Rosedale Court

Updated 20 October 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

The inspection was carried out by 2 inspectors, an operations manager, a specialist advisor with a background in nursing, and an Expert by Experience. 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

Rosedale Court 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. Rosedale Court 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. However, a new manager had recently been appointed. The new manager confirmed they were planning to submit an application to become registered.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with 7 people and 5 relatives about their experience of the care provided.

We spoke with 13 members of staff including the regional director, manager, deputy manager, clinical lead, nurses, and care staff. We also received feedback from 2 healthcare professionals who have contact with the service.

We reviewed a range of records. This included 7 people’s care plans, multiple medicines records, 3 staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service.

Updated 20 October 2023

About the service

Rosedale Court is a residential care home providing personal and nursing care to up to 81 people. The service provides support to older people and people with nursing care needs, some of whom may be living with dementia. At the time of our inspection there were 68 people using the service.

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

The provider’s processes for monitoring the quality and safety of the service were not effective and had failed to promptly identify and address concerns. Risks to people’s safety were not always managed appropriately and there was a lack of detailed, up to date guidance about people’s individual needs and preferences. The provider’s processes for managing incidents and safeguarding concerns were not robust.

People’s care was not personalised, and it was not always clear how people and those important to them were involved in planning and reviewing their care. People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.

The provider had not always ensured people’s eating and drinking support needs were fully met, with staff available to provide encouragement and support to eat. People’s medicines were managed by staff who were trained to administer them; however, people’s medicines records did not always contain all the necessary information. The provider worked in partnership with a number of different health professionals. However, we received mixed feedback about how promptly concerns with people’s health were escalated to other agencies.

The provider had not ensured all staff were appropriately trained and received regular supervisions to support their learning and development. Recruitment checks were not always fully completed.

People told us staff were kind and caring in their support. People were supported to take part in different leisure activities; however, we received mixed feedback about the variety and quality of these activities.

People, relatives, and staff told us felt comfortable raising any issues or concerns with the management team and spoke positively about the culture of the service and the approachability of management. The provider arranged regular meetings and social events to promote engagement with the service.

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

Rating at last inspection

The last rating for this service was good (published 12 August 2021)

Why we inspected

The inspection was prompted due to concerns received about the management and oversight of risks to people’s health and safety, safeguarding concerns, staffing and medicines. A decision was made for us to inspect and examine those risks.

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 have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Responsive and Well-Led sections of this full report.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, support with eating and drinking, personalised care, and management oversight at this inspection. We have made recommendations about the provider’s recruitment systems and mental capacity assessment processes.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.