Rosemount Care Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

The assessment was undertaken in response to ongoing concerns from the local authority commissioning and safeguarding adults’ team, relating to care and treatment, the management of safety and risk, and management oversight of the service. Assessment activity started on 22 May 2024 and ended on 12 July 2024. We carried out onsite and offsite assessment. Inspectors visited the home on 22 May and 24 May 2024. Off site assessment activity started on 28 May 2024 and ended on 12 July 2024. During this assessment we looked at 23 quality statements. We gathered information from people using the service, relatives, staff and health and social care professionals. We also spoke with the new manager, who had been in post for 4 weeks at the commencement of the assessment. During this assessment, we found 6 breaches relating to Need for consent, Infection Control Issues, Medicines, Equipment, Premises, Assessment of risk, Good governance, Staffing, Fit and proper persons employed and Duty of Candour. Governance and oversight was not always effective in identifying or addressing areas for improvement. The need for consent was not consistently applied. Medicine care plans, and guidance documents for ‘when required’ medicines were not always up to date or sufficiently detailed. Records were not in place to support the covert administration of medicines. Appropriate standards of cleanliness and hygiene were not always in place to prevent detect, and control the spread of infections within the home, and risks relating to equipment and the environment were not always assessed and mitigated. Duty of candour had not always been completed in line with guidance. Some people were not always at the centre of their care and treatment options and were not always involved in decision making. This had placed people at risk of not having their needs met and posed a risk to the health and wellbeing of service users. However, people's relatives spoke positively about their family member’s experiences of living in Rosemount.

People's experience of this service

Some people and relatives told us they were concerned about the levels of staffing and changes in the staff in home. Other relatives told us they felt their family members were happy and well looked after. Some people and their relatives said they were happy with how medicines were managed. However, others told us they were not communicated with around changes in their medicines. Some people had concerns about the environment and possessions going missing. People spoke positively about recent changes in the management of the home and felt things were improving.