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CQC report explained · a residential care home, run by Rosenmanor

Rosenmanor Limited

18 Bensham Manor Road, Thornton Heath, Croydon, CR7 7AA

Requires improvementpublished 25 April 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
People's individual risks, medicines, staffing and infection control were managed well in several areas. But environmental hazards were not always identified or dealt with promptly, including radiator, garden, boiler room and laundry risks.
Effective?
Good
People's needs and choices were assessed, staff were trained and supervised, and people received support with food, activities and healthcare. Mental capacity and best-interest processes were also in place.
Caring?
Good
People said staff were kind and caring. Staff respected privacy, supported independence, recognised cultural and spiritual needs, and involved people in decisions about their care.
Responsive?
Good
Care was personalised around people's needs and preferences. People were supported with communication, relationships, activities, cultural needs, complaints and regular keyworker meetings.
Well-led?
Requires improvement
New audits, action plans and management support had led to improvements. However, the provider's quality checks had not identified important safety problems, so the provider remained in breach of good governance requirements.
The latest report, explained

What inspectors found, April 2024

Rosenmanor Limited rated Requires Improvement overall; safety and management checks still had important gaps, but the home is no longer in Special Measures.

Inspectors visited without notice on 4 and 7 July 2023. They spoke with people and staff, reviewed care records, staff files, medicines and audits, and checked the building, fire safety, infection control and food safety.

The home had improved since the previous inspection. Medicines were managed safely, care was kind and personalised, and people were supported with activities, healthcare and independence. The ratings for Effective, Caring and Responsive were Good.

However, inspectors found hazards including uncovered or damaged radiator covers, unsafe garden furniture, trip risks and an unsafe boiler room. The home's own checks had not found these problems. The ratings for Safe and Well-led were Requires Improvement, and the home remained in breach of Regulations 12 and 17.

The previous overall rating was Requires Improvement, and the home had been in Special Measures since January 2023. It is no longer in Special Measures because it is no longer rated Inadequate overall or for any key question. CQC said it will continue to monitor the home.

What inspectors praised
  • Safer medicines

    Medicines were stored securely and given as prescribed. Records had no gaps, and staff had clear guidance for creams and medicines given when needed.

    People's medicines were stored safely in a locked medicines trolley which was tethered to a wall.from the report
  • Kind and respectful care

    People described staff as kind. Inspectors saw staff respect privacy, knock before entering bedrooms and support people to build independence.

    We observed that staff knocked on people's bedroom doors and waited for permission before entering.from the report
  • Personalised support

    Care plans included people's choices, worries, communication needs and cultural needs. People took part in reviews and chose how to spend their time.

    People received care and support that was planned around their needs and preferences.from the report
  • Improved infection control

    The home was clean, bathrooms had no evidence of leaks, damp or mould, and water safety checks had been introduced. The provider was no longer in breach of this part of Regulation 12.

    At this inspection we found that enough improvement had been made and the provider was no longer in breach of this part of regulation 12from the report
  • Good support from other services

    Staff worked with healthcare professionals, social workers, local authorities and mental health services to support people's changing needs.

    The management and staff worked collaboratively with others to meet people's needs.from the report
What inspectors were concerned about
  • Environmental safety hazards

    serious

    Inspectors found people could be harmed by uncovered or damaged radiator covers, unsafe garden furniture, trip hazards and an unsafe boiler room. Some problems were fixed during the inspection, but further work still needed checking.

    The providers failure to ensure that the premises is safe is a continued breach of regulation 12from the report
  • Quality checks missed risks

    serious

    The provider's own audits did not identify several safety problems before inspectors found them. This meant the provider remained in breach of Regulation 17.

    The failure to assess, monitor and improve the quality and safety of the service is a continued breach of Regulation 17from the report
  • Some improvements were not complete

    needs fixing

    Items remained in a fenced-off garden section, and the provider still had to confirm that appropriate flooring and a step had been installed in the boiler room.

    We will be checking to confirm that safe flooring and an appropriate step have been installed.from the report
Questions to ask them, based on this report
  1. 01Have all four uncovered radiators and the damaged radiator covers been replaced with sturdy covers?
  2. 02Has the unsafe garden furniture been removed, and have all remaining garden items and trip hazards been dealt with?
  3. 03Has the boiler room been fitted with safe flooring and an appropriate step, and is it kept safely restricted?
  4. 04How often are environmental safety checks now carried out, and who confirms that problems are fixed?
  5. 05What action is being taken in response to the Regulation 17 Warning Notice?

This was an unannounced comprehensive inspection covering all five key questions, including infection prevention and control, and checking progress after the previous inspection. This explanation was written from the published report of 25 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 Rosenmanor Limited

4 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. April 2024Requires improvementcurrent ratingup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Rosenmanor Limited

  2. January 2023Inadequatedown from Good
    Safe: InadequateCaring: Requires improvementWell-led: Inadequate

    We are reading this report · the original is on cqc.org.uk

  3. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 14 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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Same provider

Other services run by Rosenmanor Limited

2 other services on the CQC register. A pattern across a group tells you more than one report.

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