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CQC report explained · a nursing home

What the CQC found at Rosedale Court

Goodpublished 27 July 2026, 2 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, October 2023

Rated Requires Improvement; inspectors found kind care, but identified risks in safety, nutrition, personalised care and management.

This was an unannounced inspection on 6 September 2023. Inspectors spoke with people, relatives, staff and healthcare professionals. They observed care and reviewed care plans, medicines records, staff files and management records.

The overall rating fell from Good at the previous inspection to Requires Improvement. Safe, Effective, Responsive and Well-led were all rated Requires Improvement. Caring remained Good.

Inspectors found that risks were not always managed properly. Care plans were sometimes out of date or lacked detail. Some people did not receive enough support with eating and drinking, and checks on safeguarding, incidents, medicines and quality were not reliable enough.

People and relatives generally said staff were kind and respectful. The new management team was seen as approachable, but it was still putting improvement systems in place. The provider must send CQC an action plan, and CQC will monitor progress.

What inspectors praised
  • Kind and respectful staff

    Inspectors saw staff listening and engaging with people respectfully. People and relatives spoke positively about the support they received.

    “Staff supported people in a kind and caring way.” from the report
  • Good dignity and privacy

    People said staff respected their privacy and dignity. Staff offered choices about food and activities.

    “People told us staff were polite and respectful of their privacy and dignity.” from the report
  • Approachable management

    People, relatives and staff generally felt able to raise concerns with the management team. Meetings and social events were arranged to encourage involvement.

    “People, relatives, and staff told us felt comfortable raising any issues or concerns with the management team” from the report
  • Infection control

    Inspectors were assured that the home had suitable arrangements for preventing and managing infections, including the use of protective equipment.

    “We were assured the provider was responding effectively to risks and signs of infection.” from the report
What inspectors were concerned about
  • Safety risks were not consistently managed

    serious

    Some risk assessments and fire evacuation plans were not up to date. Pressure-relieving equipment checks were not always completed, and building work had not been assessed for its impact on people's safety.

    “Risks to people's health and safety were not always managed appropriately.” from the report
  • Insufficient mealtime support

    serious

    Some people did not receive the prompting and encouragement set out in their care plans. Records did not always show what people had eaten or what action was taken when fluid intake was low.

    “The provider had not ensured people's nutrition and hydration needs were managed effectively.” from the report
  • Care plans lacked personal detail

    serious

    Some care plans were contradictory or did not accurately record preferences, including preferences about the gender of staff providing personal care. People were not always shown to be involved in planning their care or in decisions about refurbishment.

    “People's care plans were not always personalised to reflect their individual preferences.” from the report
  • Weak oversight and records

    serious

    Management checks did not identify or address concerns quickly enough. Safeguarding trackers, incident reports, complaints analysis and some medicines records were incomplete or lacked detail.

    “The provider's systems for monitoring the quality and safety of the service were not always effective” from the report
  • Staff training and supervision

    needs fixing

    Some mandatory training was overdue or incomplete. Staff did not always receive regular supervision or appraisals, and recruitment records did not always contain a full employment history.

    “The provider had not always ensured staff completed or renewed their mandatory training when due.” from the report
  • Activities were not consistent

    needs fixing

    People gave mixed views about the range and quality of activities. Records did not always show what activities had been offered or how people were supported to avoid social isolation.

    “It was not always clear from their daily care records what activities they had been offered” from the report
Questions to ask them, based on this report
  1. 01What has been changed to make sure risk assessments, pressure-relieving mattress checks and personal evacuation plans are current?
  2. 02How do you make sure people who need prompting receive enough support to eat and drink, and how do you record the action taken?
  3. 03How are care plans being updated to record each person's preferences and involvement in decisions?
  4. 04What improvements have been made to safeguarding, incident reporting, complaints analysis and quality checks?
  5. 05How many staff have completed their required training and regular supervision since the inspection?

This was an unannounced inspection covering all five CQC key questions and infection prevention and control, prompted by concerns about health and safety risks, safeguarding, staffing and medicines. This explanation was written from the published report of 20 October 2023 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.

An earlier report, explained

What inspectors found, August 2021

Rated Good; inspectors found safe, kind and personalised care, with activities beginning to return after COVID-19 restrictions.

This was an unannounced inspection carried out over three visits in May 2021. Inspectors spoke with people living at the home, relatives, staff and a health and social care professional. They also observed care and checked care records, medicine records, staff files and management records.

The home provided personal and nursing care for 79 people aged 65 and over, with separate areas for nursing, dementia and residential care. Inspectors found enough staff, safe medicines systems, suitable risk assessments and safe recruitment checks. They were also assured about infection control and visiting arrangements.

Inspectors found staff were trained and supported. People received enough food and drink, help from health professionals and care that respected their choices, dignity and independence. Care was personalised, and staff provided activities and support for people with different needs.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection on 15 September 2017.

What inspectors praised
  • Staffing and safety

    Inspectors found enough staff to meet people's needs. Risk assessments, emergency plans and recruitment checks were in place.

    “There were enough staff to support people to stay safe and meet their needs.” from the report
  • Kind and respectful care

    People and relatives spoke positively about the care. Inspectors saw staff treating people with kindness, dignity and respect.

    “We saw staff supporting people in a kind and caring manner.” from the report
  • Personalised support

    Care plans recorded people's histories, preferences and needs. Staff knew people well and supported individual interests and routines.

    “Care plans were person centred and contained information about people's life histories, preferences and needs and detailed how staff should support people.” from the report
  • Activities and wellbeing

    The home supported people to take part in activities suited to their interests and abilities, including one-to-one activities for people cared for in bed.

    “People who were nursed in bed had sensory lights and music and dedicated activities staff spent time with them on a one to one basis.” from the report
  • Management and learning

    The home used audits, meetings and feedback to monitor quality. Incidents and complaints were investigated and learning was shared.

    “The registered manager had good oversight of the service and engaged with staff through daily flash meetings and handovers.” from the report
What inspectors were concerned about
  • Activities affected by restrictions

    minor

    The usual activities programme had not been possible during COVID-19 restrictions. Activities were beginning to be reintroduced, so families should ask what is currently available.

    “Due to COVID-19 the service had not been able to run their usual programme of activities but were starting to reintroduce these.” from the report
Questions to ask them, based on this report
  1. 01What activities are available now, and how do you support people whose usual activities were affected by COVID-19 restrictions?
  2. 02How will you support my relative's particular nursing, dementia or residential care needs?
  3. 03How are my relative's risks, care plan and medicines reviewed when their needs change?
  4. 04How will you support my relative with their preferred food, special diet or swallowing difficulties?
  5. 05How will you involve me and my relative in care reviews, best-interest decisions and end-of-life wishes?

This was an unannounced comprehensive inspection covering all five CQC questions, the care provided and the premises, including infection prevention and control. This explanation was written from the published report of 12 August 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.

The story over the years

Every inspection of Rosedale Court

2 rated inspections over 2 years: the service has slipped, from Good to Requires improvement.

  1. October 2023Requires improvementcurrent ratingdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Rosedale Court →

  2. August 2021Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rosedale Court →

  3. July 2017

    Registered with the Care Quality Commission on 5 July 2017.

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.

Next steps

Weigh the report against the rest

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