Rose Cottage

Updated 21 February 2024

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

The inspection was carried out by 2 inspectors, a medicines inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Rose Cottage 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. Rose Cottage is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager had been in post for 4 weeks.

Notice of inspection

This inspection was unannounced. Inspection activity started on 24 January 2024 and ended on 2 February 2024. We visited the service on 24 and 31 January 2024.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority commissioning and safeguarding teams. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spent time observing the care and interactions provided to people by staff in the communal areas. We spoke with 5 people who used the service and 5 relatives about their experience of the care provided. We spoke with 8 staff including the nominated individual, the manager, and care workers. 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 6 people’s care records and medicines records. We looked at 3 staff recruitment files, and a variety of records relating to the management of the service were reviewed.

Updated 21 February 2024

About the service

Rose Cottage is a residential care home providing personal care to adults, some of whom may be living with dementia or have physical disabilities. At the time of the inspection there were 12 people using the service. Rose Cottage can support a maximum of 16 people. Accommodation is provided over two floors with stair lift access to the first floor.

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

People and relatives were positive about the service and reported noticeable improvements in the home and the quality of care provided. Staff were described as kind, caring and respectful.

Quality assurance systems had been improved and these were now effective in identifying and addressing shortfalls. The manager and provider were working in a joined-up way, promoting consistency in practice and expectations, and driving the quality of care through effective leadership.

Medicines were managed safely, and people were in receipt of safe care and treatment. The provider had identified, assessed, and mitigated risks to people. People’s care records were up to date and reflective of their needs. The home was clean and well maintained.

Safeguarding processes were followed, and accident and incident analysis were effective. There was enough staff to meet people’s needs safely. Recruitment processes had been improved and were safe and robust. Staff had received all the necessary training to do their jobs safely and effectively.

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. People received a choice of meals, snacks and drinks and the dining experience was relaxed and inclusive. Activities were taking place which were suitable to people’s abilities and interests.

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 inadequate (published 27 July 2023) and there were breaches of 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.

This service has been in Special Measures since 10 August 2023. During this inspection the provider demonstrated that improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Rose Cottage 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.