During an assessment under our new approach
Date of assessment: 3 and 5 June 2025. We assessed the service to follow up concerns found at our previous inspection visit, where we identified 6 breaches relating to Need for consent, Infection Control Issues, Medicines, Equipment, Premises, Assessment of risk, Good governance, Staffing, Fit and proper persons employed and Duty of Candour.The provider demonstrated improvements that have been made in all these areas.
This service has been in Special Measures since 12 March 2025. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Rosemount Care Home is a home providing accommodation and nursing and personal care to older people, including people who may live with dementia. The service can support up to 60 people. People are accommodated in three units across one building. At the time of inspection 40 people were using the service.
We gathered information from people who used the service, relatives, the registered manager, regional operations manager, nursing staff, care staff, auxiliary staff and external professionals. We looked at 10 people’s medicines records. We looked at all quality statements in Safe, Effective, Caring, Responsive and Well-Led.
At this assessment we found people received safe, effective care from a staff and a leadership team that had worked hard to make improvements across the service.
Risks were regularly assessed and contained person-centred detail regarding how to reduce risks. Medicines management had been improved, although there were still areas of practice that needed further work.
People interacted warmly with staff, who communicated well with them and each other during our inspection.
The provider had made significant environmental improvements, including repainting, new flooring, furnishings and further plans were in place to install a wet room and develop the outdoor spaces.
People who used the service, relatives, staff and external professionals commented on the positive impacts of the registered manager and regional operations manager.
There were sufficient staff to meet people’s needs safely, including when people’s needs changed. Staff were knowledgeable about their needs and preferences. They demonstrated a sound understanding of the risks faced by people.
Advanced care planning, including end of life care planning, needed refinement in terms of record keeping and how the service broached these conversations with families.
Leadership arrangements were clearer and much more open. Links between leaders and external professionals was much improved. Audits, which were significantly lacking during our last inspection, were much improved, and helped ensure standards of care were safe.
The registered manager recognised there was more work to do to ensure records were continually reviewed and improved, and dementia-friendly best practice be considered when refurbishing the outdoor spaces. They were suitably experienced and felt well supported in their role.