Rosemary Lodge CQC Report
This inspection visit took place on the 12 May 2016 and was unannounced. At our previous visit on the 17 April 2015, the service was meeting the regulations that we checked but we did ask the provider to make some improvements. This was because people were not always supported by staff to maintain their dignity and privacy and the systems in place to gather people’s feedback required improvement to further develop the service according to people’s preferences. At this inspection visit, we saw that improvements had been made.
Rosemary Lodge provides accommodation and personal care support for up to 32 older people. There were 27 people who used the service at the time of our visit.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered manager determined the staffing levels following an assessment of people’s needs. People told us and we saw there were sufficient staff available to support them. Staff had knowledge about people’s care and support needs to enable support to be provided in a safe way. Staff understood what constituted abuse or poor practice and systems and processes were in place to protect people from the risk of harm. Systems were in place and followed so that medicines were managed safely and people were given their medicine as and when needed. The registered manager had undertaken thorough recruitment checks to ensure the staff employed were suitable to support people.
Staff understood people’s needs and preferences and were provided with training and supervision, to support and develop their skills. The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Where people lacked capacity in certain areas, capacity assessments had been completed to show how people were supported to make those decisions. People received food and drink that met their nutritional needs and preferences, and were referred to healthcare professionals to maintain their health and wellbeing.
Staff were caring in their approach and supported people to maintain their dignity and privacy and were supported to maintain and develop their social interests. There were processes in place for people to express their views and opinions about the home and were confident that they could raise any concerns with the registered manager. There were systems in place to monitor the quality of the service to enable the registered manager and provider to drive improvement.