CQC report explained · a residential care home
What the CQC found at Rosebank Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2020
Rated Outstanding overall; inspectors found exceptionally caring and personalised support, with some records still needing improvement.
Inspectors made an unannounced visit over two days and spoke with people living at the home, relatives, staff, managers and the provider. They reviewed care plans, medicines records, staff files, complaints, incidents and quality checks.
The home was rated Outstanding overall. Caring and Responsive were Outstanding. Safe, Effective and Well-led were Good. Inspectors found that staff knew people very well, responded to their individual needs and provided kind, respectful care.
The home had enough staff, managed medicines safely and supported people's health, nutrition, choices and independence. It also offered personalised activities and strong links with the local community.
Inspectors found that some records for prescribed creams and repositioning were not always complete or accurate. The provider had identified this and was taking action. No one was harmed.
Kind and personal care
Staff understood people's individual needs and used this knowledge to reassure and support them. Inspectors saw compassionate care that helped people feel calm and valued.
“Staff knew people extremely well and knew how best to support them.” from the report
Personalised activities
The home used people's life histories, interests and preferences to create meaningful activities. Examples included links with horses, a toddler group and a community choir.
“Staff used people's personal histories to improve their lives.” from the report
Safe staffing and medicines
Inspectors found enough staff with the right skills. Medicines were given as prescribed, and staff training and competency checks were in place.
“The provider had enough staff on duty with the right skill mix to keep people safe.” from the report
Good involvement and communication
Relatives were involved in care decisions and were kept informed. Staff recognised communication needs and adapted information where needed.
“People's relatives told us they were involved in their care.” from the report
Some care records were incomplete
needs fixingRecords for prescribed creams and repositioning were not always maintained consistently or accurately. The provider had started improvements, but the work was not fully complete at the inspection.
“However, audits had identified records were not always complete.” from the report
- 01What changes have been made to ensure records for prescribed creams are complete and accurate?
- 02How do you check that repositioning charts are completed correctly every time?
- 03Who is currently leading the home while the registered manager is on long-term sick leave?
- 04How will you find out and use my relative's life history, interests and communication needs when planning their care?
- 05How would you support my relative if they needed end of life care, as nobody was receiving palliative or end of life care during the inspection?
This was an unannounced inspection covering all five CQC questions; the report records the visit as 29 and 31 January 2020 in its main inspection details, but its background section says 28 and 31 January 2020. This explanation was written from the published report of 10 March 2020 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, August 2017
Rated Outstanding; inspectors found exceptionally caring, personalised support, with safe, effective and well-led care.
The inspection was unannounced and took place on 29 June 2017. Inspectors spoke with people, relatives, staff and healthcare professionals. They reviewed care plans, staff files, medicine records and other management records, and observed care.
The home supported 25 older people, most of whom were living with dementia. Inspectors found enough staff, safe medicines practices, suitable training and good links with healthcare professionals. People were treated with kindness, dignity and respect.
Care was rated Outstanding for caring and responsive support. Inspectors found that staff knew people well, involved them in decisions and adapted support to improve their wellbeing. The overall rating improved from Good at the previous inspection to Outstanding.
Kind and respectful care
Inspectors found strong, caring relationships between staff and people. People were treated with dignity and staff took time to listen to their wishes.
“Staff were very kind, compassionate and respectful and treated people and their relatives with dignity and respect.” from the report
Personalised support
Staff used people's histories, interests and preferences to shape their care. The home responded creatively when people's needs or anxieties changed.
“The service responded to people's changing needs and went the extra mile to enable people to achieve their potential.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and saw that medicines were stored, administered and recorded safely.
“There were sufficient staff to meet people's needs and staff had time to spend with people.” from the report
Activities and community links
People could take part in activities suited to their interests, including trips, one-to-one activities and community events.
“People had access to a variety of activities that met their individual needs and were tailored to their preferences.” from the report
Positive leadership
Inspectors found a warm and inclusive culture, with staff, managers and the provider working together to improve people's lives.
“A strong team culture existed in the home which included all staff, management and the provider, who provided strong support and leadership for the team.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and review a new resident's dementia-related needs before they move in?
- 02How do you involve relatives in care planning and reviews when a person's needs change?
- 03What dementia training do staff currently receive, and how is their competence checked?
- 04How do you make sure activities reflect each person's interests, preferences and ability?
- 05How are medicines reviewed when someone refuses them or becomes more anxious?
This was an unannounced inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 10 August 2017 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 Rosebank Care Home
4 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- March 2020Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- August 2017Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- January 2016Goodstayed GoodSafe: GoodWell-led: Good
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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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38 live-in carers within about an hour of Oxfordshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.