CQC report explained · a residential care home
What the CQC found at La Rosa Residential Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Inspectors found risks involving fire-resistant doors and infection control arrangements when they arrived. Medicines, staffing, recruitment and safeguarding systems were otherwise found to be safe.
- Effective?
- Requires improvement
- The rear garden could not be accessed safely by people with changing mobility needs because of steep steps without handrails. Staff training, food, care planning and access to healthcare were otherwise positive.
- Caring?
- Good
- People were treated with respect, compassion and dignity. Staff supported independence and involved people in decisions about their care.
- Responsive?
- Requires improvement
- Care plans were personalised and complaints were handled well. However, people did not always have enough meaningful leisure and social activities based on their interests.
- Well-led?
- Requires improvement
- The provider's checks did not identify or deal with several safety, maintenance and garden access problems. The home had been without a registered manager for nine months.
What inspectors found, February 2022
Rated Requires Improvement; inspectors found kind, personalised care but safety, management and activities needed significant improvement.
The home supports up to seven mostly older men with mental health care needs. Six people were living there during the inspection. The inspection took place over two days and included speaking with people, staff, the owner and health professionals, as well as checking care plans, staff files, medicines records and management documents.
Inspectors found people were treated with kindness and dignity. Medicines were well organised, staff recruitment checks were suitable, care plans were personalised and people were supported with food, healthcare and decision-making.
However, there were risks linked to fire doors, access to the rear garden, infection control, building maintenance and weak management checks. People did not always have enough meaningful activities. The home had also been without a registered manager for nine months.
The overall rating was Requires Improvement. Safe, Effective, Responsive and Well-led were rated Requires Improvement. Caring was rated Good. This was the first inspection since the service was registered under a new legal entity. The previous provider had been rated Good in 2018.
Kind and respectful care
People were treated with dignity and respect. Staff encouraged independence and supported people to make choices.
“We observed staff interact and speak with people living in the care home in a respectful and positive way throughout our inspection.” from the report
Medicines were well managed
Inspectors found medicines records were up to date and saw no recording errors or omissions in the records checked.
“People's medicine records were kept up to date with no recording errors or omissions found on any of the MAR sheets we looked at.” from the report
Personalised care planning
Care plans described people's needs, preferences, strengths and dislikes. They were reviewed and updated.
“People's care plans were up to date, personalised and contained detailed information about their strengths, likes and dislikes, and how they preferred staff to meet their personal, emotional and health care needs.” from the report
Support with health needs
People were supported to attend physical and mental health appointments and to work with community professionals.
“Staff are conscientious about getting my client all the external support he needs relating to his mental and physical health.” from the report
Unsafe garden access
seriousPeople with changing mobility needs could not safely use the steep steps to the rear garden. The steps had no handrails, and the provider had not properly assessed or reduced the risk.
“The provider had failed to assess and do all that was reasonably practicable to minimise the risk of people with mobility needs safely accessing the rear garden.” from the report
Weak management oversight
seriousThe provider's monitoring systems did not identify or deal with several problems involving risks, fire safety, garden access and maintenance. This was a breach of Regulation 17.
“The provider did not always operate their governance systems effectively.” from the report
Limited activities
needs fixingPeople did not always have enough meaningful activities. Activities shown on the timetable did not take place during the inspection.
“We observed staff did not actively encourage or support anyone who lived at the care home to engage in any meaningful social activities during our two-day inspection.” from the report
No registered manager
needs fixingThe home had been without a manager in post or registered with the CQC for nine months. The provider said it would appoint a competent manager and apply for registration by April 2022.
“The service had not had a manager in post or registered with us for nine months since the previous registered manager left in April 2021.” from the report
Building and furniture maintenance
needs fixingInspectors found water-damaged ceiling plaster and damaged furniture. Repairs started during the inspection, with the provider agreeing to resolve outstanding issues by 1 April 2022.
“The care home's physical environment, interior décor and soft furnishings had not been appropriately maintained.” from the report
- 01Has a competent manager been appointed and have they applied to the CQC for registration?
- 02What has been done to make the rear garden steps safe for people with mobility needs?
- 03How are you now checking that fire-resistant doors close properly and are not propped open?
- 04Have all outstanding furniture, soft furnishing and building repairs been completed?
- 05What regular activities are now available, based on residents' interests and wishes?
This was a planned comprehensive inspection after the service registered under a new legal entity, and it looked at the premises, care provided, infection control arrangements and all five CQC questions. This explanation was written from the published report of 4 February 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.
Every inspection of La Rosa Residential Care Home
3 rated inspections over 6 years: the service has slipped, from Good to Requires improvement.
- February 2022Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
Read what inspectors found at La Rosa Residential Care Home →
- May 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2020
Registered with the Care Quality Commission on 30 June 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.
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At least 100 live-in carers within about an hour of Lambeth
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Most charge £980 to £1,250 a week. 76 can care for a couple. 11 years' experience on average.
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