CQC report explained · a residential care home
What the CQC found at RoseLea House
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People told inspectors they felt safe. Staff understood safeguarding, risk management and infection control, and medicines were stored and given safely.
- Effective?
- Outstanding
- Staff training and support helped people achieve very positive outcomes. Inspectors found strong understanding of the Mental Capacity Act and decisions were made in people's best interests and in the least restrictive way.
- Caring?
- Outstanding
- Staff had warm, respectful relationships with people and provided sensitive emotional support. People were involved in care planning and supported to express their views and make choices.
- Responsive?
- Outstanding
- Support was highly personalised. People took part in creative activities, learned life skills and were helped to build confidence, independence and self-esteem.
- Well-led?
- Good
- The home had a clear, person-centred culture and staff were involved in improving the service. Quality checks and feedback systems were effective.
What inspectors found, January 2019
Rated Outstanding; inspectors found exceptionally caring, effective and responsive support, with Safe and Well-led rated Good.
This was an unannounced inspection on 8 November 2018. The inspector spoke with people living in the home, staff and the registered manager. They reviewed care records, a recruitment file and records about quality checks.
The home supported nine people with learning disabilities. Inspectors found people were safe, medicines were managed well and there were enough suitably recruited staff. Staff understood people's needs and supported them to make choices, build skills and become more independent.
The home was rated Outstanding overall. Effective, Caring and Responsive were rated Outstanding. Safe and Well-led remained Good. The previous overall rating was Good, and the Effective rating improved from Requires Improvement after earlier concerns about mental capacity records were addressed.
Personalised support
Staff knew people's preferences, communication styles and goals. Care plans were written in formats people could understand and people helped create them.
“People's care plans documented their likes, dislikes, preferences and personal history.” from the report
Building independence
People were taught practical skills, including cooking, budgeting and managing medicines. Activities were used to increase confidence and independence.
“These examples demonstrate that staff skilfully used activities to increase people's independence by incorporating essential life skills.” from the report
Kind and sensitive care
Inspectors saw staff supporting people warmly and respectfully, including during bereavement and discussions about end-of-life wishes.
“Staff provided people with emotional support with kindness and understanding.” from the report
Creative activities
People were supported to try challenging activities and pursue ambitions that they had previously thought were out of reach.
“People participated in creative and challenging activities that fulfilled their aspirations and increased their independence and self-esteem.” from the report
Choice and control
People were involved in decisions about their care, key workers, staff recruitment, holidays, meals and the home environment.
“People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative to develop independence and pursue their own goals or aspirations?
- 02How would you communicate with my relative if they have limited verbal communication or particular sensory needs?
- 03How are people supported to understand and manage their medicines, and how is this independence assessed?
- 04How would you involve my relative and our family in care plan reviews and decisions about their care?
- 05What current quality checks are used to monitor safety, staffing, medicines and people's feedback?
This was an unannounced inspection covering the home, the care provided and all five CQC questions; the inspector spoke with four people and three care staff and reviewed two care records. This explanation was written from the published report of 3 January 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.
Every inspection of RoseLea House
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- January 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Good
- April 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- July 2014Inspected but not rated
- February 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 9 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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75 live-in carers within about an hour of Nottinghamshire
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 £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
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.