Rothsay Grange

Rothsay Grange is a care home that provides residential and nursing care for up to 60 people, including older adults, those living with dementia or physical disabilities, and younger adults. This report from the Care Quality Commission (CQC) details the findings of an inspection conducted in October 2022, which assessed the service across five key areas. The inspection found that significant improvements have been made since the previous assessment, particularly in areas that previously required attention, leading to a positive overall evaluation of the home's operations and resident well-being.

On safety, the home has made substantial improvements, including in medicine management and staffing, ensuring people are safeguarded from abuse and that the premises are maintained to a safe standard. Recruitment processes are robust, and agency staff are used effectively to maintain safe staffing levels, with regular reviews of staffing needs. While most residents and relatives feel safe, some noted occasional busy periods. Specific concerns were identified regarding the timing of antibiotic administration for one resident and the lack of capacity assessment for covert medicines for another, which the home is addressing.

In terms of how effective the care is, Rothsay Grange largely meets high standards. Care plans are generally comprehensive and regularly reviewed, though some require additional detail for truly personalised support. Staff receive thorough induction and ongoing training, with registered nurses maintaining current clinical skills. The service ensures residents receive adequate nutrition, with a responsive chef catering to individual preferences and needs, although one resident noted issues with salt content and limited diabetic dessert options.

The caring aspect of the service is highlighted by residents and relatives who consistently report feeling well cared for and involved in decisions about their care. Staff are described as kind, helpful, and supportive, fostering a safe and positive atmosphere within the home. Residents are supported to maintain their independence and make choices about their lives, with staff acting in their best interests.

However, there are areas where the service requires improvement in being responsive. While detailed care plans are in place, some clinical care plans lack specific details, particularly concerning escalation of treatment on emergency care forms. Residents also mentioned that support can be difficult to access during very busy times of the day, such as first thing in the morning.

Regarding how well-led the service is, Rothsay Grange operates positively. Staff have access to management through an open-door policy, and the provider understands their responsibilities regarding transparency with significant events. Regular meetings and quality surveys ensure good communication channels are maintained with staff, residents, and their families. The home has demonstrated an ability to effectively manage infection control and has reopened to visitors in line with government guidance.