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CQC report explained · a residential care home

What the CQC found at Rosedale House

Goodpublished 26 August 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm. Risk assessments, staffing, recruitment, safeguarding, medicines and infection control arrangements were found to be suitable.
Effective?
Good
This key question was not inspected in this focused visit. Its previous rating was carried forward.
Caring?
Good
This key question was not inspected in this focused visit. Its previous rating was carried forward.
Responsive?
Good
This key question was not inspected in this focused visit. Its previous rating was carried forward.
Well-led?
Good
The home had clear leadership, regular quality checks, defined staff roles and an open approach to concerns and improvement.
The latest report, explained

What inspectors found, August 2022

Rosedale House is rated Good; inspectors found safe care, suitable staffing and strong management, with earlier safety shortfalls addressed.

This was an unannounced focused inspection on 05 August 2022. One inspector spoke with staff, a resident and relatives, observed care, and checked records about recruitment, risks, medicines, infection control and quality checks.

Safe was rated Good. Inspectors found that risks from legionella, portable radiators and people's medical conditions were now assessed and managed. Staff recruitment checks, staffing levels, safeguarding, medicines and infection control were also found to be safe.

Well-led was rated Good. The home had clear management arrangements, regular audits, staff handovers and good links with health and social care professionals. Relatives spoke positively about communication and the care provided.

This was a focused inspection of Safe and Well-led. The other key question ratings were not inspected and were carried forward from the last comprehensive inspection. The overall rating remained Good.

What inspectors praised
  • Improved safety checks

    The home had put controls in place for legionella and risks from portable radiators. Risks linked to people's medical conditions were also fully recorded.

    “Water safety checks to manage the risk of legionella continued to be in place.” from the report
  • Enough staff

    Inspectors found staffing levels were assessed regularly and that staff and relatives felt there were enough people to keep residents safe.

    “Staff and relatives told us they felt the home had enough staff to keep people safe.” from the report
  • Medicines managed safely

    Medicines were stored securely, given as prescribed and recorded accurately. Staff administering medicines had relevant training.

    “Medicines were managed consistently and safely in line with national guidance.” from the report
  • Clear management

    Staff understood their responsibilities. The manager used audits, handovers and feedback to monitor and improve the service.

    “There was a clear staffing structure and staff understood their roles.” from the report
  • Person-centred surroundings

    The home had been refurbished with a focus on people living with dementia. Residents were involved in decisions about the decoration.

    “This helped the staff to provide person centred care.” from the report
What inspectors were concerned about
  • Fire brigade report awaited

    minor

    The local fire brigade had visited before the inspection, but the home was still waiting for its report and any required actions.

    “The registered manager was awaiting their report to find out if any actions were needed.” from the report
Questions to ask them, based on this report
  1. 01What was the outcome of the local fire brigade visit on 14 July 2022, and were any actions required?
  2. 02How are water safety checks for legionella completed and reviewed?
  3. 03How are risks linked to each resident's medical conditions recorded and updated?
  4. 04How do you check that staffing levels remain enough when staff are absent?
  5. 05Which ratings for Caring, Effective and Responsive were carried forward from the previous comprehensive inspection?

This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the last comprehensive inspection. This explanation was written from the published report of 26 August 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.

An earlier report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found good infection control overall, but managers were not always wearing masks correctly.

This was an unannounced, targeted inspection on 9 February 2021. It followed concerns about infection prevention and control during the COVID-19 outbreak.

Inspectors found good arrangements for visitors, testing, social distancing, cleaning, PPE supplies and staff training. People could keep in touch with loved ones by phone and video call.

The inspectors were not fully assured that PPE was always used safely. Managers had been seen without masks, or too close together, in the office. The service was inspected but not rated, so this report does not give a full quality rating.

What inspectors praised
  • Visitor safety

    The home had clear entrance procedures. Visitors were limited to professionals during the outbreak, with infection control instructions and temperature checks.

    “The home had designated entrance with posters displayed which explained the safety procedures in place.” from the report
  • Cleaning

    Inspectors saw increased cleaning, including attention to frequently touched surfaces and communal areas.

    “Increased cleaning of the home was taking place. This included regular cleaning of high touch areas such as door handles and light switches” from the report
  • PPE supplies and training

    There was enough PPE for current and future demand. Staff had training in infection control and using PPE.

    “The home had an adequate supply of personal protective equipment (PPE) to meet current and future demand.” from the report
  • Contact with loved ones

    People could stay in touch with family and friends by telephone and video call while visits were restricted.

    “People were able to communicate with loved ones by phone, and video call.” from the report
What inspectors were concerned about
  • Masks in the office

    needs fixing

    Managers had been seen without masks or too close to one another in the office. Inspectors raised this with the registered manager and signposted further resources.

    “The registered manager and deputy manager had been observed by professionals not wearing masks or within a safe distance from each other.” from the report
Questions to ask them, based on this report
  1. 01What action was taken after inspectors raised concerns about managers not wearing masks in the office?
  2. 02How do you now check that all staff and managers follow mask and distancing guidance?
  3. 03How often are high-touch areas and communal rooms cleaned?
  4. 04What arrangements are currently in place for visits and for people to contact their loved ones?
  5. 05How are staff trained and checked on infection control and putting on and removing PPE?

This was an unannounced targeted inspection of infection prevention and control measures, and the service was inspected but not rated. This explanation was written from the published report of 18 March 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 House

4 rated inspections over 7 years: the service has held its Good rating throughout.

  1. August 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rosedale House →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Rosedale House →

  3. November 2020Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. May 2020Goodstayed Good
    Safe: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  6. July 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2012

    Registered with the Care Quality Commission on 23 November 2012.

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

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