Rosewood House

The staff team was stable, so people were supported by staff who knew them well. Recruitment checks were completed before new staff started.

“There was a stable staff team in place. Some staff had worked at the service for several years.” from the report

Relatives and staff said people were safe in the home. Staff had safeguarding training and knew how to report concerns.

“People were protected from the risk of abuse as staff knew and understood their responsibilities to keep people safe and protect them from harm.” from the report

A larger kitchen had been installed. This gave people more opportunity to help prepare food and drinks, with some adaptations for wheelchair users.

“A new, larger kitchen had been fitted. Staff told us at times people took part in preparing food and drinks.” from the report

Staff knew people's health needs and worked with healthcare professionals. Relatives were told about changes in people's health or medicines.

“A healthcare professional told us staff followed advice and guidance and ensured it was communicated clearly to other staff members.” from the report

Relatives and staff said managers listened and that concerns and ideas could be raised. The duty of candour process had also improved.

“Relatives and external professionals told us communication was good and that they felt part of the team looking after their family member.” from the report

The home did not have reliable systems for recording medicines, checking stock, checking expiry dates or recording fridge temperatures. Inspectors found out-of-date medicines and other medicines that were not correctly managed.

“Some medicines found in the service were out of date. Prior to the inspection, 1 of these had still been in use.” from the report

People often spent their time doing the same things and did not go out often. Records did not show enough about people's aspirations, choices or alternatives when they declined an outing.

“Records of how people spent their time showed people did not go out often.” from the report

The home's audits and checks did not identify all the problems found by inspectors. This included concerns about medicines and whether people were receiving person-centred support.

“Checks of the service had not identified that some people had not been consulted on their goals or aspirations for the present and future.” from the report

An emergency evacuation file still included information about someone who no longer lived at the home. Inspectors recommended regular reviews of this information.

“However, a file to be used in the event of an emergency evacuation or fire contained details of 1 person who no longer lived at the service.” from the report