Rosemanor 2 Residential Care Home

Updated 13 January 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

One inspector carried out this inspection.

Service and service type

Rosemanor 2 Residential Care 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. Rosemanor 2 Residential Care 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 reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send to us 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

During our inspection we observed interactions between people and staff to help us understand their experiences of receiving care and support at the service. We spoke with 3 people using the service, the registered manager and 2 staff members. We looked at records which included care records for 2 people, 2 staff files, medicines records and other records relating to the management of the service.

Updated 13 January 2023

About the service

Rosemanor 2 is a residential care home providing accommodation and personal care for to up to 9 people. The service provides support to women with mental health needs. At the time of our inspection there were 5 people using the service.

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

The provider was in the process of making changes to the service to make sure people received care and support in a safe environment. The provider carried out health and safety checks of the premises but these needed to be more detailed in some areas to make sure all relevant guidance, such as the Health and Safety Executive guidance, was considered and acted upon.

People told us they liked living at the service. There were enough staff to give people the support they needed. Risks relating to people’s care were identified and staff knew how to manage these risks to help keep people stay safe but still encourage independence. Systems were in place to safeguard people from abuse and staff knew the procedure and guidance to follow if something went wrong. The service was clean and hygienic and staff followed current infection control and hygiene practices to reduce the risk of infection. Medicines were managed safely. 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.

The registered manager also managed other services but was supported at this location by a senior staff member who coordinated the day-to day delivery of care and support. Although the registered manager was not on site all of the time they assured us they were available to support staff should they need it. The provider worked with people and staff to gather their views on how the service was run. Staff told us they felt supported and were able to make suggestions to make the service better for people. The provider worked with other healthcare professionals to make sure people received the right care and support.

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 September 2019).

At our last inspection we recommended that the provider consider the guidance from the Health and Safety Executive to make sure the environment remained safe for people. During this inspection we found there had been delays in making improvements to the environment. However, the provider had identified the outstanding issues and was working, at the time of our inspection, to improve the environment for people.

Why we inspected

The inspection was prompted in part due to concerns received about the provider's other services. The concerns indicated there may be issues with the way this service was managed and we wanted to be sure the issues raised did not extend to this regulated service. A decision was made for us to undertake a focused inspection to review the key questions of safe and well-led so we could inspect and examine those risks.

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 good to requires improvement based on the findings of this inspection.

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.

Enforcement

We have identified a breach in relation to the environmental safety at the service and the way these risks have been managed.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider to monitor progress. We will continue to monitor information we receive about the service, which will help inform us when we next inspect.