Rosecroft Residential Care Home

Social Care Org · London

Overall Rating
Inadequate Last inspected 17 January 2017
Domain Ratings
Safe
Inadequate
Effective
Inadequate
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

8 must-do actions
6 should-do actions

Must-Do Actions (8)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Well-led
The provider must send CQC a report detailing the action they are going to take to ensure compliance with Regulation 16 Registration Regulations 2009 regarding notification of death of a person who uses services.
Regulation 16 Registration Regulations 2009 Notification of death of a person who uses services
We identified that the provider had failed to notify the CQC of the death of people using the service prior to November 2016.
Must Do
Well-led
The provider must send CQC a report detailing the action they are going to take to ensure compliance with Regulation 18 Registration Regulations 2009 regarding notifications of other incidents.
Regulation 18 Registration Regulations 2009 Notifications of other incidents
We identified that the provider had failed to notify the CQC of incidents in order for the CQC to monitor the safety and quality of the service provided prior to November 2016.
Must Do
Safe
The provider is required to send us information on a monthly basis to evidence the safe management of medicines, risks to people in relation to their care plans and records of care delivery, safe staff recruitment records and action plans resulting from audits conducted of staff training.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Medicines were not administered, managed and stored safely. Risks to people's physical and mental health needs were not assessed, monitored and reviewed to ensure risks were managed. People's care and support needs were not always reviewed in response to changes in people's identified needs. Accidents and incidents were not recorded …
Must Do
Safe
The registered provider must not admit any new service users to Rosecroft Residential Care Home without written agreement from the CQC.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Medicines were not administered, managed and stored safely. Risks to people's physical and mental health needs were not assessed, monitored and reviewed to ensure risks were managed. People's care and support needs were not always reviewed in response to changes in people's identified needs. Accidents and incidents were not recorded …
Must Do
Safe
The provider is required to send us information on a monthly basis to evidence action plans resulting from audits conducted within the service of the training of all staff on safeguarding adults.
Regulation 13 HSCA RA Regulations 2014 Safeguarding service users from abuse and improper treatment
Safeguarding systems and processes had not been operated effectively to protect people from abuse or harm.
Must Do
Well-led
The provider is required to send us information on a monthly basis to evidence the systems in place are effective in monitoring and assessing the quality of the service.
Regulation 17 HSCA RA Regulations 2014 Good governance
There were no records of maintenance checks or repairs in place to monitor the safety of the environment and equipment. Effective systems to assess and monitor the quality of the service, and take action to improve the quality and safety of the service were not in place. Where audits were …
Must Do
Safe
The provider is required to send us information on a monthly basis to evidence the systems in place to ensure staff are recruited safely.
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Staff recruitment practices in place were not robust and appropriate recruitment checks were not always conducted before staff started work to ensure applicants were suitable to be employed in a social care setting.
Must Do
Effective
The provider is required to become compliant with Regulation 18, section (2) (a), of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 by 20 March 2017.
Regulation 18 HSCA RA Regulations 2014 Staffing
Staff did not receive appropriate support, supervision and appraisal to enable them to carry out their duties and meet people's needs. Not all staff had received training in order to meet people's needs.

Should-Do Actions (6)

Recommended improvements to enhance service quality.

Should Do
Effective
The provider should ensure that people's mental capacity assessments are decision specific and reviewed regularly.
Should Do
Effective
The provider should ensure that food and fluid charts for people using the service are completed in detail to monitor the types of foods and amounts people ate.
Should Do
Responsive
The provider should consistently provide meaningful activity for people using the service.
Should Do
Responsive
The provider should ensure that complaints are appropriately recorded and maintained.
Should Do
Well-led
The provider should ensure that staff meetings are held and recorded on a regular basis to maintain good communication and oversight.
Should Do
Well-led
The provider should ensure that action plans or records are in place to show how people's feedback from resident meetings and other sources has been consistently addressed.

Previous Inspection (21 September 2015)

Rating: Good Type: Comprehensive inspection Actions: None
Location Details
CQC ID: 1-112238270
Local Authority: Bromley
Region: London
Inspection Report
Type: Inspection report
Date: 17 January 2017
Rating: Inadequate
Actions: 8 must-do , 6 should-do
AI-extracted 17 Feb 2026