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CQC report explained · a nursing home

What the CQC found at Rose Court Nursing and Residential Home

Goodpublished 23 February 2024, 2 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. Inspectors found robust risk assessments, enough staff, safe recruitment, safe medicines practice and good infection control.
Effective?
Good
People's needs were assessed and care was delivered effectively. Staff had high training completion, people received suitable food and drink, and health needs were monitored with support from other professionals.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions about their care and were supported to remain independent where possible.
Responsive?
Good
Care plans reflected people's needs and preferences. The home offered varied activities, supported relationships and communication, and had systems for responding to complaints and end-of-life needs.
Well-led?
Outstanding
Inspectors found exceptional leadership, an open and inclusive culture, effective quality checks and strong partnership working. People, relatives and staff were encouraged to share their views and ideas.
The latest report, explained

What inspectors found, February 2024

Rated Good overall; inspectors found safe, kind and responsive care, with Outstanding leadership.

Inspectors visited without notice on 10, 13 and 14 December 2023. They spoke with people living in the home, relatives and staff. They observed care, including medicines being given, and checked care records, safety, staffing, recruitment and management systems.

The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, safe medicines practice, suitable risk assessments, good hygiene, appropriate training and care plans that reflected people's needs. People were treated with kindness and respect, had access to health care and were offered a wide range of activities.

The home was rated Outstanding for Well-led. Inspectors found strong leadership, good teamwork, effective checks on quality and a clear approach to making improvements. The overall rating was Good, and the previous overall rating was also Good, published in November 2017.

What inspectors praised
  • Exceptional leadership

    Inspectors found a clear vision, strong teamwork and management that acted on feedback and improvement plans.

    “The provider had created a learning culture at the service which improved the care people received.” from the report
  • Kind and respectful care

    Staff were observed speaking kindly to people and supporting their dignity, choices and independence.

    “We observed staff speaking to people in a kind and dignified manner.” from the report
  • Activities and social life

    People had many opportunities to take part in activities inside and outside the home, helping them maintain relationships and avoid isolation.

    “The home had a varied activities timetable which included activities both in and away from the home” from the report
  • Safe staffing and training

    Inspectors found sufficient staff, robust recruitment checks and a broad training programme. More than 96% of training had been completed.

    “There was a high level of compliance with training at the home, with over 96% of training being completed.” from the report
  • Personalised surroundings

    The home had accessible spaces and rooms designed around people's interests and needs, including dementia-friendly areas and sensory spaces.

    “People could freely access these rooms and rummage around safely.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you make sure my relative's care plan is updated promptly if their mobility, eating, communication or health needs change?
  2. 02What activities would suit my relative's interests, and how would you support them to take part if they became less mobile or more withdrawn?
  3. 03How do you check that staff have completed the training needed for my relative's particular care and health needs?
  4. 04How would you involve my relative and our family in decisions about care, including decisions where they may lack capacity?
  5. 05How do your medicine audits identify and resolve any problems, and how would you tell us if a medicine-related incident affected my relative?

This was an unannounced inspection of the care home, including the premises and care provided, and it assessed all five CQC questions. This explanation was written from the published report of 23 February 2024 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.

An earlier report, explained

What inspectors found, March 2021

Rose Court Nursing and Residential Home was inspected but not rated; inspectors found good infection prevention and control arrangements.

The inspection took place on 11 March 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, focused on infection prevention and control in the home.

Inspectors found safe arrangements for visits, including a visiting pod, indoor rooms and outdoor spaces. Visiting rooms were deep cleaned after each use. The home used separate areas and designated staff to help prevent infection spreading.

Inspectors were assured that the home used personal protective equipment safely, supported testing, monitored people for symptoms and maintained good cleanliness and hygiene. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Safe visiting

    The home offered several types of visiting space and cleaned indoor visiting rooms after every visit.

    “Staff deep cleaned visiting rooms after each use.” from the report
  • Managing infection risk

    The home divided people into small areas and used a red, amber and green system to identify Covid-19 risks. Staff were allocated to higher-risk areas to help prevent transmission.

    “The home allocated designated staff to cohorted spaces that were rated 'red' to prevent transmission.” from the report
  • Cleanliness and hygiene

    Inspectors found a very high standard of visible cleanliness and hygiene. The home had housekeeping staff and infection prevention champions.

    “The home had a very high standard of visible cleanliness and hygiene.” from the report
  • Testing and monitoring

    Staff checked people's temperatures and oxygen levels daily and used supportive approaches to help people cope with Covid-19 testing.

    “Staff monitored people for symptoms daily by checking their temperatures and oxygen saturation levels.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visiting rooms, the visiting pod and outdoor visiting spaces being used and cleaned now?
  2. 02How do you identify and manage areas where someone has Covid-19 or is self-isolating?
  3. 03How do staff support people who are confused or prone to wandering while reducing infection risks?
  4. 04How do you check that staff are using PPE correctly and changing uniforms safely?
  5. 05How are people and staff currently being tested, and how are symptoms monitored?

This was a targeted inspection of infection prevention and control under the Safe question; the report did not assess the other four questions and the service was inspected but not rated. This explanation was written from the published report of 31 March 2021 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 Rose Court Nursing and Residential Home

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. February 2024Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Rose Court Nursing and Residential Home →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Rose Court Nursing and Residential Home →

  3. November 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. August 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2011

    Registered with the Care Quality Commission on 31 October 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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