CQC report explained · a residential care home
What the CQC found at Rosehill
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found detailed risk assessments, enough staff, safe recruitment, effective safeguarding systems and safe medicine management. Infection prevention arrangements were also in place.
- Effective?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating, but the report does not give the individual carried-over rating here.
- Caring?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating, but the report does not give the individual carried-over rating here.
- Responsive?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating, but the report does not give the individual carried-over rating here.
- Well-led?
- Good
- Inspectors found a positive, person-centred culture. Managers reviewed the service, involved people and families, reported incidents appropriately and worked with other agencies.
What inspectors found, February 2024
Rated Good; inspectors found safe, kind and person-centred care, with effective management and oversight.
The inspection took place on 3, 9 and 22 January 2024. One inspector met four people, contacted six relatives, spoke with managers and staff, and reviewed care, medicine, staff and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe medicine systems, detailed risk assessments and suitable safeguarding arrangements. People were supported to make choices and live with as much independence as possible.
The management team was found to be approachable and responsive. Managers reviewed incidents, worked with other agencies and checked whether improvements were needed.
This was a focused inspection of Safe and Well-led. The other three question ratings were not inspected during this visit and were carried forward from the previous inspection to calculate the overall Good rating.
Detailed risk planning
Staff understood people's risks and used clear assessments to plan how to reduce avoidable harm.
“The risk assessments were detailed, very clear and the staff ensured they effectively planned for all potential risks.” from the report
Choice and independence
People were supported to make decisions, use their strengths and pursue their own goals.
“People were supported to have maximum possible choice, control and independence.” from the report
Safe medicines
Staff were trained and checked as competent. Medicine records were regularly checked for accuracy.
“Staff were trained in medicines management and were assessed as competent to administer people's medicines.” from the report
Active management
Managers regularly checked how the service was operating and looked for improvements.
“The management team regularly reviewed the systems and processes in the service to determine if improvements were needed and where enhancements could be made.” from the report
Inspectors raised no specific concerns in this report.
- 01What has been reviewed or changed since the inspection in relation to Effective, Caring and Responsive?
- 02How are people's individual risks and risk assessments kept up to date?
- 03How do you check that medicine records remain accurate and that staff remain competent?
- 04How are people and their relatives involved in decisions about care and support?
- 05How does the STEP process respond when there are changes in a person's presentation?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection published on 20 April 2018. This explanation was written from the published report of 2 February 2024 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, April 2018
Rosehill was rated Good; inspectors found safe, kind and highly personalised care with strong management.
This was an announced inspection. The inspector visited on 12 March 2018, then contacted relatives and healthcare professionals by telephone on 20 and 22 March. They met all the people living there, spoke with staff and professionals, reviewed care and medicines records, checked staff files and looked around the home.
The home supported six people with learning disabilities and or autism. Inspectors found staff knew people well, understood their communication and supported them to make choices, build skills and take part in many activities. People were supported to manage risks without unnecessary restrictions.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The home was also rated Good at the previous inspection in September 2015. Inspectors said it continued to meet the fundamental standards they checked.
Personalised support
Staff used detailed care plans and individual goals to help people develop skills and take part in activities that mattered to them.
“Staff did not view the complex needs of the people they supported as a barrier to them participating in similar activities to those of their peers.” from the report
Communication and respect
Staff understood people's different communication methods and helped them express their wishes and take part in conversations.
“Staff understood people's different ways of communicating and how to make people feel valued.” from the report
Safe medicines support
Medicines were stored securely, records were completed correctly and staff who administered medicines had training and competency checks.
“We looked through the medication administration records (MARs) and found medicines had been administered and recorded correctly.” from the report
Strong oversight
The provider used regular audits, feedback and action plans to review the quality of the service.
“The provider had an effective quality assurance process in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How have people's care plans and monthly reviews changed since this inspection?
- 02How do you support a person whose needs, communication or behaviour changes?
- 03What specialist training have current staff completed, and are any training updates outstanding?
- 04How do you make sure medicines and 'as required' medicines are recorded and reviewed safely?
- 05How are relatives kept informed about activities, trips and changes in their family member's needs?
This was an announced inspection of the whole service, covering all five CQC questions, the premises and care provided, with additional telephone feedback collected on 20 and 22 March 2018. This explanation was written from the published report of 20 April 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
3 rated inspections over 8 years: the service has held its Good rating throughout.
- February 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018Goodstayed GoodSafe: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 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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46 live-in carers within about an hour of Sunderland
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.
Most charge £950 to £1,210 a week. 42 can care for a couple. 10 years' experience on average.
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
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.