CQC report explained · a residential care home
What the CQC found at Rosebery House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found safe risk management, recruitment, medicines practice and infection control, although staff deployment at peak times and some as-required medicine protocols needed attention.
- Effective?
- Good
- This area was not assessed as part of the focused inspection.
- Caring?
- Good
- This area was not assessed as part of the focused inspection, although inspectors observed friendly and respectful interactions.
- Responsive?
- Good
- This area was not assessed as part of the focused inspection.
- Well-led?
- Good
- The manager had good oversight, audits were used to identify improvements, and staff and visiting professionals spoke positively about the home.
What inspectors found, November 2022
Rated Good; inspectors found safe, well-managed care, but staff deployment at busy mealtimes and some medicine guidance needed attention.
This was an unannounced, focused inspection on 17 and 18 October 2022. Inspectors looked mainly at Safe and Well-led, following concerns about care, staff training and infection control. They reviewed records, observed care and mealtimes, and spoke with people, visitors, staff and health professionals.
The home was rated Good for Safe and Good for Well-led. Inspectors found enough staff overall, safe medicine administration, suitable recruitment, good infection control and systems for managing risks. They also found a positive culture, kind staff and regular checks on quality.
There were some issues to keep under review. Staff were busy at lunchtime, and people who could eat independently sometimes waited for their second course. Protocols were not in place for all as-required medicines, although the manager said this would be addressed immediately.
The previous overall rating was Requires Improvement, published in July 2021. Inspectors found that improvements had been made and the home was no longer in breach of regulations. However, this inspection did not reassess all five areas of care.
Clean and safe environment
Inspectors found the home clean and tidy, with infection control arrangements in place and improvements made since the previous inspection.
“The home was clean and tidy throughout with no unpleasant odours.” from the report
Safe medicines practice
Medicines were administered by trained staff and records were completed. Topical creams were also stored appropriately, following the previous recommendation.
“Medicines were given to people individually in a way that suited each person.” from the report
Kind relationships
People appeared relaxed with staff, who knew them well and supported them respectfully.
“People were relaxed in the company of staff.” from the report
Quality monitoring
The home used audits, feedback and discussions to monitor quality and identify improvements.
“There was a range of audits and checks to help ensure the quality and safety of the service.” from the report
Busy mealtimes
needs fixingStaff were busy serving meals and helping people who needed support. Some people who were independent were left waiting for their second course, so inspectors recommended reviewing staff deployment at peak times.
“Due to the number of people who required support this meant people who were independent were left waiting for their second courses.” from the report
Some as-required medicine protocols missing
needs fixingProtocols were not in place for all as-required medicines. Staff could explain people's medicines and needs, and the manager said this would be addressed immediately.
“Protocols were not in place for all PRN medicines.” from the report
- 01What changes have been made to staff deployment during busy mealtimes?
- 02How do you make sure people who need help eating are supported without others waiting for their food?
- 03Have protocols now been written for every as-required medicine?
- 04What were the improvements made after the previous Requires Improvement rating?
- 05Which areas of care will be checked at the next full inspection?
This was a focused inspection of Safe and Well-led only; the other three key question ratings were not reassessed. This explanation was written from the published report of 17 November 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, March 2022
Inspected but not rated; inspectors found good infection-control arrangements, but some isolation risk assessments and PPE disposal needed attention.
This was an unannounced targeted inspection on 1 March 2022. Inspectors looked at infection prevention and control, staffing pressures, and parts of the environment after concerns were raised.
The home had safe visiting arrangements, including temperature checks and lateral flow testing. Families were kept updated about visiting rules and told about outbreaks. Inspectors were assured about testing, cleaning, admissions and preventing infections.
There were some shortfalls. Risk assessments had not been completed for people isolating in their rooms during COVID-19 outbreaks. Inspectors also saw used PPE left on a person's bed, a bin without a clinical waste bag, and staff needed reminding about handling soiled laundry.
The service was inspected but not rated. This means the inspection did not give a new quality rating, so it should not be read as a Good or Outstanding rating.
Safe visiting
The home had checks and a separate visiting room, and relatives were kept informed about visiting requirements and outbreaks.
“Families had been kept updated throughout the pandemic to ensure they were aware of visiting and testing requirements.” from the report
Testing and training
Testing was in place for staff and people using the service. Staff had training about infection prevention and COVID-19.
“A testing regime was in place for all staff in line with government guidance.” from the report
Cleaning arrangements
The home had designated housekeeping staff and recorded daily cleaning and cleaning of frequently touched areas.
“The home had designated housekeeping staff, with further cleaning tasks shared by care staff.” from the report
Support to stay connected
People were supported to leave the home for outings and appointments. Extra staff were available during outbreaks to help reduce loneliness.
“People were being supported to go out and to attend appointments.” from the report
Isolation risk assessments
needs fixingDuring recent COVID-19 outbreaks, people were asked to stay in their rooms, but individual risk assessments had not been completed to identify possible effects such as anxiety or frustration.
“Risk assessments had not been completed for individuals to identify any specific risks this may cause.” from the report
PPE and laundry disposal
needs fixingInspectors saw used PPE left on a person's bed and a bin without a clinical waste bag. Staff also needed reminding to use the correct trolley for soiled laundry.
“We did observe some used PPE left on a person's bed and one bin did not have a clinical waste bag in it despite being used for discarded PPE.” from the report
- 01How do you now complete and review individual risk assessments when people must isolate in their rooms?
- 02What checks make sure used PPE is removed promptly and disposed of in clinical waste bins?
- 03How do you make sure staff use the correct trolley for red bags of soiled laundry?
- 04How are families told about any future infection outbreaks and changes to visiting arrangements?
This was a targeted inspection of infection prevention and control, staffing pressures and parts of the environment; the service was inspected but not rated. This explanation was written from the published report of 24 March 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 Rosebery House
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- November 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- July 2021Requires improvementSafe: Requires improvementWell-led: Requires improvement
- February 2021Inspected but not ratedSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodWell-led: Requires improvement
- September 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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19 live-in carers within about an hour of East Sussex
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 £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
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.