Signature-Hopton

Updated 17 March 2022

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 Care Act 2014.

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 one inspector.

Service and service type

Rosemanor-Hopton is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the CQC. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with five people about their experiences of living at the care home and six members of staff including, the registered manager, the deputy manager, the services compliance manager and three support workers.

We looked at a range of records that included three people’s electronic care plans and numerous staff files in relation to their recruitment, training and supervision. A variety of other records relating to the overall management of the service, including quality assurance audits, complaints and satisfaction surveys.

Following the inspection

We received email feedback from two community-based mental health care professionals about their experiences of working with this provider.

Updated 17 March 2022

Rosemanor-Hopton is a care home that can accommodation and provide personal care for up to 17 people with mental health care needs in one adapted building. At the time of our inspection the service was supporting 15 people, the majority of whom were aged 65 and over. Six people currently residing at the care home are also living with dementia.

People’s experience of using this service

People told us they were happy with the standard of care and support they received, which was reflected in the services most recent stakeholder satisfaction survey.

The provider ensured staff had the right levels of training and support they needed to deliver effective care and support to people living at the care home. People’s concerns and complaints were well-managed, and the provider recognised the importance of learning lessons when things went wrong. In addition, the services management were keen to continuously improve the care home and operated effective monitoring systems to assure the safety and quality of the care and support people living at Rosemanor-Hopton were provided.

The premises were kept clean and staff followed current best practice guidelines regarding the prevention and control of infection including, those associated with COVID-19. The provider had measures in place to mitigate the risks associated with COVID-19 related staff workforce pressures.

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. People lived in a suitably adapted and furnished care home that was now well-maintained. People were supported to access food and drink that met their dietary needs and wishes. People were supported to stay emotionally and physically healthy and well.

Up to date electronic person centred care plans were in place, which enabled staff to understand and meet their people’s personal, social, and health care needs and wishes. Staff ensured they communicated and shared information with people in a way people could easily understand. People were supported to participate in meaningful recreational activities that reflected their social and cultural interests. People were supported to maintain relationships with family and friends. Plans were in place to help people nearing the end of their life receive compassionate palliative care in accordance with their needs and wishes.

The provider promoted an open and inclusive culture which sought the views of people, their relatives, community-based health and social care professionals and staff. The provider worked in close partnership with various community-based mental health and social care professionals and agencies to plan and deliver people’s packages of care and support.

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 requires improvement (published 31 January 2020).

Why we inspected

This was a planned inspection based on the previous rating. At the last inspection we found the provider was no longer in breach of regulation’s as they had improved how they managed staff training and support, complaints and governance however, we continued to rate them requires improvement overall because we wanted them to demonstrate they could sustain the progress they had made over time.

We undertook this focused inspection to check the provider continued to follow their action plan and to confirm they could sustain the improvements we found they had made at their last inspection.

This report only covers our findings in relation to the key questions Effective, Responsive and Well-led. We also 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.

The rating from the previous comprehensive inspection for the key question Caring, which was not looked at on this occasion, and Safe, which was only partially inspected, were used in calculating the overall rating at this inspection.

Based on the findings at this inspection the provider continued to build upon the improvements they had made at their last inspection. The overall rating for the service has therefore changed from requires improvement to good.

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

Follow up

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