Rosedale House

Updated 4 August 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.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Rosedale 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 is a care home without 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. A new manager had been in post since last July. They were planning on submitting an application to become the registered manager.

Notice of inspection

This inspection was unannounced. Inspection activity started on 16 May 2023 and ended on 6 July 2023 when final feedback was given, with some aspects of the inspection being carried out remotely. We visited the location’s service on 16 and 18 May 2023.

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. 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 spoke with 2 relatives, 1 person who used the service, 7 staff including the manager and provider. We received feedback from 2 health care professionals. We observed people’s care and support. We reviewed a range of records. This included 2 people’s care records including records in relation to medication. We looked at 2 staff’s recruitment records and a variety of records relating to the management of the service, including audits, policies and procedures were reviewed.

Updated 4 August 2023

About the service

Rosedale is a small residential care home providing personal care to a maximum of 2 people. The service provides support to people with learning disabilities and autism. At the time of our inspection there were 2 people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

The model of care and setting did not consistently maximise people’s choice, control and independence. People were not always 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 manager and staff team were aware of people’s strengths and had considered possible goals for people, but they needed to involve the person more in the planning, identifying and developing the steps they needed to take to achieve them and work towards leading as independent life as they could.

People were supported to take part in activities and interests in the local area. Some inhouse opportunities had been developed with a summer house for arts and crafts and involvement in the decisions for the imminent redecoration of some of the home.

Right Care:

There was a permanent staff group who worked consistently with people, so they knew them well, which helped ensure they received the care they needed, which was person centred and promoted people’s dignity and privacy.

Staff had been given training in signing to help ensure they had the skills to be able to communicate, which needed embedding into the support provided.

Right Culture:

The manager’s responsibilities were too great as they covered other homes and had a lack of support due to vacancies in senior staff. This had impacted on the quality assurance and governance processes and had led to a lack of oversight and gaps in monitoring, involving families and other professionals in reviews of care plans, as appropriate. However, this had been identified by the provider and there were plans in place to improve the situation.

People received support from trained specialists where necessary, who helped staff understand people’s needs and encouraged consistent support.

Staff and the management team at the service spoke positively about people within the service and wanted people to live their best lives.

There were plans in place to redecorate and upgrade the accommodation, which was needed. Health & safety checks and servicing of facilities were carried out.

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 on 08 July 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only.

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.

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 good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the well-led section of this full report.

You can see what action we have asked the provider to take at the end of this full report.

The provider and manager took action following our inspection to address the concerns we raised and submitted evidence to show actions they had taken.

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

Enforcement

We have identified a breach in relation to quality assurance and governance at this inspection.

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.