Rosalyn House

Updated 21 September 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Rosalyn House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rosalyn House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 15 August 2022 and ended on 30 August 2022. We visited the location’s service on 15 August 2022.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spent time in the home to understand how people were treated. We spoke with one person who used the service and six relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, director, nurses, care staff, staff from the activities department and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 14 people’s care records and medication records. We looked at seven staff files in relation to recruitment, training and supervision. A variety of records relating to the management of the service including audits, policies and procedures were reviewed.

Updated 21 September 2022

About the service

Rosalyn House is a residential care home registered to provide accommodation and personal care and/or nursing care for up to 46 people. Some people may be living with dementia, a physical disability or a sensory impairment. At the time of our inspection there were 38 people living at the service.

The home is built over three floors. All bedrooms have an ensuite shower and toilet. There are shared living areas on each floor. In addition, the care home has an enclosed garden and courtyard which is available to people, their relatives and visitors.

People’s experience of using this service and what we found

Since the last inspection the provider had made improvements to the environment and decoration in the home.

Provider governance and oversight had improved at the home. New systems had been introduced to identify and address shortfalls in the service and were used to drive improvements.

Care plans and risk assessments had been reviewed and contained information to guide staff in the delivery of person-centred care.

Recruitment had taken place and the use of agency staff had been reduced. Staff treated people with dignity and respect. People were familiar with the staff and appeared to be comfortable speaking with them.

People had access to activities in the home and the local community. One relative told us, "The picture board on display in the home is lovely to see with all the activities which the people do and their smiling faces." Another relative said, "The activity team keeps everyone motivated.”

Staff received training which supported them to provide safe care. Staff understood their role and the expectations of the registered manager. The registered manager completed ongoing checks of the staff practice to ensure this remained safe.

We received several positive comments from relatives about the staff. These included, “The staff are caring and attentive.” And, “The staff are genuine and care about people and their needs.” Another relative said, “The staff and registered manager are professional, friendly and caring.”

The home was clean and had no unpleasant odour. Cleaning schedules were in place which included the cleaning of frequently touched areas.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 05 November 2019) and there were breaches in regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this comprehensive inspection to check the provider had followed their action plan and to confirm they now met legal requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosalyn House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.