Gibraltar Road Nursing Home
Halifax, HX1 · 0.4 km
Nursing
Rated 3 years agocare home
CQC report explained · a nursing home, run by Bondcare
Rose Lodge Care Home
Gibbet Street, Halifax, HX1 4JW
Goodpublished 18 December 2024, 20 months ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The latest report, explained
What inspectors found, April 2024
Summerfield House Nursing Home was rated Inadequate and placed in special measures because inspectors found serious risks in safety and management.
This was an unannounced focused inspection. Inspectors visited on 16, 24, 25 January, and 5 and 8 February 2024. They observed care, spoke with people, relatives, staff and professionals, and checked care, medicine, recruitment and management records.
The home was not always safe. Risks were not managed properly, medicines records were unreliable, staffing was not always sufficient, training was out of date and recruitment checks were incomplete. People were not always treated with dignity, and care was not consistently person-centred.
The home was rated Inadequate overall, for Safe and for Well-led. Caring was rated Requires Improvement. The ratings for Effective and Responsive were not assessed during this inspection and were carried forward from the previous inspection. The provider made an action plan, increased staffing and brought in extra senior management, but CQC said it would check progress at a future inspection.
What inspectors praised
Clean environment
The environment was clean and well maintained. Inspectors found good infection control practices and appropriate use of protective equipment.
“Good standards of hygiene and cleanliness were maintained. Staff wore PPE appropriately.” from the report
Visiting
People could receive visitors without restrictions. Relatives said they could visit at any time.
“People were supported to keep in touch with friends and relatives.” from the report
Healthcare links
People had access to healthcare services, and care records showed involvement from health and social care professionals.
“Care records showed the involvement of health and social care professionals in people's care.” from the report
What inspectors were concerned about
Unsafe medicines
seriousMedicine records were incomplete or inaccurate. This included medicines for swallowing difficulties, as-needed medicines, hidden medicines and medicine patches.
“We found medicines were not managed safely. This was a breach of regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report
Risks not managed
seriousInspectors found problems with pressure-relieving equipment, specialist diets, weight loss, fire drills and recording incidents. Risks to people and staff were not always reviewed properly.
“Risks to people were not always assessed and managed placing them at risk of harm.” from the report
Insufficient staffing
seriousPeople sometimes waited too long for help, and inspectors had to ask staff to assist people. Staff deployment and safety training were also not always adequate.
“We found there were not always sufficient staff deployed to meet people's needs and keep them safe.” from the report
Dignity and communication
seriousSome staff did not explain care, respond to distress or protect privacy. Inspectors saw people exposed while using the toilet and heard people referred to by room numbers.
“People were not always treated with dignity and respect. This was a breach of regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report
Safeguarding concerns
seriousInspectors identified concerns about care practices that the management team had not found. One person was restricted to staying in bed because a specialist chair had to be shared.
“People were not protected from abuse and improper treatment. This was a breach of regulation 13(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report
Weak oversight
seriousThe provider's checks did not identify or resolve repeated problems. Incident analysis, handovers and care records were not consistently accurate or useful.
“The provider's systems and processes were not established or operated effectively to assess and monitor the service, and to ensure continuous learning and the improvement of the quality of care.” from the report
Questions to ask them, based on this report
- 01What has changed in the medicines system, and how are you checking that thickening powder, as-needed and hidden medicines are recorded and given safely?
- 02How many staff are now scheduled on each floor and at night, and how do you check that people respond promptly to call bells and requests for help?
- 03What action has been taken to protect people from abuse, distress and loss of dignity, including privacy when using the toilet or taking phone calls?
- 04How are risks such as pressure damage, choking, weight loss and fire safety now assessed, recorded and reviewed?
- 05Who is currently leading the home, and how will you show that the action plan is working and that concerns raised by residents and relatives are acted on?
This was a focused inspection of Safe, Caring and Well-led only; Effective and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 6 April 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Rose Lodge Care Home
7 rated inspections over 7 years: the service has slipped, from Good to Inadequate.
- April 2024Inadequatecurrent ratingdown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- November 2023Requires improvementstayed Requires improvementSafe: Requires improvementCaring: GoodWell-led: Requires improvement
- April 2023Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- July 2022Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodWell-led: Requires improvement
- September 2021Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Good
- March 2020Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016
Registered with the Care Quality Commission on 27 May 2016.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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