Inspection on 03/08/09 for Rosewood Residential Care Home
Also see our care home review for Rosewood Residential Care Home for more information
This inspection was carried out on 3rd August 2009.
CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Residents say they enjoy living at Rosewood and are happy there. There is a friendly atmosphere. Robust recruitment processes are followed to help ensure the home employs appropriate permanent staff. Residents say they enjoy the meals.
What has improved since the last inspection?
Some parts of the home have been redecorated and refurbished. There is an induction programme for agency staff to complete on their first shift at the home. The complaints procedure has been made available in a pictorial format so as to be more easily understood by the residents.
What the care home could do better:
Four requirements are made as a result of this inspection. These are in respect of more accurate care planning, better risk assessments, improved staff shift patterns and clearer evidence of staff training. These will better promote residents` needs and safety. The inspection also identified areas where some staff members are not adhering to procedures or good practice guidelines. The provider has implemented immediate measures for more robust management of the day to day running of the home and supplied us with an action plan detailing further improvements. This demonstrates a willingness to work with us and a recognition of their responsibilities. The Manager agreed to make it clearer that prospective residents are asked if they have specific needs in respect of spiritual beliefs, culture or sexuality. This information can be very important in getting a complete understanding of prospective residents` needs and assessing if the home is able to meet them in the way in which individuals prefer. The Manager said she will ensure all hand written entries on the Medication Record Administration Record (MAR) sheets are double signed to help confirm accuracy and will change storage arrangements so the medicines room is not accessed unnecessarily. The provider has undertaken to ensure the routines and activities of the home are conducted in a way which meets the residents` preferences and promotes independence as far as is practicable. Also, to provide appropriate activities for residents at times when the Activities Coordinator is not in attendance. The Manager acknowledges the need to be able to more clearly show the home is acting in the interests of those who are unable to make informed decisions themselves. There should be better prioritisation in making needed improvements to the environment, so as to provide a comfortable and safe environment. The use of shared bedrooms should be reviewed in view of the mental and physical frailty of the residents and their associated behaviours and care needs. Those who share bedrooms are not able to make a positive choice to share with full understanding of the implications. The provider agrees to improve communication with other health care professionals and to include them in future quality assurance processes.