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, May 2019
Rated Good overall; inspectors found safe, kind care, but support for community activities and some care planning needed improvement.
This was an unannounced inspection over two days in April 2019. Inspectors spoke with eight people, four relatives, staff and a visiting professional. They also observed care and checked care plans, medicines, staff records, training and quality checks.
The home was rated Good for Safe, Effective, Caring and Well-led. People were described as safe, happy and treated with kindness, dignity and respect. Staff knew people well and supported communication, healthcare and daily choices.
Responsive was rated Requires Improvement. Inspectors found that lower staffing levels, especially at weekends, could make it harder for people to go into the community. Some care plans also needed more detail about medical conditions and individual support.
The overall rating was reduced from Outstanding at the previous inspection in October 2016. Caring and Well-led also changed from Outstanding to Good because the home was not consistently meeting the best practice guidance examined during this inspection.
People felt safe
People and relatives said they felt safe. Individual risks had been identified, assessed and managed.
“People receiving support and family members told us they felt the service was safe.” from the report
Kind and respectful care
Staff knew people well and treated them with warmth, dignity and respect. People's individuality and achievements were recognised.
“Staff treated people with dignity and respect whilst providing care and support.” from the report
Communication and choice
Staff supported people's communication needs and helped them make choices about their daily care. Technology was used to reduce isolation and support contact with others.
“People were supported to communicate their views.” from the report
Good health support
Staff worked appropriately with health and social care professionals. Inspectors found that people received additional healthcare support when needed.
“A health care professional told us, "I have no concerns. Standards are high, and staff always contact us and work well with us as a team.” from the report
Positive leadership
The management promoted person-centred care and an open culture. Staff felt valued and supported, and quality checks were used to identify improvements.
“The service was consistently managed and well-led.” from the report
Weekend community access
needs fixingLower staffing levels at weekends could limit people's opportunities to go out when they wanted. Inspectors said more forward planning could make better use of available staff.
“One barrier to people accessing the community on a more 'adhoc' basis was the limited daily staffing numbers; particularly at weekends.” from the report
Care plan detail
needs fixingSome records did not contain enough detail about medical conditions or specific support for behaviours. This could make it harder to measure progress and ensure consistent support.
“We found some information around people's background medical conditions could contain more detail; for example, a person who had diabetes.” from the report
Medicines recording
minorMedicines were managed safely, but inspectors found minor recording anomalies in the medicines administration records. The manager said these would be addressed.
“There were some minor recording anomaly's with Medication Administration Records [MARS].” from the report
Best practice guidance
minorThe building was larger and more identifiable as a care home than current best practice guidance recommended. The home had taken steps to make the inside feel more domestic.
“The size of the home did not meet current best practice in terms of smaller domestic style units and was easily identifiable as a care home.” from the report
- 01How will you make sure people can go shopping, to the cinema or to other community activities at weekends?
- 02What changes will you make to care plans so medical conditions and specific behavioural support are described in enough detail?
- 03What checks are now in place to prevent minor errors in medicines administration records?
- 04Will staff receive formal one-to-one supervision, and how will their training and support be reviewed?
- 05How will you make sure people's future wishes, including end of life wishes, are recorded and discussed?
This was a planned, unannounced inspection over two days that assessed all five CQC questions and checked whether the previous Outstanding rating had been sustained. This explanation was written from the published report of 22 May 2019 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, December 2016
Rated Outstanding overall; inspectors found exceptionally caring, well-led support, with minor incident-recording issues.
This was an unannounced inspection on 24 October 2016. The inspector spoke with people living at the home, relatives, staff, the registered manager and a proprietor. They also checked care records, staff files, training records, policies and other management records, and observed care.
The home was rated Outstanding overall. Caring and well-led were Outstanding. Safe, effective and responsive were Good. Inspectors found kind and respectful staff, good support for independence, safe medicines management, suitable staffing and strong leadership.
Inspectors found a small number of minor recording issues. Accident and incident numbers were too small to identify patterns, and some incident reports were not structured consistently. The management team responded quickly and said a new form would be used.
Kind and compassionate care
Inspectors saw exceptionally caring interactions. People and relatives spoke very positively about staff and described the home as relaxed, informal and homely.
“Throughout the inspection we observed staff interacting with the people living at the service in a manner which was exceptionally knowledgeable, compassionate and caring.” from the report
Support for independence
People were encouraged to make choices, take part in daily life and develop skills. Some people were supported to move on to more independent living.
“The people living at the service were encouraged to be as independent as possible” from the report
Accessible communication
Information was adapted so people could understand it. The home used plain English, images, tablets and other technology to support communication and involvement.
“Information was provided in a way that made it easier for people to understand.” from the report
Strong leadership
The management team had a clear understanding of the home's values and involved people, relatives and staff in its development. It also shared its learning with other providers.
“The processes were extensive and robust and had clearly driven improvements in the service.” from the report
Incident monitoring and records
minorThe number of accidents and incidents was too small to allow effective analysis for patterns or triggers. Inspectors also found that some incident reports were not structured consistently, although the management team said it would introduce a different form immediately.
“Accidents and incidents were recorded and assessed by the registered manager. However, the numbers were too small to allow for effective evaluation and to look for patterns or triggers.” from the report
- 01What new incident-reporting form was introduced after the inspection, and how are accidents and incidents now reviewed for patterns or triggers?
- 02How many staff are normally on duty for the needs of the person we are considering, including during activities and overnight?
- 03How are people and their families involved in regular care reviews and decisions about taking risks?
- 04How do you protect privacy and obtain consent when using CCTV, social media, photographs and videos?
- 05What progress has been made with the planned lift mentioned in the report?
This was an unannounced comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led, with observations, discussions and checks of care and management records. This explanation was written from the published report of 29 December 2016 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 2 years: the service has slipped, from Outstanding to Good.
- May 2019Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2016OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- December 2015
Registered with the Care Quality Commission on 3 December 2015.
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 Sefton
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 £1,270 a week. 34 can care for a couple. 11 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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.