Roseville Care Centre - PAMMS Assessment Report

Stockton-on-Tees Borough Council (SBC) are utilising the Provider Assessment and Market Management Solutions (PAMMS) in our quality assurance process. PAMMS is an online assessment tool developed in collaboration with Directors of Adult Social Services (ADASS) East and regional Local Authorities. It is designed to assist us assess the quality of care delivered by providers.

The summary table below detail the PAMMS assessments undertaken for the contracted Older Persons (OP) care home throughout April 2024 to March 2025.

Date of inspection

16 to 18 February 2026

Date assessment was published

12 March 2026

Date previous assessment was published

17 February 2025

PAMMS Assessment Summary (Positive Outcomes, Observations and Concerns)

The home uses an electronic care planning system. Care plans are personalised and detailed, with each resident having a front page showing their photograph, room number, "Do Not Attempt Cardiopulmonary Resuscitation" (DNR) status, and whether any restrictions on their liberty are in place. This front page also provides an overview of risks, preferred conversation topics, medical information, care needs, required equipment, and key contact details. It offers clear and useful information for doctors, specialists, social workers, advocates, friends, and family.

Each resident has an "About Me" section describing what is important to them, the people who matter most in their lives, how best to communicate with them, and their personal preferences. Care records update live throughout the day, showing amber when tasks are overdue and green when completed. Although electronic plans cannot show signatures, discussions with residents or families are recorded in the care plan notes or monthly reviews.

Care plans included relevant risk assessments, and Personal Emergency Evacuation Plans (PEEPs) were available both electronically and in printed form. Electronic versions were kept up to date, and printed copies stored in the fire bag were confirmed as current and reviewed monthly. Nutritional assessments were completed consistently. Food and fluid charts were updated throughout the day, recording what was offered and what was consumed. A full health passport can be produced from the electronic system.

Care plans and risk assessments were reviewed monthly. Daily charts for nutrition, mobility, toileting, hygiene, mattress checks, and meals were completed consistently. Daily notes were a mix of system‑generated options and free‑text entries, updated throughout the day.

Staff interactions with residents were observed to be warm, patient, and respectful. Staff communicated clearly and adapted their approach based on each resident's abilities. Residents were never rushed and were given time to make decisions or respond.

Residents gave positive feedback about the food. They were offered choices at mealtimes, and observed mealtimes were calm and supportive. Residents were encouraged to eat, supported to be as independent as possible, and provided with adaptive cutlery, plates, and cups when required.

Service certificates were in date, overseen by the onsite maintenance manager. A range of audits are completed daily, weekly, monthly, and quarterly, managed electronically with clear oversight. Maintenance, cleaning, laundry, and kitchen logs were up to date. Fire safety records, including equipment checks, drills, and alarm tests, were maintained.

Medication rooms were clean, organised, and secure. Controlled medication was stored in locked cupboards, and medicines were organised by individual resident. Trolleys were kept in locked rooms. Temperature checks for rooms and refrigerators were recorded daily, with only a few gaps noted. Clear instructions were displayed for staff if temperatures fell outside the safe range.

During the assessment, staff used moving and handling equipment safely and always sought residents' consent before beginning a task. Safeguarding information was displayed throughout the home.

The medication policy was in date. No gaps were found in the electronic medication administration records (EMAR). Guidance for "as needed" medicines was up to date, and staff recorded both the reason for giving them and the outcome. Medication labels were mostly clear, with only minor issues noted. Administration of patches and variable‑dose medicines was fully documented. The manager conducted regular audits, including controlled drug checks.

Staff files were well organised and contained full recruitment documentation, including interview notes, references, right‑to‑work checks, identification, enhanced criminal record checks, contracts, qualification certificates, and acknowledgements of policies and procedures. Nurse registration checks were in place. Staff had completed induction booklets linked to the care certificate; all were fully completed, although two lacked a final manager signature. Training completed during induction was recorded.

Staff had bi‑monthly supervision sessions and annual appraisals. Records reviewed were individualised rather than generic. Staff were knowledgeable about safeguarding, types of abuse, and whistleblowing, and knew how to report concerns internally and externally.

The home was clean and uncluttered, although some décor showed wear. Laundry was well organised, and equipment issues were addressed promptly. Hand hygiene reminders were prominently displayed. Cleaning schedules were complete. Safety data sheets for cleaning products were available and supported by risk assessments, reviewed annually. The kitchen was clean and well maintained, with a five‑star food hygiene rating achieved in April 2025.

Risk assessments were completed for all residents who required equipment. The manager kept a detailed file of standard risk assessments and safe work procedures. The home included features supportive of people living with dementia, such as coloured handrails, distinctive bedroom doors, and clear bathroom signage. The manager was familiar with local dementia care guidance and remained in contact with the Dementia Community Link Worker.

Plans and Actions to Address Concerns and Improve Quality and Compliance

No areas were identified that were 'Requires Improvement.

Level of Quality Assurance and Contract Compliance Monitoring

Level 1 - No Concerns / Minor Concerns - Standard Monitoring.

Level of Engagement with the Authority

The provider has a good relationship with the Quality Assurance & Compliance (QuAC) Officer and responds to requests for information in a timely manner. 

Engagement and Support from Transformation Managers

Roseville communicates well with the Transformation Team, and currently engage at a moderate level, including attending Provider Forums, Activity Coordinator Network and Transformation Team-organised events in the community alongside other care homes and their residents. We will continue to discuss further opportunities that support the care home to engage to a higher level.

Current Care Quality Commission (CQC) Assessment - Date of Report Publication and Overall Rating

Date of inspection

22 August 2024

Overall rating

Good