CQC report explained · a nursing home
What the CQC found at Rosalyn House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Care plans and risk assessments had been reviewed and included guidance for staff. Inspectors also found safe recruitment, suitable staffing checks, safe medicines practice and good infection control.
- Effective?
- Good
- Staff had induction, training and supervision. People's dietary needs, healthcare referrals and consent were recorded and supported.
- Caring?
- Good
- People appeared relaxed and comfortable with staff. Inspectors found that staff respected people's choices, privacy, dignity and preferred routines.
- Responsive?
- Good
- Care plans included people's preferences and communication needs. People were offered activities based on their interests, and relatives were involved in care reviews.
- Well-led?
- Good
- New checks and an improvement plan were being used to find and address problems. The manager monitored staff practice and people, relatives and staff said management was supportive and approachable.
What inspectors found, September 2022
Rosalyn House is rated Good; inspectors found improved care, leadership and surroundings since the previous inspection.
This was an unannounced comprehensive inspection. One inspector visited on 15 August 2022 and inspection work continued until 30 August 2022. The inspector spoke with one person, six relatives and nine staff, and reviewed care plans, medicines records, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that care plans and risk assessments had been reviewed, staffing had improved, the home was clean and people were treated with dignity and respect.
The previous rating was Requires Improvement, with breaches of regulations. Inspectors found that improvements had been made and that the home was no longer in breach of those regulations.
Improved surroundings
Inspectors found substantial improvements to decoration, furniture, lighting and the general feel of the home since the previous inspection.
“Since the last inspection the provider had made improvements to the environment and decoration in the home.” from the report
Better care records
Care plans and risk assessments had been reviewed and contained information to guide staff in providing personalised care.
“Care plans and risk assessments had been reviewed and contained information to guide staff in the delivery of person-centred care.” from the report
Kind and respectful staff
People appeared comfortable with staff, and relatives described the staff as caring, attentive and respectful.
“The staff are genuine and care about people and their needs.” from the report
Activities and involvement
The activities team asked about people's interests and helped them take part in activities in the home and local community.
“The activity team keeps everyone motivated.” from the report
Stronger management checks
The provider had introduced systems to identify shortfalls and track improvements. The manager also carried out daily checks of the home.
“A service improvement plan was in place which was updated with the progress of actions taken to improve the standard of care and the environment.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you use the dependency tool to make sure there are enough staff for my relative's needs?
- 02How often will my relative's care plan and risk assessments be reviewed, and how will I be involved?
- 03Which activities are available for someone with my relative's interests, mobility and communication needs?
- 04How will you continue checking that staff provide dignified and respectful care?
- 05How are end of life wishes discussed, recorded and updated with residents and families?
This was a comprehensive inspection covering all five key questions, including infection prevention and control; inspection activity ran from 15 to 30 August 2022, with a visit on 15 August. This explanation was written from the published report of 21 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.
What inspectors found, January 2022
Rosalyn House was inspected but not rated; inspectors found effective infection control during a COVID-19 outbreak.
This was an unannounced, targeted inspection on 06 January 2022. Inspectors looked at infection prevention and control because the home had a COVID-19 outbreak.
Inspectors found that infection control procedures were effective. Staff used personal protective equipment correctly, people who tested positive were supported to isolate, and the home was clean. Staff also helped people stay socially connected during isolation.
The service was inspected but not rated. The inspection only looked at infection prevention and control, so it does not provide new ratings for the other areas of care.
Infection control
Inspectors found effective arrangements to help prevent and manage the COVID-19 outbreak. Staff used PPE correctly and followed infection control training.
“The registered manager and staff team were following effective infection control procedures to help manage the COVID-19 outbreak.” from the report
Clean environment
The home was clean and fresh-smelling. Cleaning schedules were completed and checked by managers.
“The service looked clean and smelled fresh.” from the report
Support during isolation
People who tested positive were supported to isolate safely. Staff continued to spend time with them so they were not socially isolated.
“Staff made sure that people were not socially isolated and ensured they spent time with them whilst they were isolating.” from the report
Visiting arrangements
There were clear visiting procedures, including checks for vaccination and negative lateral flow tests for visiting professionals. Relatives could use window visits, video calls or phone calls during the outbreak.
“Visiting procedures were clearly displayed for visiting relatives and professionals.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently preventing and managing COVID-19 and other infection outbreaks?
- 02How do you check vaccination status and testing for visiting professionals now?
- 03What visiting options are available if there is another outbreak?
- 04How will people be supported to stay socially connected if they need to isolate?
- 05How are staff assigned and staffing levels maintained during an outbreak?
This was an unannounced targeted inspection of infection prevention and control, under the Safe question only; the service was inspected but not rated overall. This explanation was written from the published report of 11 January 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 Rosalyn House
6 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- September 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- November 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2017Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- July 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- March 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
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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