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CQC report explained · a residential care home

What the CQC found at Rosehill Residential Home

Goodpublished 11 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about the home's infection prevention and control arrangements. These included visitor screening, personal protective equipment, testing, social distancing, cleaning and outbreak management.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Rosehill Residential Home was inspected but not rated; inspectors found good infection prevention and control arrangements.

This was an announced, targeted inspection on 4 February 2021. It checked infection prevention and control because the home had experienced a coronavirus outbreak.

Inspectors found visitor screening, suitable use of personal protective equipment, regular testing and social distancing measures. They also found the home was clean and that frequently touched surfaces were cleaned regularly.

The home was inspected but not rated. This means the inspection looked at infection control practices only and did not give an overall care rating.

What inspectors praised
  • Visitor screening

    The home had systems to screen visitors before they entered, helping to reduce infection risks.

    “Systems were in place to screen any visitors before they entered the home to reduce the potential spread of infection.” from the report
  • Protective equipment

    Staff had access to enough personal protective equipment and had received infection control training.

    “Staff wore personal protective equipment (PPE) and there was sufficient PPE around all areas of the home.” from the report
  • Testing and outbreak measures

    Regular testing was in place, and the home had changed its layout and created zones to help manage infection spread.

    “Regular testing for Covid-19 was in place for people and the staff team.” from the report
  • Clean environment

    Inspectors found the home looked clean and that frequently touched areas were cleaned regularly.

    “The home looked clean and housekeeping staff made sure they frequently cleaned touch points, such as door handles and light switches.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors screened before entering the home now?
  2. 02How often are residents and staff tested for Covid-19 or other infections now?
  3. 03How does the home manage infection outbreaks and keep different areas of the home separated when needed?
  4. 04What infection prevention and control training have staff completed recently?
  5. 05How often are high-touch areas such as door handles and light switches cleaned?

This was an announced, targeted inspection of infection prevention and control practices only; the service was inspected but not rated. This explanation was written from the published report of 4 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.

An earlier report, explained

What inspectors found, December 2019

Rated Good; inspectors found kind, safe and personalised care, with some records and safety certificates needing improvement.

This was an unannounced planned inspection on 22 and 28 October 2019. Inspectors spoke with six people, three relatives and seven staff. They observed care and reviewed care, medicines, recruitment, maintenance and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives described staff as kind and respectful. Inspectors found enough staff, a clean and well-maintained home, suitable food and good support for health needs.

There were some minor shortfalls. Some safety certificates were out of date, medicines records were not always complete, and some care plans lacked important detail. The manager took action on these issues during or immediately after the inspection. This was the first rating since the provider's new registration, so there is no earlier rating under that registration to compare.

What inspectors praised
  • Kind and respectful care

    People and relatives described staff as kind, respectful and attentive. Inspectors saw a calm, warm and friendly atmosphere.

    “People and relatives were very positive about the care, kindness and respect shown by staff.” from the report
  • Enough staff

    Staffing was organised across the four units. Inspectors found that staff responded quickly when people needed help.

    “Staff were deployed in an effective way in each of the units so there as always quick response to calls for assistance.” from the report
  • Adapted home

    The building had features to help people living with dementia and people with physical needs, including signs, handrails and adapted facilities.

    “The accommodation was very well adapted to meet the needs of people living there.” from the report
  • Activities and community links

    People were offered varied activities and trips out. Some activities were purposeful and linked with the local community.

    “People described a huge range of meaningful and interesting activities they were offered and these were advertised in every unit.” from the report
What inspectors were concerned about
  • Safety certificates

    needs fixing

    Some safety certificates were not up to date during the inspection. The report says this was addressed immediately afterwards.

    “Some safety certificates were not up to date at the time of the inspection but were addressed immediately afterwards.” from the report
  • Medicines recording

    minor

    Medicines were administered safely, but inspectors found some minor recording problems. The manager took immediate action.

    “There were some minor recording shortfalls. The registered manager took immediate action to address this and wrote to us to confirm what they had done.” from the report
  • Care plan detail

    needs fixing

    Some care records did not explain important details clearly enough to ensure consistent support, including how people took medicines or were supported when distressed.

    “Some specific details were not always set out in their care records to ensure consistency, for example how people took their medicines or how to support them when distressed.” from the report
  • Feedback was not shared

    minor

    The home analysed feedback from people and families but had not shared the results with them. The manager said this would be done.

    “Their views were analysed but the results were not fed back to people.” from the report
Questions to ask them, based on this report
  1. 01How were the medicines recording shortfalls corrected, and how are medicines records checked now?
  2. 02Are all safety certificates current, and how often are they reviewed?
  3. 03How are care plans checked to make sure they explain support needs clearly and consistently?
  4. 04How do people and families now receive the results of feedback about the home?
  5. 05What changes have been made since this 2019 inspection?

This was an unannounced planned inspection covering all five CQC questions and both the accommodation and care provided; it was the first rating since the provider's new registration. This explanation was written from the published report of 11 December 2019 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 Rosehill Residential Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Rosehill Residential Home →

  2. December 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rosehill Residential Home →

  3. November 2018

    Registered with the Care Quality Commission on 2 November 2018.

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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