CQC report explained · a residential care home, run by Achieve Together

Roseville House

New Street, Wem, Shrewsbury, SY4 5AB

Goodpublished 15 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask

Safe?: Good; People were protected from abuse and avoidable harm, and staff understood known risks. Inspectors found one significant medicine error, although no harm was caused and action was being taken.
Effective?: Good; Care plans reflected people's needs and professional advice. People received suitable training and support with food, health appointments, communication and decisions.
Caring?: Good; People were treated with kindness, privacy and respect. Staff involved people in decisions and supported independence and relationships.
Responsive?: Good; Care was personalised to people's interests, communication needs and goals. People were supported to take part in activities, visit the community and maintain family relationships.
Well-led?: Requires improvement; The culture was positive and staff found the manager approachable. However, medicine checks did not identify a significant error and required notifications about authorised DoLS had not been submitted within the required time.

The latest report, explained

What inspectors found, November 2023

Roseville House is rated Good overall; inspectors found kind, person-centred care, but leadership and oversight need improvement.

This was an unannounced inspection over two days. One inspector spoke with people, relatives and staff, observed care, and checked care plans, medicine records, safety documents and other management information.

The home was rated Good for Safe, Effective, Caring and Responsive. People were supported by staff who understood their needs, treated them respectfully, helped them make choices and supported activities, family contact and community life.

Well-led was rated Requires Improvement. A significant medicine error was not found by the home's own checks, and required notifications about authorised DoLS had not been sent to CQC on time. The report says no harm was caused by the medicine error and that action was taken.

What inspectors praised

Personalised support
Care plans were based on people's needs and preferences. Staff understood how to communicate with people and support meaningful days.
“People's care plans and risk assessments were developed with people's input and ensured staff knew how to support people appropriately.” from the report
Kind and respectful care
Inspectors saw staff treating people with kindness and respect. People were involved in decisions and supported to keep their independence.
“People were observed being treated with kindness and respect by the staff team.” from the report
Activities and community life
People took part in activities they chose, developed daily living skills and had regular access to the local community.
“People engaged in activities of their choosing and had regular access to the local community.” from the report
Positive culture
Relatives and staff described a positive service. The manager had an action plan to track improvements and the home worked with outside organisations.
“The culture in the home was positive and people were supported to identify and work towards personal goals.” from the report

What inspectors were concerned about

Medicine oversight
serious
The home's audit did not identify a significant medicine error. Inspectors asked for an investigation, although no harm was caused and the error was said to be isolated.
“We identified 1 significant medicine error which had not been addressed by the provider.” from the report
Late regulatory notifications
needs fixing
Notifications confirming authorised DoLS had not been submitted to CQC for the previous 12 months. The manager took immediate action after inspectors raised this.
“Notifications to confirm DoLs authorisations had not been submitted for the past 12 months.” from the report
Infection control detail
minor
Inspectors were only somewhat assured because soap was not kept in communal bathrooms due to one person's behaviour. Staff said people could request soap when using the bathroom.
“Due to the behaviour of 1 person soap was not kept in the communal bathrooms.” from the report

Questions to ask them, based on this report

01What changes have been made to medicine checks since the significant medicine error was found?
02How will you make sure all DoLS notifications are sent to CQC within the required time?
03How many permanent or regular agency staff usually support people, and how do you cover unexpected staff shortages?
04How do you make sure people can access soap safely when using communal bathrooms?
05How are you reviewing privacy when people take medicines in the central medicine room?

This was an unannounced inspection covering all five key questions, including care, premises and infection prevention measures; the previous overall rating was Good in 2019. This explanation was written from the published report of 15 November 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 Roseville House

3 rated inspections over 7 years: the service has held its Good rating throughout.

November 2023Goodcurrent ratingstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Roseville House →
August 2019Goodstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
November 2016Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
July 2020
Registered with the Care Quality Commission on 27 July 2020.

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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What inspectors found, November 2023

Personalised support

Kind and respectful care

Activities and community life

Positive culture

Medicine oversight

Late regulatory notifications

Infection control detail

Every inspection of Roseville House

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