Roseworth Lodge - 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 2026 to March 2027.

Date of inspection

26 and 27 May 2026

Date assessment was published

11 June 2026

Date previous assessment was published

7 July 2025

PAMMS Assessment Summary (Positive Outcomes, Observations and Concerns)

Residents were seen to be supported in a person-centred manner with dignity upheld. Consent was obtained and choices respected when supporting individuals. No discriminatory practices were observed. There was evidence in care plans of residents and their families being involved in care plans and discussions with people confirmed the same. A keyworker system is in place however there was limited evidence of keyworkers being involved in reviews and people did not appear to be aware of who their allocated workers were.

An action plan will be created to address the one area identified as requiring improvement as well as areas which were overall good but with recommendations made for improvement. This will be monitored closely by their Quality Assurance and Compliance (QuAC) Officer to ensure completion within the imposed timeframes.

Positional changes, MUST (malnutrition universal screening tool) assessments and Waterlow scores were carried out regularly; however, they did not always align with the care plan. Feedback from those spoken with was positive regarding the home and staff and their communication and liaison with other services to support residents with their health and wellbeing.

All risk assessments, including PEEPs (personal emergency evacuation plans), were in date and reviewed within the last month however monthly reviews were not consistently completed in line with contractual requirements, Daily notes were completed well, though often were basic.

Residents had access to food and drink outside mealtimes and had choice over menu options and portion sizes. Appropriate hygiene and food safety practices were observed and records were largely well maintained, with any issues identified and addressed by management. The home was rated 5 (very good) at their most recent food hygiene inspection in June 2025. The home is clean, tidy, and free from malodour and appropriate infection prevention and control procedures were seen to be in place.

There are several mechanisms in place for obtaining feedback on and monitoring the quality of service delivered, including several audits, oversight of accidents and incidents and satisfaction surveys. Those spoken with reported that they/their loved ones are safe and well cared for at Roseworth Lodge and feedback was extremely positive in this regard and high praise was given to staff and management.

Medications were stored safely with appropriate monitoring in place and staff competencies conducted in line with contractual requirements though there is a new electronic medication system in place which staff require additional training on, as there was an apparent lack of understanding of the system.

The premises was seen to be safe and secure, and health and safety checks and practices were in place as expected. A dementia friendly environment was observed, and the home have completed the dementia friendly guide.

Appropriate recruitment procedures were in place including 3 yearly DBS checks as per best practice. Training compliance was at 100% and staff confirmed they have regular supervisions and appraisals; documentation confirmed the frequency of which was is in line with the contractual obligation.

A range of audits are conducted by both departmental staff (kitchen, maintenance, domestic) and the managerial staff. The managerial audits include a specific review of the departmental staff audits. The audits were noted to identify where gaps had occurred and recorded follow up actions taken, giving assurance of managerial oversight and a responsive approach.

Plans and Actions to Address Concerns and Improve Quality and Compliance

An action plan will be created to address the areas identified as requiring improvement as well as areas which were overall good but with recommendations made for improvement. This will be monitored closely by their Quality Assurance and Compliance (QuAC) Officer to ensure completion within the imposed timeframes.

Level of Quality Assurance and Contract Compliance Monitoring

Level 1 - no concerns, standard monitoring

Level of Engagement with the Authority

The provider is responsive to requests from and liaises closely with their Quality Assurance and Compliance (QuAC) Officer. Performance Dashboard submissions are made in a timely fashion, and queries are responded to promptly.

Engagement and Support from Transformation Managers

The care home engages well with the Transformation Team, making good use of the range of opportunities available to support service development and quality improvement. This includes regular participation in provider forums, activity networks, workshops, and training sessions, which are helping to build shared learning and strengthen practice. The home demonstrates commitment to developing leadership capacity and driving improvement through looking at future research project opportunities.

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

Date of inspection

14 July 2023

Overall rating

Good