Rosewood Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people were safe and protected from avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment, the rating has improved to good.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and incidents were investigated and reported appropriately. Lessons were learnt to continually identify and embed good practice. Care reviews detailed best practice guidance in relation to dementia and behaviours that may challenge others. Incident and accident records were used as a learning opportunity and staff were able to provide feedback about their experiences.

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. One person received support to engage with the mental health team, the falls team and their local GP. A relative said, “Any hospital appointments for my parents are discussed with me. If I am able to, I take my parents to these, but on occasions when I cannot, they will arrange hospital transport and someone to accompany them.”

The service worked well with people and healthcare partners to fully understand what being safe meant to them and the best way to achieve that. They had a clear focus on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. They always shared concerns quickly and appropriately. The registered manager responded appropriately when safeguarding concerns were raised. Staff received training in respect of safeguarding and were knowledgeable about the different types of abuse that could take place and how to report their concerns. A member of staff said, “I would report any abuse to CQC and tell the manager.”

The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive, and enabled people to do the things that mattered to them. The provider had effective policies and procedures in place when supporting people in personal relationships to remain safe. Care plans and risk assessment were detailed and contained useful guidance linked to best practice. Relatives told us, where possible people were involved in their risk management plans. Staff were knowledgeable about the risks and care required to ensure consent was respected.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The provider had systems in place to regularly check moving and handling equipment was inspected and fit for purpose. The provider had accredited external contractors to assess the arrangements in place for the premises, including the risk and management of legionella. The maintenance team had an ongoing record of work which was being acted upon. A fire risk assessment had been conducted on 23 October 2024 which stated, “All records of testing of fire safety provisions are available and up to date.”

The service made sure there were enough qualified, skilled, and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. Staff received appropriate training in relation to people’s specific needs. This included dementia, behaviours that challenge others and infection control. A member of staff said, “I have a lot of training. Moving and handling, fire training, first aid, there’s loads. I have done safeguarding training and mental health training.” Staff were knowledgeable about the training and supervision they had received and provided real examples to demonstrate their skills and learning. Sufficient numbers of staff were deployed, and new staff were recruited safely.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff were observed wearing suitable personal protective equipment when it was required. A relative said, “At first the carpets in the care home had seen better days but these have been replaced with laminate flooring now and so I am very pleased with the cleanliness.”

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened. One person who had a particular health condition required their medicine at specific times and received these as prescribed. Staff received training in how to administer medicine and their competence was frequently assessed by management. A relative said, “I feel staff are adequately trained. When my parents first went into Rosewood the staff went through the list of medications to check everything had been covered.” And “My father originally went in for respite care and it was made clear to me at what point the responsibility for supplying the required medication transferred from me to them, to ensure there was no possible shortfall.”