CQC report explained · a residential care home
What the CQC found at Rosecroft Residential 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, November 2020
Inspected but not rated; inspectors were somewhat assured about infection control, with some areas signposted for further development.
This was an unannounced, targeted inspection on 4 November 2020. It focused only on infection prevention and control during the COVID-19 pandemic.
Inspectors were assured that the home managed visitors, admissions, testing, PPE, cleaning and its infection control policy safely. They also found arrangements for garden and conservatory visits, end-of-life visits, activities and contact with family and friends.
The home was not given an overall rating or a Safe rating. The inspection report says the home was inspected but not rated, so this visit does not provide a full picture of all aspects of care.
Early COVID-19 planning
The provider acted early to identify infection risks, restricted visitors and bought extra PPE before supplies were disrupted.
“The provider had been proactive in identifying the risks from COVID-19.” from the report
PPE and infection control
There was an infection control station at the entrance. Staff knew which PPE to use and when.
“Staff wore personal protective equipment (PPE) and were knowledgeable about what standard of PPE was needed and when.” from the report
Keeping people connected
The home arranged activities and helped people keep in touch with family and friends while shielding or isolating.
“People were provided stimulating activities and supported to maintain contact with their friends and family when shielding or isolating.” from the report
Visiting arrangements
Garden visits were arranged by appointment. A conservatory was being prepared as a separate visiting area when the weather worsened.
“Regular garden visits had been set up on an appointment system and as the weather deteriorated the conservatory had been identified as a visiting area” from the report
Further development identified
minorInspectors signposted the provider to resources to develop its infection control approach. The report does not explain what specific changes were needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control changes have you made since inspectors signposted resources to develop your approach?
- 02How are visitors currently monitored and given the right PPE when they arrive?
- 03How do you currently test people before admission and manage any required isolation period?
- 04How do you now support visits from relatives, including visits for people approaching the end of life?
- 05How do you help residents keep in contact with family and friends if they need to shield or isolate?
This was an unannounced targeted inspection of infection prevention and control only; the service was inspected but not rated for the overall service or the other four questions. This explanation was written from the published report of 28 November 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, September 2017
Rated Good; inspectors found safe, kind and well-organised care, with some care plans needing more detail.
The unannounced inspection took place on 21 August 2017. Two inspectors and an expert by experience visited the home. They spoke with people, relatives, visitors, staff and health professionals, and examined care files, medicines records, safety records and quality checks.
Inspectors found good care in all five areas: safe, effective, caring, responsive and well-led. They found suitable staffing, safe medicines systems, trained staff, good food, a clean environment and respectful support. People had regular activities and were involved in their care.
The inspectors recommended adding more detail to some care plans. This included plans about nutrition and what to do if people had difficulties managing their emotions or behaviour. The overall Good rating means the inspection found the home meeting the relevant standards at that time.
Safe staffing and medicines
Inspectors found enough staff on duty and suitable recruitment checks. Medicines were securely stored, administered with care and routinely audited.
“Medicines were stored securely and audited routinely.” from the report
Skilled staff
Staff had suitable induction, training, supervision and appraisal. Inspectors saw staff using their skills when supporting people with mobility, dementia, personal care, eating and drinking.
“We judged that staff were skilled and knowledgeable in their roles.” from the report
Activities and community links
People had a wide range of regular activities, outings and entertainment. The home also arranged holidays and visits from local groups.
“People were happy with the extensive range of activities on offer.” from the report
Active management
The manager used feedback, meetings and audits to identify changes. Inspectors saw improvements to activities, the building and some working systems.
“Quality was being monitored and improvements made.” from the report
Some care plans needed more detail
needs fixingMost care plans were suitable, but some needed fuller guidance about nutritional needs and what to do if people had emotional or behavioural difficulties. Inspectors made a recommendation rather than finding a breach.
“We recommend that care planning is reviewed and a little more detail is put into some of the plans” from the report
Food temperature monitoring
minorOne person raised a concern that food might sometimes become cold in the dementia unit. The area manager had identified this and a further hot trolley was on order.
“One person in the survey wondered if sometimes food might get cold in the dementia unit.” from the report
- 01What changes have been made to the care plans about nutrition since the inspection?
- 02How do you now record and manage contingency plans for emotional or behavioural difficulties?
- 03Was the additional hot trolley provided, and how do you check that food is served at a suitable temperature?
- 04How are medicines audited now, given the problems identified at the April 2015 inspection?
- 05How will my relative be involved in reviewing their care plan and choosing activities?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 27 September 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 Rosecroft Residential Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- September 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementstayed Requires improvementSafe: Requires improvementResponsive: Requires improvement
- October 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- July 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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