Rose Cottage Rest Home

Updated 25 September 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Rose Cottage Rest Home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and one relative to gain their views about the care provided. We also spoke with the provider, who was also the registered manager, the deputy manager, the home organiser, the activity co-ordinator and one care staff. We observed care and support and interactions between people and staff within communal areas.

We reviewed a range of records. This included three people’s care records and care plans and sampled medicine records. We looked at two staff files in relation to recruitment and supervision and staff training records. A variety of records relating to the management of the service, including policies and procedures and quality assurance systems and processes were reviewed.

Updated 25 September 2019

About the service

Rose Cottage Rest Home provides personal care and accommodation for up to 17 older people. On the day of our inspection there were 17 people living in the service.

Accommodation is provided over two floors, accessible through a stair lift. Communal areas included a small lounge, open plan living and dining room and garden areas.

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

People’s safety was promoted by staff who followed guidance on how to reduce potential risk. This included the use of equipment to support people moving around the service. People were supported by sufficient numbers of staff who had undergone a robust recruitment process. People were supported to take their medicines safely and as prescribed.

Staff training in key safety areas promoted people’s safety, which included staff knowledge and understanding of reporting potential safeguarding concerns and following infection control procedures.

People’s care needs were assessed before they began to use the service. Staff received an induction and ongoing training which enabled them to have the skills and knowledge to meet people's diverse needs. People were supported to have sufficient amounts to eat and drink. Staff supported people to live healthier lives and access healthcare services when required.

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

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support. People’s privacy and dignity was maintained at all times.

Care plans supported staff to provide personalised care. People were encouraged to take part in activities and interests of their choice. There was a complaints procedure in place and systems in place to deal with complaints effectively. The service provided appropriate end of life care to people.

The service continued to be well managed. Systems to monitor the quality of the service were in place. Actions were taken and improvements were made when required. The registered manager, who was also the provider, was committed to improving and developing the service. They used feedback from people, relatives and staff and worked in partnership with other agencies to provide people with the best possible outcomes.

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

Rating at last inspection

The last rating for this service was good (published 2 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.