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CQC report explained · a residential care home

What the CQC found at 111 Rosebank Avenue

Goodpublished 28 September 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks were assessed and reviewed, staffing and recruitment checks were suitable, medicines were managed safely, and infection control arrangements were effective.
Effective?
Good
People's health, nutrition and communication needs were assessed and supported. Staff had relevant training and worked with health professionals, although some relatives reported earlier problems with communication with other agencies.
Caring?
Good
Staff were kind and compassionate and respected people's privacy, dignity, equality and independence. People were supported to express their views and make choices using their preferred communication methods.
Responsive?
Requires improvement
The home did not always involve relatives enough to ensure care was personalised to people's diverse needs. Inspectors found examples where hair care and the use of personal toiletries did not fully meet an individual's needs.
Well-led?
Good
The home had clear leadership, effective quality checks and an open culture where staff could raise concerns. Relatives and professionals reported that improvements had been made.
The latest report, explained

What inspectors found, September 2022

111 Rosebank Avenue was rated Good overall, but inspectors found care was not always personalised and rated Responsive Requires Improvement.

This was the first inspection of the newly registered home. One inspector visited on 27 May 2022, spoke with staff and relatives, observed care, and reviewed care plans, medicines records, training records, risk assessments and other documents.

The home was rated Good for Safe, Effective, Caring and Well-led. People were kept safe, received their medicines properly, had their health needs supported, and were treated with kindness, dignity and respect. Staff understood people's communication needs and supported their choices and independence.

Responsive was rated Requires Improvement because the home had not always involved families enough to make sure care met people's individual and diverse needs. Inspectors found examples involving hair care and personal toiletries. They recommended improving arrangements for involving families.

What inspectors praised
  • Safety and risk management

    Risks to people were identified, assessed and reviewed. The home had enough staff, used safe recruitment checks and managed medicines and infection control safely.

    “People lived safely because the service assessed, monitored and managed their safety well.” from the report
  • Kind and respectful care

    Staff treated people with kindness and respected their privacy, dignity, cultural needs and independence. People were supported to take part in decisions and daily activities.

    “People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
  • Personalised communication

    Care plans explained how each person communicated and included tools such as pictures, objects of reference and gestures.

    “There were a range of communication formats, each personalised to the specific needs of the person.” from the report
  • Management and improvement

    The home had a clear management structure and quality checks. Staff felt able to speak up, and inspectors found evidence of improvements.

    “Governance processes were effective and helped to assess, monitor and check the quality of the service provided to people.” from the report
What inspectors were concerned about
  • Family involvement

    needs fixing

    The home had not always involved relatives sufficiently when planning personalised care. Inspectors recommended improving the arrangements for working with families.

    “We found the service had not engaged with people's relatives sufficiently to ensure they met people's diverse needs.” from the report
  • Personal care details

    needs fixing

    Inspectors found examples where personal care did not fully meet an individual's needs, including how hair was trimmed and how toiletries were used.

    “In another example, personal care toiletries had not been used in a way that met the person's needs.” from the report
Questions to ask them, based on this report
  1. 01How will you involve our family member and us when agreeing their personal care preferences?
  2. 02What changes have you made since the inspection about hair care and the use of personal toiletries?
  3. 03How will you check that care remains personalised when a person's needs or preferences change?
  4. 04How do you share information with health and social care agencies, following the communication problems mentioned in the report?
  5. 05How will you show families that their feedback has led to improvements?

This was a planned first inspection covering all five key questions and infection prevention and control; inspectors could not speak directly with people because of their needs, so they observed care and contacted relatives. This explanation was written from the published report of 28 September 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of 111 Rosebank Avenue

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. September 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read what inspectors found at 111 Rosebank Avenue →

  2. July 2020

    Registered with the Care Quality Commission on 1 July 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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