Archived: Rosedale Residential Home

Updated 14 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 unannounced comprehensive inspection took place on 2 October 2017 by one inspector.

We carried out this inspection following information of concern from members of staff and the public. This led to a safeguarding investigation which was undertaken by the Local Authority and found all of the concerns to be substantiated.

Before the inspection we checked the information we held about the service including statutory notifications. A notification is information about important events which the provider is required to send us by law. We also contacted and met the health and social care commissioners who monitor the care and support of people living at Rosedale Residential Home.

During this inspection we spoke with three people using the service. We spent time in the communal areas and observed the interactions between staff and people using the service. We also spoke with four members of staff including the provider, the deputy manager, a care worker and the cook. We reviewed the care records of people that used the service including medicines records, daily records, charts and one care plan.

Updated 14 November 2017

Rosedale Residential Home provides accommodation and personal care for up to 19 older people, some of whom are living with dementia. On the day of inspection there were seven people living at the home.

We carried out a full comprehensive inspection because we had received information of concern from people’s families, staff and the local authority.

There was no registered manager. 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.

The provider did not have sufficient oversight of the management of the home to identify that people were receiving unsafe care.

There had been multiple concerns raised by people’s families and staff to CQC. These included people not receiving their medicines, people not having enough to drink, people being moved in an unsafe way and people not receiving their personal care. These had been raised as safeguarding alerts which had been investigated and substantiated. This meant that all of the concerns had been proven to be true.

CQC worked closely with the safeguarding team and the local authority that commissioned care from the home to keep people safe. Referrals were made to other agencies to provide training, guidance and support in areas such as fire safety, food hygiene, medicines management and moving and handling. These agencies continued to provide input into the home as there was insufficient management to implement the safe systems and embed them into practice.

The local authority placed a suspension on the home, preventing any new people from being admitted whilst the care was unsafe.

The provider considered the response from the agencies involved in people’s care and decided to close the home.

CQC worked with the safeguarding team and local authority to activate the home closure procedure recommended by the department of health.

At the time of inspection the local authority were carrying out daily visits to monitor the management of people’s care including the monitoring of staffing levels, medicines management, moving and handling, food hygiene and people’s health and well-being.

People were anxious about moving to a new home. The local authority had appointed care managers to support people to find a suitable new home. People’s risk assessments and care plans did not reflect all of peoples current care needs and this meant that people’s commissioners struggled to ascertain people’s specific care needs.

Staff did not have adequate supervision and people were not always receiving their planned care. People were not always receiving enough to drink to maintain their health and well-being. Food was not always stored in a safe way. This was being closely monitored by the local authority on a daily basis.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’.

Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months.

The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe.

If not enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement so there is still a rating of inadequate for any key question or overall, we will take action to prevent the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration.

For adult social care services the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

There were nine breaches of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The action we have taken can be seen at the end of the full report.