CQC report explained · a residential care home
What the CQC found at Rosemary Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Medicines, staffing, recruitment and infection control were managed safely.
- Effective?
- Good
- This key question was not covered by this focused inspection.
- Caring?
- Good
- This key question was not covered by this focused inspection.
- Responsive?
- Good
- Care plans were detailed and person-centred. People had choice and control over their routines, activities, meals, communication and time in the community.
- Well-led?
- Good
- The home had improved its monitoring, meetings and audits. Inspectors found positive leadership, a stable staff team and clear values focused on independence and person-centred care.
What inspectors found, June 2021
Rated Good; inspectors found safe, personalised care and improved management since the previous inspection.
This was an unannounced focused inspection on 5 May 2021. One inspector spoke with two people, four relatives by telephone and four staff. They checked care and medicines records, staff recruitment files, and records about how the home was managed.
The home supports up to ten adults with long-term complex mental health needs. Inspectors found people were safe, received their medicines correctly and had enough staff support. Care plans were detailed and personalised, including clear guidance about people's mental health needs and preferred support.
The home was rated Good overall. Safe, Responsive and Well-led were rated Good. Effective and Caring were not assessed during this inspection. The overall rating improved from Requires Improvement at the previous inspection in January 2019, whose report was published in March 2019.
Personalised care plans
Care plans had been improved since the previous inspection. They clearly described people's preferences and how staff should support their mental health needs.
“Care plans had been developed since our last inspection to provide more information about people and their care needs.” from the report
Choice and independence
People were supported to choose when to get up, eat and drink, go out and spend time in the community.
“We saw staff support people in ways that showed they had choice and control in their daily lives.” from the report
Safe medicines and staffing
Records and staff discussions showed medicines were given safely and on time. There were enough staff to meet people's needs, with extra support when required.
“People continued to be well supported by enough staff to meet their needs.” from the report
Improved oversight
The home had introduced regular checks and meetings covering incidents and medicines. Inspectors said this helped the service learn and take further action.
“The service was effectively monitored by regular meetings to review accidents, incidents and medicines.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you update my relative's care plan to describe their mental health needs, warning signs and preferred support?
- 02How would you support my relative to make choices and remain independent in daily life and in the community?
- 03How do you check that medicines are given safely and at the right time, and how often are staff's medicine skills assessed?
- 04What support would be available if my relative became physically or mentally unwell?
- 05How would you support my relative's communication needs, including the use of pictures, simple choices or a translator if needed?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not assessed, and the report says the overall rating used findings from this inspection together with previous ratings. This explanation was written from the published report of 15 June 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.
What inspectors found, March 2019
Rated Requires Improvement; inspectors found safe, kind and effective care, but one person's care plan and quality checks were not adequate.
This was an unannounced inspection on 24 January 2019. Two inspectors spoke with four people and three staff. They reviewed care and medicines records, staff files, training and supervision records, and management information.
The home was rated Good for Safe, Effective and Caring. People were supported by enough staff, medicines were managed safely, staff understood people's mental health needs, and people said staff treated them kindly and respectfully. People liked the food and received support with their health needs.
The home was rated Requires Improvement for Responsive and Well-led. One person's care plan was more than 12 months old and did not explain how their needs should be met. The quality checking system had not found this problem. The inspectors identified two breaches of regulations and asked the provider for an improvement plan.
Kind and respectful care
People gave positive feedback about staff. Inspectors saw staff speaking to people kindly and respectfully, while maintaining their dignity.
“People were supported and treated with dignity and respect.” from the report
Mental health support
Staff understood people's complex mental health needs and acted when people became mentally or physically unwell. They sought help from health professionals when needed.
“Staff responded to people's health care needs. Staff had identified when people's mental health was unstable and requested medical support when needed.” from the report
Food and dietary support
People liked the food and could eat and drink at times they chose. Care plans included guidance about supporting people's nutrition.
“People liked the food and drink options and we saw that they could eat and drink at times of their choosing.” from the report
Enough trained staff
There were enough staff to meet people's needs. Staff had training for their role and inspectors saw them respond promptly and calmly.
“There was a safe number of suitably qualified staff deployed at anytime to meet people's needs.” from the report
Missing personalised care plan
seriousOne person did not have a current care plan explaining how staff should support them. The plan being used came from their previous home and was over 12 months old.
“One person did not have an up to date care plan to show staff to provide the care and support they needed.” from the report
Quality checks missed the problem
seriousThe provider's checks did not identify that one person had no suitable care plan. This was a breach of the good governance regulation.
“The provider's quality assurance system had not identified that one person had no care plan in place.” from the report
Out-of-date information
minorSome information displayed on the home's notice board was out of date, including information about activities, food hygiene and safeguarding.
“There was an information notice board in the home with a lot of out of information on display” from the report
- 01Has the missing care plan now been rewritten with the person, and what does it say staff should do to meet their needs?
- 02How do managers now check that every person's care plan is current, personalised and accurate?
- 03What action has been taken in response to the two regulatory breaches?
- 04How is the home keeping information on its notice board up to date?
- 05How are people's changing mental health needs recorded and shared with staff and health professionals?
This was an unannounced inspection covering the premises, care provided and all five CQC questions, with records reviewed for two people and two staff files. This explanation was written from the published report of 7 March 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 Rosemary Residential Care Home
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- June 2021Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Rosemary Residential Care Home →
- March 2019Requires improvementstayed Requires improvementSafe: GoodResponsive: Requires improvementWell-led: Requires improvement
Read what inspectors found at Rosemary Residential Care Home →
- March 2018Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2016Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 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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40 live-in carers within about an hour of Bristol, City of
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 £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
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