in activities. There was a process in place to manage and respond to complaints.
The home was well led. There were systems in place to monitor the quality and safety of the service. Staff morale was positive, and staff felt supported and able to discuss issues with the management team. The registered manager had supportive links with other health and social care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 August 2019 and this is their first inspection.
Why we inspected
This was a planned inspection to give the home a rating.
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.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.