CQC report explained · a residential care home
What the CQC found at Rosewarne
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home used PPE safely, followed infection control guidance, carried out testing and had plans to prevent or manage outbreaks.
- Effective?
- Good
- This area was not assessed or rated in this targeted inspection.
- Caring?
- Good
- This area was not assessed or rated in this targeted inspection.
- Responsive?
- Good
- This area was not assessed or rated in this targeted inspection.
- Well-led?
- Good
- This area was not assessed or rated in this targeted inspection.
What inspectors found, April 2021
Rosewarne was inspected but not rated; inspectors found strong infection control and safe arrangements during the Covid-19 pandemic.
This was an announced, targeted inspection on 16 February 2021. Inspectors looked at infection prevention and control measures as part of the response to the coronavirus pandemic.
Inspectors were assured that the home used personal protective equipment properly, followed social distancing and shielding guidance, and had arrangements for testing, safe admissions and managing outbreaks. The home was clean, well maintained and free from clutter.
The home had supplied staff with infection control training and equipment. Relatives were supported to visit safely where possible, and people were helped to stay in contact with important people through visits, video calls and outdoor activities.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or full ratings for all five areas of care.
PPE and infection control
Staff used PPE correctly and had received extra training about Covid-19 and infection control. Supplies, handwashing facilities and guidance were available.
“Staff were using personal protective equipment (PPE) correctly and following current infection prevention and control guidance to help keep people safe.” from the report
Clean environment
The home was clean, well maintained and uncluttered. High-contact areas were cleaned regularly, with extra steam-cleaning equipment for night staff.
“The service was clean, well maintained and clutter free.” from the report
Safe visiting and contact
The home had a separate visiting area, encouraged outdoor visits and used video calls to help people maintain important relationships during lockdown.
“Video conferencing technologies had been used to enable people to maintain relationships which were important to them.” from the report
Outbreak planning
The home had plans for managing an infection outbreak and had arrangements for safe admissions, isolation, testing and access to vaccination.
“Plans had been developed detailing how an outbreak of the infection would be managed.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How would you manage an outbreak, and how would relatives be kept informed?
- 03How are new or returning residents isolated and tested when they arrive?
- 04How can relatives visit, and what alternatives are available if visiting is restricted?
- 05What is the home's current overall CQC rating, given that this inspection was not rated?
This was a targeted inspection of infection prevention and control during the Covid-19 pandemic; it did not provide ratings for the other care areas or an overall rating. This explanation was written from the published report of 13 April 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, May 2019
Rosewarne was rated Good; inspectors found safe, kind and well-organised care, but noted limited in-house activities and inconsistent meals.
The inspection was unannounced and took place over two days. Inspectors reviewed care plans, medicine records, accidents, complaints, audits and other information. They spoke with people using the service, staff, relatives and healthcare professionals.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, detailed care plans and staff who treated people with warmth, dignity and respect.
There were some areas to improve. Meal quality was inconsistent, daily records did not include enough about people's mood, and activities inside the home were limited. The home had a new provider, manager and team leader, but inspectors said these changes had not affected how care was delivered.
Kind and respectful staff
Inspectors saw warm interactions and found that staff understood people's individual communication needs and preferences.
“Staff interactions with people were friendly and warm.” from the report
Detailed care planning
Care plans gave staff clear guidance about people's needs, including communication and safety support.
“Care plans were focused on people's individual needs and were detailed and informative.” from the report
Safe medicines support
Medicines were obtained, stored, recorded, given and disposed of safely. Staff training was regularly updated.
“People were supported to take their medicines as prescribed and in ways that met their preferences.” from the report
Good healthcare support
Staff noticed changes in people's health and helped them access appropriate healthcare professionals.
“Staff were alert to changes in people's health needs.” from the report
Inconsistent meals
needs fixingPeople, staff and a relative said the quality of meals varied according to which care staff were doing the cooking.
“People, a relative and staff told us the quality of meals was inconsistent depending on the skill and enthusiasm of the staff allocated the duty on any one day.” from the report
Limited indoor activities
needs fixingThere were monthly organised events, but fewer regular opportunities for people to take part in pastimes inside the home. The manager said a meeting had been arranged to discuss ideas after the inspection.
“There were limited opportunities for people to engage in pastimes when they were in.” from the report
Daily records lacked detail
needs fixingRecords showed which care tasks were completed but did not routinely record people's emotional well-being or mood.
“The records were focused on care tasks which had been completed with no detail about people's emotional well-being or mood.” from the report
Consent records needed clarification
needs fixingIt was not always clear whether relatives had legal authority to consent on a person's behalf, including through Power of Attorney arrangements.
“It was not always clear when relatives had legal authority to consent on people's behalf, for example, because of Power of Attorney arrangements in place.” from the report
- 01What regular in-house activities are now available each day, following the residents' meeting mentioned in the report?
- 02What has been done to make meal quality more consistent between staff teams?
- 03Have the planned kitchen improvements been completed, and how can residents now take part in food preparation?
- 04How are people's mood and emotional well-being recorded in daily notes now?
- 05How do you record whether a relative has legal authority, such as Power of Attorney, to consent on a person's behalf?
This was an unannounced planned inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 14 May 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 Rosewarne
Each visit the CQC has published, newest first, back to the day the home was registered.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018
Registered with the Care Quality Commission on 30 April 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.
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10 live-in carers within about two hours of Cornwall
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 £1,200 a week. 8 can care for a couple. 12 years' experience on average.
“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
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