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CQC rate Merseyside care home inadequate and place in Special Measures

10 May 2016
  • Media

The Care Quality Commission (CQC) has told Rose Brae Nursing and Residential Home, Bebbington, Wirral that it must make improvements to protect the safety and welfare of people living there.

CQC carried out an unannounced inspection at the home in February and March 2016 – it was a follow up to a previous unannounced comprehensive inspection of this service on 10 and 11 September 2015. Inspectors found that the providers, Rose Brae Nursing Home Limited, were failing to provide care which was safe, effective, caring, responsive or well led. The home has been rated Inadequate overall and placed into special measures.

During this visit, inspectors identified continued concerns with the safety and quality of the service. Medicines were not always administered safely, when they were received by the home they were not always properly accounted for and people did not always receive the medications they needed when they needed them. This meant the management of medications was unsafe.

People did not always receive adequate nutrition and hydration. One person was fed an inappropriate diet for some of their meals which increased their risk of a choking episode. Bed rails and bed bumpers were in use but the bed rail bumpers did not fit the full length of the person’s bed. This meant there were gaps that the person’s head or limb could have become entrapped in.

The temperature of hot water in people’s rooms was either lukewarm or a scalding risk. No effective check of the water temperature was undertaken to ensure it was safe. This placed people at risk of harm. The provider also failed to have proper systems in place to monitor the risk of the water being contaminated with Legionella. This was despite, being told of the inadequacy of the current system at the last inspection.

A full report is to be found at:

Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:

“The care my inspectors saw being provided at Rose Brae Nursing and Residential Home falls along way short of what we expect services to provide. It is unacceptable that the provider has failed to protect the safety and welfare of people living in the home. Some of the faults were long-standing, it is a matter of concern that the faults identified with the water system during a previous inspection was still posing a potential risk to people.

“People are entitled to services which provide safe, effective, compassionate and high quality care and we have told the provider that they must take action as a priority.

“We have been working with Wirral Council to ensure that people living at the home are not at undue risk. We will continue to monitor this care home. We have placed this service in special measures – and we are considering taking enforcement action and will report on this action when it is completed.”

Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.


For further information please contact CQC Regional Engagement Manager David Fryer 07901514220 or Kerry James on 0191 233 3324 or 07464 92 9966 Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. Please note: the press office is unable to advise members of the public on health or social care matters.

For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors


Special Measures 


All adult social care services inspected since 1 April 2015 that receive an overall rating of Inadequate will be placed into special measures by CQC. The regime is designed to make sure there is a timely and coordinated response to inadequate care and we will use it alongside our enforcement policy. 


When a service is in special measures it is the provider’s responsibility to improve, seeking appropriate support from its own resources and from other relevant organisations. When we can, we will signpost providers to improvement support agencies.


Those services will be inspected again within six months. If a service demonstrates improvements and is no longer rated as inadequate for any of the five key questions we will take it out of special measures. If sufficient improvements have not been made and there remains a rating of inadequate for any key question or overall, we will take further action which may include cancelling the registration of that service. 


More information can be found on our special measures process here: 


Since 1 April, providers have been required by law to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. This should be done within 21 days of publication of their inspection report. For further information on the display of CQC ratings, please visit:


About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.