CQC report explained · a residential care home
What the CQC found at Three Roses Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Staff understood people's safety needs, safeguarding procedures and infection control. There were enough staff, and additional checks had been introduced for medicines.
- Effective?
- Good
- People's capacity and best-interest decisions were recorded more appropriately, and staff supported people to eat, drink and access healthcare. This area improved from Requires Improvement at the previous inspection.
- Caring?
- Good
- People spoke positively about staff, who were described as kind, respectful and supportive. Staff promoted privacy, dignity, independence and personal choice.
- Responsive?
- Good
- Care plans reflected people's individual needs, preferences and communication methods. People were supported with activities, community access, relationships and end-of-life choices.
- Well-led?
- Good
- People, staff and health professionals had confidence in the management of the home. The registered manager carried out checks, gathered feedback and worked with other organisations.
What inspectors found, November 2018
Three Roses Home is rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
This was an unannounced, comprehensive inspection on 25 October 2018. The inspector spoke with six people living at the home, four care staff, the registered manager and health and social care professionals. They also observed care, reviewed three care records, checked medicines and looked at quality monitoring records.
The home supported up to 14 people with learning disabilities or autistic spectrum disorders, and all 14 places were occupied. Inspectors found enough staff, safe medicines systems, clean surroundings and good safeguarding knowledge. People were supported to make choices, stay independent and access healthcare, activities and the local community.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating stayed Good, as it was at the April 2016 inspection. Effective care improved from Requires Improvement to Good, and there was a change of registered manager.
Kind and respectful staff
People said staff were kind and caring. Staff knew people well and supported their dignity, privacy and independence.
“People were very positive about the staff who cared for them.” from the report
Personalised support
Staff adapted communication and care to people's individual preferences, including how they spent their time and took part in activities.
“Care was offered to people which reflected their individual needs, goals and preferences.” from the report
Improved decision-making support
The home improved how it recorded support for people who could not always make their own decisions. Decisions were made in their best interests and in the least restrictive way.
“Improvements had been made in the way people were supported, and how this was recorded, if people were not always able to make their own decisions.” from the report
Medicine safety
The home had added checks to reduce medicine errors. Two staff worked together when giving medicines, and the manager carried out additional monitoring.
“There had been positive changes introduced in the way people's medicines were managed and administered, to further reduce the risk of errors in administration.” from the report
Good community involvement
People were supported to continue hobbies, attend local clubs and discos, volunteer and take part in activities outside the home.
“Staff supported people to continue with their hobbies and interests, such as knitting and art and crafts.” from the report
Inspectors raised no specific concerns in this report.
- 01What extra checks are now used when medicines are administered, and how are any errors or near misses reviewed?
- 02How will you support my relative to communicate choices if they cannot always speak or make a decision directly?
- 03What activities and community opportunities would be available for my relative, based on their interests?
- 04What progress has been made with the planned improvements to care records, the environment and personalised holidays?
- 05How would staffing be increased if my relative became unwell or needed one-to-one support at the end of their life?
This was an unannounced comprehensive inspection covering all five key questions, including the premises, care, medicines, records and quality monitoring. This explanation was written from the published report of 22 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.
Every inspection of Three Roses Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- 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.
Weigh the report against the rest
Fees, photos and reviews from families
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What to check when you visit
At least 100 live-in carers within about an hour of Worcestershire
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 £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.