CQC report explained · a residential care home
What the CQC found at Rosehill House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, February 2018
Rosehill House was rated Good overall; inspectors found safe, kind and personalised care, with a recommendation about capacity assessments and CCTV.
This was an unannounced inspection on 10 January 2018. Inspectors spoke with people living in the home, relatives, staff and healthcare professionals. They observed care, meals and medicines, and checked care plans, medicines records, recruitment files and management systems.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines handling, suitable training, kind staff and personalised care. People were supported with their health, activities, relationships and end-of-life wishes.
The home remained Good, as it was at the previous inspection in August 2015. Inspectors said its management arrangements had been strengthened, leading to improvements in care planning and quality checks. They recommended reviewing how people's capacity and consent were assessed, including the use of CCTV.
Kind and respectful care
Staff knew people well and treated them with warmth, patience and respect. They supported independence and helped people maintain important relationships.
“We saw staff were very patient, caring and reassuring with people.” from the report
Personalised support
Care plans included people's routines, preferences, interests and relationships. Staff supported a varied programme of activities and individual hobbies.
“The care plans were personalised and included people's preferences such as what time they liked to get up, go to bed and their level of independence around their personal care.” from the report
Safe staffing and medicines
Inspectors found enough staff to respond promptly. Staff were trained to support people with medicines, which were stored securely and given as prescribed.
“During our inspection we observed that people received the support they required promptly because there were sufficient staff working in the service.” from the report
Capacity assessments and CCTV
needs fixingSupport plans did not always clearly show whether people had capacity to make different decisions. Inspectors recommended reviewing consent and the use of CCTV to ensure it was lawful, proportionate and respectful of privacy.
“We recommend that the service seeks advice on how people's capacity and consent is assessed and gained.” from the report
- 01How do you assess a person's capacity to make day-to-day and more complex decisions?
- 02How do you record consent when a person may not have capacity?
- 03Where are CCTV cameras used, and how do you protect people's privacy in shared areas and bedrooms?
- 04How do you decide whether CCTV is necessary or whether a less intrusive approach could be used?
- 05What improvements have been made to care planning and quality audits since the last inspection?
This was an unannounced inspection covering all five CQC questions and the overall quality of the service; the previous inspection was in August 2015. This explanation was written from the published report of 16 February 2018 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 Rosehill House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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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9 live-in carers within about an hour of Cumberland
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.
8 can care for a couple. 9 years' experience on average.
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.