CQC report explained · a residential care home
What the CQC found at Rotherwood Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective systems for managing risks, safe staffing and recruitment, appropriate infection control and medicines given as prescribed. They also found no evidence that people were at risk from the Legionella concern that prompted part of the inspection.
- Effective?
- Requires improvement
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection when calculating the overall rating.
- Well-led?
- Good
- Inspectors found approachable managers, regular feedback from people and staff, and thorough audits linked to action plans. The management team understood its responsibilities and worked with health and social care professionals.
What inspectors found, October 2023
Rotherwood Care Home rated Good; inspectors found people were safe, medicines were managed properly and the home was well-led.
Inspectors visited on 31 August 2023. They spoke with people, staff and managers, reviewed care plans, risk assessments, medicines and management records, and checked building maintenance and water safety.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe recruitment, suitable risk assessments, safe medicines procedures and effective infection control. People said they felt safe.
The inspection was prompted partly by concerns about Legionella risk. Inspectors found no evidence that people were at risk from this. The overall Good rating remained unchanged from the previous inspection, which was published in December 2022.
Water safety
The home had a detailed assessment and action plan for managing water safety. Inspectors found no evidence that people were at risk from the concern about Legionella.
“There was a comprehensive risk assessment and action plan in place that provided assurance about the on-going management of water safety.” from the report
Medicines
Medicines records were up to date and showed that medicines were given as prescribed. Staff had training and checks of their competence.
“Medicine administration records (MAR) were up to date and indicated people's medicines had been administered as prescribed.” from the report
Staffing and recruitment
Inspectors found enough staff to meet people's needs safely and found that recruitment checks had been completed.
“There were enough staff to meet people's needs and to make sure people were safe.” from the report
Management and improvement
People and staff felt able to share their views. Regular audits identified actions, and inspectors saw evidence that actions had been completed.
“We saw evidence of actions being completed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you continuing to carry out and review the water safety action plan?
- 02What were the most recent findings from your medicines audits, and have they led to any changes?
- 03How do you use feedback from residents and relatives to make changes to the service?
- 04What improvements were identified in the latest quality audits, and have all the related actions been completed?
- 05What were the ratings for Effective, Caring and Responsive at the previous inspection, since these areas were not inspected during this visit?
This was a focused inspection of Safe and Well-led, partly prompted by Legionella risk; the other ratings carried over from the previous inspection. This explanation was written from the published report of 11 October 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, December 2022
Rated Good; inspectors found safe, caring support and strong management, with some room to improve hygiene practices.
This was an unannounced inspection. Two inspectors and an Expert by Experience visited on 13 October 2022. They spoke with people living in the home, relatives and staff, and checked care, medicines, recruitment, training and management records.
The home was rated Good overall. Safe and Well-led were both rated Good. People said they felt safe and happy. Inspectors found that risks, medicines, infections, accidents and staff recruitment were managed safely.
Inspectors also found kind, person-centred care, activities and systems for listening to feedback. A new manager was leading the home but was not yet registered with CQC. The inspection gave some signposting about the layout and hygiene of the premises.
Only Safe and Well-led were inspected during this visit. The other ratings were carried forward from the previous inspection in 2019, so this report does not provide new ratings for Effective, Caring or Responsive.
People felt safe
People said they felt safe and happy. Inspectors saw that people were comfortable and relaxed with staff.
“People told us they felt safe and happy living in the home.” from the report
Safe medicines and risk management
Medicines were given safely and as prescribed. Risks were assessed without unnecessarily restricting people's freedom.
“People received their medicines safely and as prescribed.” from the report
Caring, person-centred support
Staff were observed interacting positively with people. The home provided activities and supported people to have choice and control.
“Staff delivered person-centred care and social activities that promoted good outcomes for people.” from the report
Open management
The manager listened to people, relatives and staff. Regular audits and meetings were used to identify and make improvements.
“There were effective systems in place to monitor and review the quality of the service and to make sure improvements were carried out.” from the report
Premises hygiene
minorInspectors were only somewhat assured that the layout and hygiene practices of the premises promoted safety. They signposted the provider to resources to improve this.
“We were somewhat assured the provider was promoting safety through the layout and hygiene practices of the premises.” from the report
Busy shifts when staff are absent
minorPeople and staff generally felt there were enough staff, but they said shifts could become hectic when someone was off sick.
“Sometimes it's hectic and they are running around, especially if someone is off sick.” from the report
Manager registration
minorThere was no registered manager in post during the inspection. A new manager was applying to become registered with CQC.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01How has the new manager's application to become registered with CQC progressed?
- 02What changes are being made to the layout and hygiene practices of the premises?
- 03How do you maintain safe staffing levels when staff are off sick?
- 04How do you use residents' and relatives' feedback to make changes?
- 05What activities are available for someone with my relative's needs, including dementia if relevant?
This was a focused inspection of Safe and Well-led, including infection prevention and control; the other ratings were carried forward from the 2019 inspection. This explanation was written from the published report of 8 December 2022 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 Rotherwood Care Home
7 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- October 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- December 2022GoodSafe: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- July 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- July 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2018Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 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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