CQC report explained · a residential care home
What the CQC found at Rosemary Lodge Rest Home
Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.
- Safe?
- Inspected but not rated
- Inspectors were assured about most infection prevention arrangements, including PPE, testing, visiting, social distancing and outbreak management. They were only somewhat assured about the layout, hygiene practices and condition of the premises.
- Effective?
- No published rating
- This question was not rated in this targeted inspection.
- Caring?
- No published rating
- This question was not rated in this targeted inspection.
- Responsive?
- No published rating
- This question was not rated in this targeted inspection.
- Well-led?
- No published rating
- This question was not rated in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found good COVID-19 precautions, but some property repairs and replacements were still pending.
This was a targeted, announced inspection on 15 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.
The home had suitable arrangements for visitors, including temperature checks, negative lateral flow tests, health questionnaires and a visiting pod. PPE, social distancing, testing and outbreak arrangements were also in place.
Inspectors were only somewhat assured about the premises. The home had recently changed provider and was updating and repairing the property. Some surfaces needed to be made easier to clean, and some items, including toilet chairs, were waiting to be replaced.
The home was inspected but not rated overall. The Safe question was also inspected but not rated, so this report does not give a full quality rating.
Visitor safety checks
Visitors had several checks before entering, including temperature checks, evidence of a negative lateral flow test and a health questionnaire.
“All visitors had their temperature taken before being admitted into the home, were required to evidence a negative lateral flow test and complete a health questionnaire.” from the report
PPE arrangements
PPE was available for visitors and there were stations around the home for staff to put on and remove it safely.
“There were appropriate PPE stations around the home for staff to don and doff their PPE (to put on and take off).” from the report
Family visiting
The home offered a separate visiting pod, as well as window visits, bedroom visits and telephone calls.
“There was a separate visiting pod for family members to use on a booking basis.” from the report
COVID-19 controls
Inspectors were assured that the home was managing testing, social distancing, admissions, PPE and infection outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Premises needed improvement
needs fixingInspectors were only somewhat assured about the layout and hygiene practices. The property was being repaired and updated, with some surfaces needing changes so they could be thoroughly cleaned.
“We were somewhat assured that the provider was promoting safety through the layout and hygiene practices of the premises.” from the report
Some replacements were pending
minorThe refurbishment programme had restarted, but items including toilet chairs had been identified for replacement and orders were still pending.
“The provider had restarted their refurbishment programme and identified the areas requiring improvement.” from the report
- 01Which property repairs and refurbishment works identified during the inspection have now been completed?
- 02Have all the toilet chairs identified for replacement now been replaced?
- 03What changes have been made to ensure all surfaces can be thoroughly cleaned?
- 04How does the home currently manage visiting, including testing and infection prevention arrangements?
- 05What staffing pressures related to COVID-19 are currently affecting the home, if any?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 3 March 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.
What inspectors found, March 2021
Inspected but not rated; inspectors found good use of protective equipment and visitor controls, but several infection-control arrangements needed improvement.
This was an announced, targeted inspection on 10 February 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than giving a full rating of the home.
Inspectors found good practice in visitor testing, protective equipment and access to COVID-19 testing. Staff were seen using protective equipment in line with government guidance, and signs encouraged good infection-control practice.
They also found some gaps. Risk assessments were missing for residents in isolation using bathrooms, staff declining vaccination and cleaning products. The home was using a 10-day isolation period instead of the current 14-day guidance, and its infection-control policy had not been updated for changes such as the new variant.
The overall service and Safe question were both marked 'Inspected but not rated'. This means the inspection findings should not be read as a full quality rating of the home.
Visitor infection controls
A visitor pod outside the home allowed visitors to be tested before entering, reducing infection risks.
“A designated visitor pod was located outside of the home. This allowed for visitors to be tested for COVID-19 before entering the home which minimised risks.” from the report
Protective equipment
Staff were observed using protective equipment in line with government guidance.
“Staff were observed wearing PPE in line with Government guidance.” from the report
Testing access
Inspectors were assured that people living at the home and staff could access testing.
“We were assured that the provider was accessing testing for people using the service and staff.” from the report
Isolation arrangements
needs fixingThe home had not completed formal risk assessments for residents in isolation who needed to use bathrooms outside their rooms.
“Formal risk assessments were not completed to mitigate risks associated with residents in isolation accessing bathroom facilities outside of their rooms.” from the report
Admission isolation guidance
seriousThe provider was unaware of the current guidance requiring a 14-day isolation period for admissions, rather than 10 days.
“The provider was unaware of the current guidance on admission and care of people in care homes which specifies an isolation period of 14 days not 10 days.” from the report
Cleaning risk assessments
needs fixingRisk assessments existed for cleaning products, but they did not state the level of risk.
“There were risk assessments in place for products used for cleaning however, these did not identify the level of risk.” from the report
Vaccination risk planning
needs fixingThe home had not completed formal risk assessments for staff who declined the COVID-19 vaccination.
“Formal risk assessments were not completed for staff declining the COVID-19 vaccination to mitigate risks.” from the report
Policy updates
needs fixingThe infection prevention and control policy had not been reviewed to reflect changes such as the new variant.
“However, it had not been reviewed to reflect changes such as the new variant.” from the report
- 01Have you completed the missing risk assessments for residents in isolation using bathrooms outside their rooms?
- 02What isolation period do you now use for new admissions, and how do you make sure staff follow the current guidance?
- 03Have you updated the infection prevention and control policy since this inspection, including changes relating to new variants?
- 04What risk assessments are now in place for staff who decline COVID-19 vaccination?
- 05How do your current cleaning-product risk assessments identify the level of risk?
This was an announced, targeted inspection of infection prevention and control measures during the coronavirus pandemic; it did not rate the other four questions or give an overall service rating. This explanation was written from the published report of 6 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.
Every inspection of Rosemary Lodge Rest Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not ratedEffective: No published ratingCaring: No published ratingResponsive: No published ratingWell-led: No published rating
- March 2021Inspected but not ratedSafe: Inspected but not rated
- February 2020
Registered with the Care Quality Commission on 2 February 2020.
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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