Rosenmanor 1

The provider had established governance and monitoring systems in place however, these were not always operated effectively. This meant the provider had failed to always identify and take appropriate action to prevent people living in the care home being placed at risk of harm. This included staff working excessively long hours without taking sufficient time off to rest and recuperate, staff not always wearing personal protective equipment (PPE), and not always respecting the privacy of people living in the care home.

In addition, records the provider is meant to keep and make available to the CQC on request were not always made immediately accessible on request.

Furthermore, staff were not always adequately supported and supervised by their line managers. This was because staff did not have sufficient opportunities to routinely reflect on their working practices and professional development.

People were kept safe from abuse. The provider ensured there were always sufficient numbers of suitably trained staff to support people and keep them safe. People received personal care and support from staff whose fitness to work in adult social care had been checked. People received their medicines as they were prescribed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to access food and drink that met their dietary needs and wishes. People were supported to stay emotionally and physically healthy and well, and to access relevant community mental health and social care services as and when they needed to.

People were treated equally and had their diversity respected, including their cultural and spiritual needs and wishes. People typically described staff as "kind". People were encouraged and supported to maintain their independent living skills and to do as much for themselves as they were willing and capable of doing safely.

People's care plans were person-centred, which helped staff provide them with the individualised care and support they needed. Staff ensured they communicated and shared information with people in a way they could easily understand. People were encouraged to make decisions about the care and support they received at the care home and staff respected their informed choices. Where appropriate, people's end of life wishes and contacts were known and recorded for staff to refer to.

The registered manager promoted an open culture which sought the views of people, their relatives and staff. The provider worked in close partnership with other health and social care professionals and agencies to plan and deliver people's packages of care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection The last rating for this service was good (published 26 August 2021).