Rosedale Court

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.

Rosedale Court is a care home providing personal and nursing care to 79 people aged 65 and over at the time of the inspection. The service can support up to 81 people. The care home has separate wings specialising in nursing, dementia and residential care.

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

People and their relatives told us they felt safe at the service. People had risk assessments in place to manage their safety and reduce the risk of harm occurring. People’s medicines were administered safely by trained, competent staff. There were enough staff to meet people’s needs. Staff were recruited safely to ensure they were suitable to work with people.

Staff were well trained and received regular support to ensure they were providing effective care. People had enough to eat and drink and the service catered for people with special diets and swallowing difficulties. The service investigated accidents and incidents and lessons learned were shared with staff.

People were treated with kindness, dignity and respect. Relatives told us their family members were happy at the service and well cared for. People were involved in their care planning and how they would like to be supported.

The provider was passionate about supporting people’s wellbeing through a range of activities and social interaction with the local community. People received care that was person centred. Staff knew how to support people to achieve good outcomes for them. People received appropriate care at the end of their lives. People knew how to make a complaint if they needed to.

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 and their relatives spoke highly of the registered manager and the staff and felt the service was well managed. Staff found the registered manager supportive and approachable. The service worked closely with the provider and other professionals to ensure the service was providing safe, quality care .

Rating at last inspection

The last rating for this service was Good (15 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.