Rosedene

Updated 6 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 26 November 2017 and was unannounced.

There was one inspector in the inspection team.

The inspection was prompted in part by concerns that were shared with us about the home. The concerns related to whether the Registered Manager understood people's care and escalated concerns appropriately. We reviewed how people received care and spoke with a health professional supporting people living at the home in order to understand whether people received the appropriate care and support.

Inspection site visit activity started 26 November 2017. We followed the visit to the home, with phone calls to staff.

The provider was not able to complete a Provider Information Return because we brought forward the scheduled date of our inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed three people’s care plans, daily records and medical administration charts. We also reviewed checks the registered manager undertook as well as meetings with healthcare professionals, staff and family members. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 6 March 2018

Rosedene provides accommodation for a maximum of six people requiring personal care. There were five people living at the home when we visited.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.” Registering the Right Support CQC policy.

There was a registered manager in post when we inspected the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were comfortable and at ease around care staff who understood how to keep people safe. Staff had received updated training and understood people’s individual circumstances. Staff understood who to report concerns to as well as the risks to people’s health. Staff understood people’s health conditions and how they required supervision and support. The risks to people’s health were reviewed regularly and updated based on the known risk to people’s health. Staff working at the home had been subject to background checks before they started their employment at the home. Staffing needed to support people safely was reviewed and updated based on people’s changing needs. People’s access to medicines was reviewed and checked to ensure people received their medicines as prescribed.

Staff were supported through access to training and supervision and received feedback on their performance. Staff supporting people understood the importance of obtaining their consent before undertaking any support tasks. Staff supported people to maintain a healthy diet. People were also supported to attend appointments with healthcare professionals in order to aid their health and wellbeing.

People knew and liked the staff supporting them. Staff understood people’s individual care needs and preferences. Staff involved people in their care by explaining choices and supporting people to make decisions about their care. People were supported by staff who demonstrated an understanding of supporting people with dignity and respect.

People were supported to pursue hobbies and interests that were important to them. Staff understood how to support people. People’s care was reviewed and updated in response to their changing care needs. People understood they could speak with staff and the registered manager if they were unhappy about their care. Complaints were recorded and responded to in line with the registered provider’s policy.

People knew and liked the registered manager. Staff spoke positively about working at the home and understood their role within the team. Staff felt able to seek help and guidance as well as contribute ideas to care planning. Regular reviews of people’s care ensured people’s care planning was timely and up to date. The registered manager reviewed and updated people’s care regularly and sought advice and guidance to improve the care people received.