CQC report explained · a nursing home
What the CQC found at Rosebery Manor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and risks such as falls, skin problems and eating and drinking needs were assessed. Medicines, recruitment, safeguarding and infection control were found to be managed safely.
- Effective?
- Good
- Staff had induction, training, supervision and support. People received help with healthcare, nutrition, oral health and decisions about their care.
- Caring?
- Good
- Staff were kind, respectful and caring. People were supported to make choices, maintain their independence and receive care that respected their privacy, dignity, religious and cultural needs.
- Responsive?
- Good
- Care plans reflected people's needs, preferences, life histories and interests. People had access to activities, trips, relationships with family and friends, communication support and end-of-life planning.
- Well-led?
- Good
- The management team had clear roles and used meetings, audits and reviews to oversee care and learn from incidents. People, relatives and staff were encouraged to give feedback.
What inspectors found, July 2022
Rosebery Manor Care Home was rated Good; inspectors found safe, kind and personalised care, with one medicines error reviewed and addressed.
Inspectors visited the home without notice on 22 June 2022. The inspection activity ran from 22 to 24 June. They spoke with people living there, visitors, relatives and staff, and reviewed care records, medicines, recruitment files, complaints, accidents and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well cared for. Inspectors found that staff managed risks, supported people's health, treated people with dignity and provided activities and care that reflected individual needs.
The home had systems for staff training, safeguarding, medicines, infection control and quality monitoring. One missed medicines incident was identified, but managers reviewed what happened, changed the reordering system and provided refresher training. The previous rating was also Good, published on 19 March 2020.
People felt safe
People told inspectors they felt safe and did not have to wait when they needed support. Staff used risk assessments and practical measures to reduce avoidable harm.
“People told us they felt safe at the home and when staff provided their care.” from the report
Kind and respectful care
People and relatives described staff as kind, caring and respectful. Staff supported people's choices, dignity and independence.
“Staff were kind and caring and treated people with respect.” from the report
Personalised support
Care plans included people's needs, preferences, life histories and interests. Relatives were encouraged to contribute to care planning and reviews.
“People's care and support plans were individualised and person-centred.” from the report
Good health support
Staff monitored people's health and acted promptly when they were concerned. They made referrals to healthcare professionals when needed.
“Staff monitored people's health closely and acted promptly if they identified concerns.” from the report
Activities and relationships
People could take part in a wide range of activities, events, trips and interest groups. Staff also supported relationships with family and friends.
“People had access to a wide range of activities and events.” from the report
Strong management oversight
The management team used handovers, meetings, audits and incident reviews to keep track of people's needs and improve care.
“There were effective systems of quality monitoring which ensured that people received well-planned and managed care.” from the report
A missed medicines dose
minorOne person did not receive their medicines on one occasion because a repeat prescription had not been ordered. Managers reviewed the incident, improved the reordering system and gave staff refresher training.
“One person had not received their medicines on one occasion in May 2022 as their repeat prescription had not been ordered.” from the report
- 01What changes were made to the repeat prescription system after the missed medicines incident?
- 02How will you check that medicines are ordered and given on time?
- 03How will you involve my relative and our family in creating and reviewing their care plan?
- 04What activities would be suitable for my relative's interests, communication needs and level of independence?
- 05How will you keep us informed if my relative has a fall, becomes unwell or needs a healthcare referral?
This was an unannounced inspection that assessed all five key questions and included a review of infection prevention and control measures. This explanation was written from the published report of 9 July 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 Manor Care Home
7 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- July 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- March 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Requires improvementup from InadequateSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2018Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- September 2017Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2021
Registered with the Care Quality Commission on 30 March 2021.
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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77 live-in carers within about an hour of Surrey
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Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
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