CQC report explained · a nursing home
What the CQC found at Rosewood House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm. Inspectors found that risks, medicines, staffing, recruitment and infection control were managed safely, and that lessons were learned from incidents.
- Effective?
- Good
- People's needs were assessed and care plans gave staff guidance. People were supported with nutrition, hydration, healthcare and lawful consent decisions. Inspectors discussed improving the dining experience for people living with dementia.
- Caring?
- Good
- This question was not inspected during this focused visit. The report says the previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This question was not inspected during this focused visit. The report says the previous rating was used to calculate the overall rating.
- Well-led?
- Good
- The registered manager had effective oversight. Audits, feedback and communication with staff, relatives and health professionals were used to monitor and improve the service.
What inspectors found, February 2023
Rated Good; inspectors found safe, kind and well-managed care, with some improvements still needed for dementia support and care records.
This was an unannounced focused inspection. Inspectors visited on 31 January 2023 and reviewed safety, effectiveness and how the home was managed. They spoke with people, relatives, staff and health professionals, and checked care, medicines, recruitment and management records.
The home was rated Good overall. Inspectors found people were safe, staff were caring and there were enough staff. Medicines, risks, infection control and recruitment were managed safely. People were supported with food, drink, healthcare and decisions about their care.
The inspection followed concerns about care, staffing and medicines. Inspectors found no evidence that people were at risk of harm from these concerns. They found improvements had been made, although further improvements were discussed for dementia-friendly dining, the dementia unit and person-centred information in care records.
The ratings for Safe, Effective and Well-led were Good. Caring and Responsive were not inspected during this focused visit, so the report used their previous ratings when calculating the overall rating. The overall rating remained Good, as it was at the previous inspection published in January 2018.
Kind and respectful staff
People and relatives described positive relationships with staff. Inspectors found that staff knew people well and supported them discreetly and compassionately.
“People and relatives were positive about the caring nature of staff and had good relationships with them.” from the report
Safety systems
Risks were assessed and reviewed, medicines were managed safely, and staff knew how to respond to safeguarding concerns.
“Medicine administration records assured us medicines were given as prescribed.” from the report
Enough trained staff
Inspectors found there were sufficient staff to support people safely. Recruitment checks and staff training were also in place.
“There were sufficient staff to support people safely.” from the report
Dementia-friendly dining
minorInspectors discussed changes needed on the top floor so people living with dementia could have a more positive dining experience and make food choices more easily.
“We discussed with the registered manager improvements to the top floor dining experience to ensure people who lived with dementia enjoyed a more positive experience” from the report
Dementia unit environment
needs fixingThe dementia unit was waiting for decoration and refurbishment. Inspectors said the changes should include visual and sensory features to support involvement and orientation.
“The unit that provided support to people who lived with dementia was waiting to be decorated and refurbished.” from the report
More detail in care records
needs fixingInspectors discussed adding further person-centred information to care records so all staff had clear guidance about people's needs. The home said an electronic care planning system was being introduced.
“We discussed the additional information to be added to care records to ensure person-centred guidance was available for all staff” from the report
- 01What changes have been made to the top floor dining experience for people living with dementia?
- 02Has the dementia unit now been decorated and refurbished, and what visual or sensory features were added?
- 03What extra person-centred information has been added to care records?
- 04How are medicines checked now following the concerns that led to this inspection?
- 05What were the previous ratings for Caring and Responsive, since they were not inspected during this visit?
This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 22 February 2023 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, January 2018
Rosewood House was rated Good; inspectors found kind, safe care, but said staffing and some dementia support needed review.
Inspectors visited on 18, 19 and 25 October 2017. The first day was unannounced, and the other two days were announced. They spoke with people, relatives, staff and health professionals, reviewed care and medicines records, and checked the building.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe. Inspectors found accurate medicine records, suitable staff training, kind care, personalised care plans, activities and an effective complaints and quality-checking system.
Inspectors recommended that staffing levels and how staff were deployed should be reviewed. They also found that guidance for some medicines taken when needed was not always clear, and that more could be done to make the environment and menus easier for people living with dementia.
Safe medicines
Inspectors found medicines were stored securely and records were accurate. Staff had suitable training and their competence was checked.
“Medicine records we checked had been completed accurately.” from the report
Kind and respectful care
Staff knew people well, listened to them and supported their choices. Inspectors saw people being reassured and treated with dignity.
“Staff were attentive to people's needs and reassured people if they were upset or distressed.” from the report
Personalised support
Care plans included people's preferences, routines and dislikes. They were reviewed when people's circumstances changed.
“Care plans were personalised and included people's choices, preferences, likes and dislikes.” from the report
Activities and social life
The home offered varied activities and trips based on people's interests and social needs.
“People were supported to participate in activities which they enjoyed and were meaningful to them.” from the report
Staffing levels
needs fixingInspectors said people's needs were met in a timely way, but some people and staff felt more staff would be helpful. An extra staff member was added to the dementia unit on the third inspection day.
“We recommend that the provider regularly reviews staffing levels and the deployment of staff across all aspects of the service, to ensure there are sufficient numbers of staff employed and deployed appropriately, to meet people's care needs.” from the report
Guidance for medicines taken when needed
needs fixingGuidance was not always available in the medicine file for staff giving some medicines taken when needed, including pain relief. The manager said this would be addressed.
“For people who were prescribed medicines to be taken 'when required' there was not always clear guidance in this file for staff to refer to.” from the report
Dementia-friendly menus
minorMenus were not available in picture form to help people living with dementia choose meals. The home was considering improvements to signage and crockery.
“Menus were not available in picture format to support people living with dementia to choose their meals.” from the report
- 01How many staff are usually allocated to the dementia unit, and how do you adjust this when people need two staff members?
- 02How do staffing levels and staff deployment change at weekends?
- 03How do staff access clear instructions for medicines prescribed to be taken when needed, including pain relief?
- 04What changes have been made to picture menus, signage and crockery for people living with dementia?
- 05How do you check that care plans remain up to date when a person's health or medicines change?
This was a comprehensive inspection covering all five key questions, with the overall rating and each individual rating assessed during the visit. This explanation was written from the published report of 5 January 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 Rosewood House
3 rated inspections over 8 years: the service has held its Good rating throughout.
- February 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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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