Roseworth Lodge Care Home

Updated 14 July 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

An inspector and an Expert by Experience carried out this inspection. 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

Roseworth Lodge Care Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us.

Roseworth Lodge Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the home since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people and 4 relatives about their experience of the care provided. We spoke with 11 members of staff including the registered manager, the nominated individual, clinical lead, 2 seniors, 4 care staff and 2 support staff. We also spoke with a visiting healthcare professional. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of documents relating to the safety and management of the home.

Updated 14 July 2023

About the service

Roseworth Lodge Care Home is a care home providing personal and nursing care for up to 48 people. The home provides support to older people, some of whom are living with a dementia. At the time of our inspection there were 32 people living at the home.

People’s experience of using this service and what we found

The environment was safe. The provider had made extensive improvements to the environment. Equipment and furniture had been replaced and repairs had been completed. Effective infection prevention and control (IPC) measures were in place. Environmental and individual risks had been recognised and managed. The environment had been improved to support people living with a dementia safely navigate and enjoy the home. Brighter lighting, reminiscing images on walls and dementia friendly signage were throughout the home.

The provider had plans to keep people safe in the event of a fire. Personal Emergency Evacuation Plans (PEEPs) were accurate. A new fire alarm system had been installed and fire drills exceeded the required number needed.

People told us they were treated with respect. Staff supported people in line with their care plans.

Improvements had been made to the recording of people's care and support information. A new electronic system had been introduced, which enabled the management team to access ‘live’ information and make quick decisions about people’s care.

The provider had introduced new quality assurance systems, improved documentation and employed additional staff to monitor the quality and safety of all the provider’s services.

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.

People, relatives and staff were regularly asked for feedback. The culture of the home promoted positive outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this home was inadequate (published 5 December 2022) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 5 December 2022. During this inspection the provider demonstrated that improvements have been made. 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.

Why we inspected

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.

We carried out an unannounced focused inspection of this service on 2 and 4 November 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, risk monitoring and management, dignity and respect and the governance of the home.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseworth Lodge on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.