Trinity Court Nursing Home
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NursingDementia
Rated 5 years agocare home
CQC report explained · a nursing home, run by T Lewis
Rosedene Nursing Home
141-147 Trinity Road, Wandsworth Common, London, SW17 7HJ
Requires improvementpublished 16 January 2026, 7 months ago
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
The latest report, explained
What inspectors found, December 2023
Rosedene Nursing Home was rated Good; inspectors found safe, well-managed care, although some people said they did not always feel safe.
This was an unannounced focused inspection on 30 November and 1 December 2023. Inspectors looked at Safe and Well-led after concerns about an increase in incidents involving people being harmed. They spoke with people, visitors, staff and professionals, observed care, and checked care plans, medicines records, staff files and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe recruitment, clean premises, good infection control and well-managed medicines. Staff understood people's risks and responded calmly to distress. The home worked with health and social care professionals and reviewed incidents, complaints and safeguarding concerns.
Some people and a relative said they felt unsafe because of another person's distressed behaviour. The managers said they knew about the issue and took action to find a more suitable placement. Inspectors found no evidence during this inspection that people were at risk of harm.
What inspectors praised
Calm responses to distress
Staff knew people's routines and risks. Inspectors saw them respond promptly and calmly to potentially harmful incidents.
“These incidents were potentially harmful to everyone involved and the staff dealt with them in the most professional, calm, and dignified way.” from the report
Enough suitable staff
Staffing matched the rota during the inspection and people received the support they needed. Recruitment checks included identity, right to work and DBS checks.
“People were supported by enough staff to meet their assessed needs.” from the report
Medicines managed safely
Inspectors found medicines were stored, given and checked safely. The medicines records they reviewed had no recording errors or omissions.
“We found no recording errors or omissions on medicines records we reviewed.” from the report
Clear management oversight
Managers regularly checked the quality and safety of care, reviewed incidents and feedback, and used action plans to make improvements.
“The quality and safety of the service they provided was routinely monitored by managers and nursing staff” from the report
Good partnership working
The home worked with GPs, community nurses, behavioural support teams and local authorities to support people's care.
“The provider worked in close partnership with various community professionals and external agencies” from the report
What inspectors were concerned about
Some people felt unsafe
seriousA few people and a relative said they did not feel safe because another person's distressed behaviour could include lashing out. The provider said it had acted to find a more suitable placement.
“I don't always feel safe here because of 1 person who can lash out at others who live and work here.” from the report
Questions to ask them, based on this report
- 01What action was taken to find a more suitable placement for the person whose distressed behaviour made some people feel unsafe?
- 02What were the outcomes of the open safeguarding investigations being conducted by the local authority?
- 03How do you review incidents involving people being harmed, and what changes have been made as a result?
- 04Has the new electronic care planning system been introduced, and how has it improved care records and monitoring?
- 05How will you keep relatives informed about safety incidents, care reviews and any changes to a person's support?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried over. This explanation was written from the published report of 23 December 2023 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 Rosedene Nursing Home
7 rated inspections over 7 years: the service has improved, from Inadequate to Good.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2022GoodSafe: GoodWell-led: Good
- August 2021Inspected but not ratedSafe: Inspected but not rated
- July 2020Goodstayed GoodSafe: GoodWell-led: Good
- June 2018Goodup from Requires improvementSafe: Requires improvementWell-led: Good
- April 2017Requires improvementup from InadequateSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2016Inadequatestayed InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvement
- August 2016InadequateSafe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate
- August 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 January 2011.
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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