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CQC report explained · a nursing home

What the CQC found at Rossmere Park Care Centre

Goodpublished 11 January 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, effective risk management and safe medicines and infection control processes. Staff also knew how to report safeguarding concerns.
Effective?
Good
This key question was not inspected during this focused visit. Its previous rating was carried forward.
Caring?
Good
This key question was not inspected during this focused visit. Its previous rating was carried forward.
Responsive?
Good
This key question was not inspected during this focused visit. Its previous rating was carried forward.
Well-led?
Good
Inspectors found a positive culture, supportive leadership and effective quality monitoring. People, relatives and staff were regularly asked for their views.
The latest report, explained

What inspectors found, January 2024

Rossmere Park Care Centre was rated Good; inspectors found people safe and a well-managed home, but this visit only checked Safe and Well-led.

This was an unannounced focused inspection on 21 and 27 November 2023. One inspector and two experts by experience spoke with six people, 15 relatives and six staff. They also observed care, checked the building and reviewed care, medicines, recruitment and quality records.

The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe medicines management, suitable infection control and effective risk checks. Staff knew how to protect people from abuse, and accidents and incidents were reviewed for lessons.

Inspectors found a positive culture. People and relatives spoke well of the staff and management. The provider used audits, surveys, meetings and reviews to monitor quality and involved other health professionals in people's care.

The overall Good rating remained unchanged from the previous inspection, published on 15 September 2018. This inspection did not reassess Effective, Caring or Responsive, so those ratings were carried forward from the earlier inspection.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe and well cared for. Staff understood how to safeguard people and raised alerts with the local authority when needed.

    “People felt safe living in the home and with the support they received from staff.” from the report
  • Risks were managed

    Staff assessed risks to people's health and wellbeing. The building and equipment were checked, and accidents and incidents were reviewed for lessons.

    “Staff assessed and managed risks to people's health, safety and wellbeing effectively.” from the report
  • Medicines were safely handled

    Trained staff administered, recorded and stored medicines safely. The home carried out regular checks and audits to identify errors.

    “People received their medicines from trained and competent staff who followed systems and processes to administer, record and store medicines safely.” from the report
  • Positive culture

    Inspectors found that managers and staff promoted a welcoming, person-centred culture. People and relatives were included through communication, meetings, surveys and reviews.

    “The provider, registered manager and staff promoted a very positive culture in the home.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and review my relative's individual risks and update their care plan?
  2. 02How do you check that medicines are given correctly, and what happens if an error is found?
  3. 03How do you make sure staffing levels match people's changing support needs?
  4. 04How do you use residents' and relatives' feedback, surveys and meetings to make changes?
  5. 05How will you support my relative's specific needs in the areas not reassessed in this inspection, such as effective, caring and responsive care?

This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried forward from the inspection published on 15 September 2018. This explanation was written from the published report of 11 January 2024 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, September 2018

Rated Good; inspectors found safe, kind and well-managed care, with some care records and mealtime improvements still being completed.

This was an unannounced inspection carried out on 7, 13 and 16 August 2018. Inspectors spoke with people living in the home, relatives, staff and other professionals. They observed care and checked care records, medicines, staff files and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe and staff knew them well. Inspectors found enough staff, safe medicines systems, suitable training, kind care, personalised activities and strong management oversight.

There were some areas still being improved. Some care plans did not contain all relevant information, and required mental capacity records were not in the care records inspected. The home was also reviewing mealtimes and considering air conditioning because some areas could become very hot.

What inspectors praised
  • Enough skilled staff

    Inspectors found staffing levels and staff skills were suitable for people's needs. Recruitment checks were completed before staff worked unsupervised.

    “There were sufficient skilled and experienced staff on duty to meet people's needs.” from the report
  • Kind relationships

    Staff were described as warm, friendly and respectful. They knew people well and used this knowledge to provide personal support.

    “We found the staff were warm and friendly.” from the report
  • Activities and community links

    People were offered activities suited to their interests, including trips and links with a local faith group.

    “The activities coordinator was constantly researching activities that people could join in within the service or go out to in the community.” from the report
  • Strong management checks

    The management team sought feedback, investigated concerns and used audits to identify and make improvements.

    “Robust and frequent quality assurance processes ensured the safety, effectiveness and standards at the service were maintained.” from the report
What inspectors were concerned about
  • Mental capacity records

    needs fixing

    The care records inspected did not contain some capacity and best-interests assessments. Managers produced completed assessments during the inspection and were introducing new templates.

    “The care records we reviewed did not contain assessments of the person's capacity to make decisions or 'best interests' decisions.” from the report
  • Mealtimes needed better organisation

    minor

    People received suitable food and support, but inspectors said the meal service could be more organised. Managers were reviewing the mealtime experience.

    “We did note that if the meal time was more organised, such as by ensuring people who were liable to leave the room quickly were giving meal first, the dining experience would be enhanced.” from the report
  • Some areas became too hot

    minor

    Inspectors found the building was maintained but noted that some lounges and treatment rooms could become excessively hot. The provider was considering air conditioning.

    “We did note that the service would benefit from air conditioning as some areas could become excessively hot.” from the report
Questions to ask them, based on this report
  1. 01Have all care plans been updated so that information from assessments is fully included?
  2. 02Are mental capacity assessments and best-interests decisions now recorded in each relevant person's care records?
  3. 03What changes were made to organise mealtimes, particularly for people who may leave the dining area quickly?
  4. 04Were air conditioning units installed in the lounges and treatment rooms, and how are hot conditions now managed?
  5. 05How are medicines, care plans and other records audited now to make sure improvements are maintained?

This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 15 September 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 Rossmere Park Care Centre

2 rated inspections over 5 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rossmere Park Care Centre →

  2. September 2018Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Rossmere Park Care Centre →

  3. May 2017

    Registered with the Care Quality Commission on 18 May 2017.

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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