Rosebank Lodge

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The provider had made improvements since our last inspection and was no longer in breach of regulations. Managers monitored the care and support provided to people and knew what action to take if any improvements were required. Managers and staff worked well with external health and social care professionals and bodies to continuously monitor and review people’s care needs and ensure the support they received remained effective and safe.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider had made improvements since our last inspection and was no longer in breach of regulations. The service was now working within the principles of the Mental Capacity Act (MCA) 2005. Locking people’s bedroom doors while they were occupied to keep individuals ‘safe’ was no longer practiced in the care home, which people living there, relatives, managers and staff all confirmed remained in the case. Managers and staff now had a clearer understanding of people’s rights around consent and the principle of considering the least restrictive option when supporting people to stay safe.

Staff involved people in their care, offering choices and respecting people’s decisions. Mental capacity assessments were completed with people and others involved in their care. Where people did not have the capacity to consent to their care, managers and staff held best interests’ decisions and liaised with those that had legal authorisation to make decisions on people’s behalf. People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (Dols), which is part of the Mental Capacity Act 2005 (MCA). We found managers and staff liaised with the relevant local authorities to ensure appropriate Dols arrangements were in place to ensure people’s safety. Managers and staff confirmed they had received Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DOLs) training.