Archived: Rosedale Residential Home

Updated 5 August 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 14 July 2015 and was unannounced and was undertaken by two inspectors. This inspection also checked that improvements to meet legal requirements planned by the provider after our comprehensive inspection in September and October 2014 had been made.

During our inspection we spoke with four relatives of people who used the service and seven members of staff including the acting manager, the provider and care staff. We also looked at records and charts relating to four people and three staff recruitment records.

Prior to our inspection we reviewed the action plan that the provider had sent to us, outlining the action they would take to rectify the breaches in the regulations. We also reviewed other information that we held about the service such as notifications, which are events which happened in the service that the provider is required to tell us about, and information that had been sent to us by other agencies. This included the local authority who commissioned services from the provider and the local authority safeguarding team.

We also looked at other information related to the running of and the quality of the service. This included quality assurance audits, maintenance schedules, training information for care staff, staff duty rotas, meeting minutes and arrangements for managing complaints.

Updated 5 August 2015

This unannounced inspection took place on 14 July 2015. This service provides personal care for up to 17 older people some of whom were living with dementia. There were 17 people living at the home at the time of our inspection.

When we inspected the home in September and October 2014 we identified a number of areas where the provider needed to make improvements to the way in which care was delivered, monitored and to the staffing arrangements in place to support people. At this inspection we found that these improvements had been completed and that the required improvements had been made.

A number of changes in management had occurred since the last inspection. Staff spoke positively of the changes the new manager had made. The manager that had driven the changes to improve the service had left. Arrangements had been made for the deputy manager to act up as the registered manager for the service and they were in the process of applying to the Care Quality Commission for registration. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Quality monitoring of the service had been carried out, and improvements had been made to the environment as a result of this. People and their family members had been asked for feedback on the service and changes had been made as a result of feedback.

Care plans and activities had been developed with people and their relatives so that they were individualised. Staff knew the people who used the service very well and they were familiar with their requirements and had a good understanding of people’s needs and preferences. People received personalised care and support. People felt safe and comfortable in the home.

Safe recruitment practices were followed and staff were clear on their roles and responsibilities to safeguard people.

People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

Peoples physical health needs were kept under regular review and people were supported by relevant health and social care professionals. People were supported to engage in activities that reflected their interests and supported their physical and mental well-being.

There were positive interactions between people living at the home and staff. People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred. People using the service and their relatives knew how to raise a concern or make a complaint.