CQC report explained · a residential care home
What the CQC found at Rosebank Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong infection-control arrangements, with some uncertainty about shielding and written outbreak plans.
This was an announced, targeted inspection on 3 February 2021. It looked at infection prevention and control during the coronavirus pandemic.
Inspectors found good arrangements for visitors, including screening, temperature checks, hand sanitiser and PPE. Staff were trained, supplies were available, testing was in place, and the home was clean and hygienic. People were supported to keep in touch with relatives through window visits and video calls.
Inspectors were assured about most infection-control measures. They were only somewhat assured that shielding and social distancing rules were being met. The inspection was not rated, so it does not give an overall Good, Requires improvement or Inadequate rating.
Visitor safety
Visitors were screened, asked to wear PPE and supported to follow hand hygiene and social distancing arrangements.
“Screening questions and a temperature check were standard requirements for all visitors.” from the report
PPE, testing and vaccination
Staff were trained in infection-control practices, PPE supplies were available, and regular COVID-19 testing was in place for staff and residents. Inspectors also noted good uptake of the vaccine among residents.
“A regular programme of testing for COVID-19 was in place for staff and people who lived in the service.” from the report
Clean environment
The home was clean and hygienic, with extra cleaning carried out every day.
“The environment was clean and hygienic. Enhanced cleaning took place daily.” from the report
Keeping families connected
People were supported to stay in contact with relatives through window visits and video calls.
“People were supported to maintain contact with their relatives in different ways including window visits and video calls.” from the report
Shielding and social distancing
needs fixingInspectors were not fully assured that shielding and social distancing rules were being met.
“We were somewhat assured that the provider was meeting shielding and social distancing rules.” from the report
Written outbreak procedure
needs fixingThe manager had a plan for isolating new admissions and managing a COVID-19 outbreak, but it had not yet been written into the infection-control policy or emergency plan. The procedure was sent to inspectors immediately afterwards.
“However, at the time of the inspection, this was not written down within their IPC policy or emergency continuity plan.” from the report
- 01How are shielding and social distancing rules being followed now, particularly in shared areas and during visits?
- 02Can you show us the current written procedure for isolating someone admitted from hospital or managing a COVID-19 outbreak?
- 03How often are staff and residents tested, and what happens when a test result is positive?
- 04How can residents keep in contact with relatives if indoor visits are restricted?
- 05What cleaning and PPE arrangements are currently in place?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not rated and did not assess the other four key questions. This explanation was written from the published report of 18 February 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.
What inspectors found, February 2020
Rosebank Care Home was rated Good; inspectors found kind, safe care, but further improvements were needed in medicines, records and mealtimes.
This was an unannounced planned re-inspection on 16 January 2020. One inspector spoke with relatives, staff, the manager and visiting professionals. They observed care and reviewed care, medicines, recruitment, training and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors saw patient and caring support, safe recruitment, regular staff training and good links with health professionals.
There were still some shortfalls. The home was asked to improve the recording and administration of medicines, keep care and risk records consistent, and make mealtimes more person-centred. Inspectors said they found no risk to people from the record-keeping issues they identified.
The previous rating was Requires Improvement, published in November 2016. The report says improvements had been made and the provider was no longer in breach of regulations. A 2017 inspection report was withdrawn because of an issue with information gathered at that inspection.
Kind and respectful care
Inspectors saw warm interactions and people appeared comfortable with staff. Relatives said staff treated their family members with dignity and respect.
“We observed warm and caring interactions between staff and people using the service.” from the report
Staff support and training
Staff were safely recruited, regularly trained and supported through supervision, meetings and competency checks.
“Staff were recruited safely and received regular training, received supervisions, attended staff meetings and had regular competency checks.” from the report
Good involvement of families
Relatives said they were kept informed and involved in their family members' care. The home had systems for complaints and concerns.
“Relatives we spoke with told us how they were continually involved in the care of their loved ones.” from the report
Health and safety arrangements
The home had emergency evacuation plans, environmental safety checks and arrangements for specialist equipment. People were referred to health professionals promptly when needed.
“Each person had a Personal Emergency Evacuation Plan (PEEP) in place.” from the report
Improved management
The report says the home had improved since the earlier Requires Improvement rating. Managers used audits and new monitoring systems to identify and address problems.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
As-needed medicines records
needs fixingSome as-needed medicines did not match the medicine administration records. The reasons for giving or not giving them were not always recorded, so the provider was asked to update its practice.
“There were some examples where 'as and when needed medication' did not match what was documented on people's medication administration records, and reasons for giving or not giving the medication were not always recorded.” from the report
Care and risk records
needs fixingSome changes to risk assessments were not reflected in later reviews, and information in care plans was not always consistent with other records. Inspectors said they found no risk to people from these issues.
“However, we found that some changes of risk assessments were not always reflected in the reviews that had taken place.” from the report
Mealtimes
minorThe dining experience was not always tailored to individuals. Napkins were not provided until the end of the meal, condiments were not offered, and tables were set while people were already seated.
“We observed how people enjoyed their food but the experience of dining was not very person centred.” from the report
- 01How are you now checking that as-needed medicines match the medication administration records?
- 02How do you record the reason when an as-needed medicine is given or not given?
- 03How do you make sure changes to risk assessments are reflected in later care plan reviews?
- 04What has changed at mealtimes since the inspection, including the use of napkins, condiments and table setting?
- 05Who currently organises activities, and how are residents' individual interests and preferences being supported while recruitment is under way?
This was an unannounced planned re-inspection covering all five CQC questions; the report says a previous 2017 inspection report was withdrawn because of an issue with information gathered. This explanation was written from the published report of 12 February 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.
Every inspection of Rosebank Care Home
2 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- October 2012
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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