The Care Quality Commission (CQC) has told the Rosemount Care home, Stockport, that they must make improvements to protect the safety and welfare of people living there.
CQC carried out its most inspection in July 2016. Inspectors found that the care being provided by Rosemount Care Home Ltd, the provider of services, was failing to provide care which was safe, effective, caring, responsive or well led. However, in the caring domain, the home was rated as good.
At the previous inspection in March 2016, inspectors were looking to see if the provider had met the requirement actions made at a previous inspection in September 2015 2015.
Some of the findings from the latest inspection included:
Staff told inspectors there were enough members of staff to keep people safe. However inspectors recommended that the provider implements the use of a staffing tool to determine the number of staff and range of skills required in order to meets the needs of people using the service and keep them safe at all times.
Inspectors found that not all medicines were stored safely and found gaps in medication administration records which meant people may not always have been given their medicines at the right time. Medication administration records were not regularly audited to check that medicines were given to people as prescribed.
Following the last inspection in March 2016 the registered provider informed CQC that staff files had been reorganised, ensuring that no information was missing and they were kept organised.
However CQC were told that the files had not been audited and therefore the shortfalls identified at the last inspection in relation to missing safety checks had not been addressed. It was clear therefore that appropriate checks had not been undertaken to ensure suitable staff were employed to work with vulnerable people.
Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:
During the inspection we identified eight breaches of the Health and Social Care Act seven of which were continued breaches of the regulations and one new breach were found. That many had not been rectified is simply not good enough.
We found the care provided at Rosemount Care home fell short of the standards we expect services to provide. Medicines continued to be managed unsafely. We found there were gaps in the recording of prescribed creams and there was not a corresponding plan of care for the use of the prescribed creams. People are entitled to services that deliver consistently good care and we have told the provider, that they must take action as a priority.
My inspectors continued to have concerns in relation to staff supervision and appraisals, because not all staff had received regular, formal one to one supervision with their manager and none of the care staff had received an annual appraisal. This meant that staff were not being appropriately guided and supported to fulfil their job role effectively.
We have been working with Stockport Council to ensure that people living at the home are not at undue risk. We will continue to monitor this care home. CQC will consider the appropriate regulatory response to resolve the problems found.
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For further information please contact CQC Regional Engagement Manager David Fryer 07901514220 or Kerri James on 07464 92 9966
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