Rosebank Park, an extra care service for 54 people in Harwich, received a Good rating across all five key questions at its first inspection in April–May 2023. Minor shortfalls in recruitment record-keeping and care plan personalisation were identified but promptly addressed, with no breaches of regulation found.
Concerns (3)
moderate
Medication management
: “Records showed where a medicine error had occurred, which resulted in a person not receiving their pain management as prescribed.”
minorRecord keeping: “Where we found staff had a good understanding of people's needs, the personalised level of information in people's records did not always reflect this.”
minorGovernance: “The provider had safe recruitment systems in place, however, was not always being followed where gaps in 2 staff's employment history had not been fully explored.”
Strengths
· People and relatives reported high satisfaction, feeling safe and never rushed during care visits.
· Staff demonstrated a strong culture of promoting independence, dignity and person-centred care.
· Robust infection prevention and control systems, including mandatory training and spot checks.
· Good use of resident meetings, coffee mornings and surveys to engage people and drive improvements.
· Staff well supported through induction, ongoing training, competency checks and regular 1:1 supervision.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive, person-centred, open and inclusive cultureGood
well-led: Duty of candourGood
well-led: Managers and staff clarity on roles, quality performance, risks and regulatory requirementsGood
well-led: Engaging people, public and staff; continuous learning and improving careGood