Rosehill House Residential Home

Updated 17 August 2023

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 one 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.

Rosehill House Residential Home 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. Rosehill House Residential Home 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

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 spoke with 8 people who used the service about their experience of the care provided. We spoke with 5 members of staff including the registered manager, care workers and auxiliary workers and we also spoke to 1 relative and to 1 professional. We also spent time observing people during lunch time. We received additional feedback from 1 professional and 1 relative after the site visit.

We reviewed a range of records. This included 3 people’s care records and 4 medicines records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 17 August 2023

About the service

Rosehill House residential Home is a care home without nursing registered to provide accommodation and care for up to 30 people. People living at the service are older people, some of whom may be living with dementia. At the time of our inspection there were 27 people using the service.

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

We last inspected the service in November 2022. At that time, we had concerns regarding the management of medicines and Rosehill House Residential Home was rated Requires Improvement. We identified checks and monitoring that had not always been completed.

At the previous inspection we found the management of medicines was not always safe. We previously found that records were accessible but not always up to date. Audits had not picked up that medicine’s records were not always accurate. Medicines administration records (MAR) were now stored securely, records were now maintained, and no gaps were found in MAR. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

The environment was safe and there was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place.

People told us they were happy with the care they received, and people said they felt safe living there. Comment from one person was, “Yes I am safe here.” People looked relaxed, happy and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service. A relative told us, “If they are happy- then I’m happy.” While a professional commented, “It’s a well-respected care home within the GP practice” while another professional said, “I can honestly say that this is one of the best.”

The service used a computerised care planning system that enabled the staff to add information straight away via handheld devices. Records were accessible and up to date. The management and staff knew people well and worked together to help ensure people received a good service.

Staff were recruited safely in sufficient numbers to ensure people’s needs were met. There was time for people to have social interaction. There was not a designated activities staff member currently, however the registered manager hoped to recruit one soon. Currently staff planned and carried out activities. Staff knew how to keep people safe from harm.

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 were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately. One visiting professional said, “The registered manager and the staff will also contact us in a timely manner.”

Records of people's care were individualised and reflected each person’s needs and preferences. Risks were identified, and staff had guidance to help them support people to reduce the risk of avoidable harm. People’s communication needs were identified, and where they wanted, people had end of life wishes explored and recorded.

Staff told us the registered manager was available and assisted them. They went onto say how they were approachable and listened when any concerns or ideas were raised. A staff member said, “Very happy working here.”

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 25 February 2022).

Why we inspected

We carried out this inspection to follow up on the breaches of regulation from the previous inspection.

We undertook a focused inspection to review the key questions of safe and well-led only. 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 requires improvement to good.

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

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.

Follow up

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