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CQC report explained · a residential care home

What the CQC found at Rosewood Lodge Residential Home

Goodpublished 16 November 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection prevention measures, including testing, cleaning, visiting arrangements, social distancing and safe admissions. They found that some PPE fitted poorly and that the infection control policy was not regularly reviewed.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Rosewood Lodge Residential Home was inspected but not rated; inspectors found mostly good infection control, but some PPE fitted poorly and the policy was out of date.

This was an announced, targeted inspection on 21 December 2020. It looked only at infection prevention and control, partly because of coronavirus outbreaks in care homes.

Inspectors were assured that visitors were checked, PPE and social distancing were used, testing took place, and people could safely be admitted or isolated. The home also supported contact with families through phone and video calls and had arrangements for visits when allowed.

The overall service and Safe question were marked “Inspected but not rated”. This means the visit was not a full assessment of the home's overall quality or a scored rating.

What inspectors praised
  • Visitor safety

    Visitors were checked for symptoms, supervised and expected to follow infection control guidance and wear suitable PPE.

    “People and visitors were monitored for symptoms of COVID-19.” from the report
  • Family contact

    The home helped people keep in touch with family, friends and religious groups through phone and video calls. It also had arrangements for visits when permitted and at the end of life.

    “People were supported to maintain their relationships with family, friends and religious groups through phone and video calls.” from the report
  • Testing and isolation

    Regular testing was completed for people and staff, and there were procedures to support people to isolate safely.

    “Regular testing of people who used the service and staff was completed in line with current guidance.” from the report
  • Clean environment

    The home was tidy and cleaned regularly to reduce the risk of infection spreading.

    “The service was tidy and cleaned regularly to minimise the risk of people catching or spreading COVID-19.” from the report
What inspectors were concerned about
  • Poorly fitting PPE

    needs fixing

    Some PPE was not available in different sizes. Inspectors said this meant some items fitted staff poorly and reduced their effectiveness.

    “Not all PPE was available in different sizes which meant some PPE fitted staff poorly and compromised the effectiveness.” from the report
  • Policy not kept current

    needs fixing

    The infection control policy had not been reviewed regularly enough to make sure it reflected current guidance.

    “The provider's infection control policy had not been regularly reviewed to ensure it contained current guidance.” from the report
Questions to ask them, based on this report
  1. 01Are PPE items now available in sizes that fit every member of staff properly?
  2. 02When was the infection control policy last reviewed, and how will it be kept up to date?
  3. 03How are visitors currently checked, supervised and supported to follow infection control guidance?
  4. 04How are people supported to keep in touch with family if visits are restricted?
  5. 05What arrangements are in place for testing and isolation when someone may have an infection?

This was a targeted inspection of infection prevention and control under Safe; the overall service was not rated and the other four questions were not assessed. This explanation was written from the published report of 2 February 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.

An earlier report, explained

What inspectors found, November 2018

Rosewood Lodge Residential Home was rated Good; inspectors found safe, kind and personalised care, with some medicine records not always completed correctly.

Inspectors visited on 17 and 25 October 2018 without warning. They spoke with people living at the home, relatives, staff and the manager. They reviewed care files, medicine records, risk assessments, staff files, complaints and quality checks.

The home was rated Good in all five areas. People were protected from abuse, risks were assessed, staffing was sufficient and medicines were generally given safely. Staff were trained and suitable checks had been completed before they were employed.

People and relatives described staff as kind and caring. Care plans included people's needs, preferences and life histories. People had choices about food, activities and daily routines, and were supported to maintain their health, independence and relationships.

Some handwritten medicine records had not always been completed properly. The manager agreed to address this. The overall Good rating stayed the same as at the previous inspection, and inspectors found no serious risks or concerns.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels sufficient to meet people's needs. Recruitment checks included references, identification and criminal record checks.

    “The service had enough staff on duty to meet people's needs.” from the report
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors saw friendly, respectful and attentive support.

    “Everyone [staff] is nice. They will fetch you anything, and they know me well.” from the report
  • Personalised support

    Care plans recorded people's likes, dislikes, life histories and communication needs. Staff could explain how people preferred their care to be provided.

    “The members of staff we spoke with demonstrated a good knowledge about the people they supported, and could tell us about people's likes, dislikes, habits, routines and life history.” from the report
  • Choice and activities

    People were offered choices about meals, routines and activities. They were supported to follow their interests and maintain relationships.

    “People gave us examples of how they were supported to maintain their independence and made choices about their daily lives.” from the report
  • Quality monitoring

    The manager used audits, surveys and meetings to check the service and respond to people's views. Records inspected were organised and up to date.

    “The records we reviewed were fully completed, up to date, and well organised.” from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Some handwritten medicine records were not completed correctly on every occasion. The manager accepted this and said it would be addressed.

    “Some handwritten medicine records had not always been completed appropriately by staff.” from the report
Questions to ask them, based on this report
  1. 01What changes were made after inspectors found that some handwritten medicine records were not completed appropriately?
  2. 02How do you now check that every medicine record is completed correctly?
  3. 03How will you assess my relative's risks and keep their care plan up to date?
  4. 04What choices would my relative have about meals, bedtime, activities and daily routines?
  5. 05How would you involve my relative and our family in reviews and concerns about their care?

This was an unannounced inspection of the whole service, including accommodation, care and all five rating areas, carried out over two visits. This explanation was written from the published report of 16 November 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.

The story over the years

Every inspection of Rosewood Lodge Residential Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Rosewood Lodge Residential Home →

  2. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rosewood Lodge Residential Home →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 18 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.

Next steps

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Care at home

16 live-in carers within about an hour of East Riding of Yorkshire

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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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See live-in carers near East Riding of YorkshireProfiles, rates and reviews are free to look at.

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