The Roses

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

People said they felt safe with staff and were happy with the support provided by them. People’s care, treatment and support promoted equality, removed barriers or delays, and protected their rights. People’s individual risks were identified, and risk assessment reviews were carried out to keep people safe. Medicines were safely managed on people’s behalf. Environmental risk assessments considered all aspects of the home, both internally and externally to ensure people lived freely within a safe environment. The provider undertook regular health and safety checks of the premises. Effective infection control measures were in place.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and relatives were supported to raise any concerns and were able to meet with the management team if required.

There was a clear focus on keeping people safe. Health and social care professionals were referred to for advice, as necessary.

Accidents and incidents were monitored for any patterns to aid learning and resulted in changes that improved care for people. For example, involvement of relevant health and social care professionals. Complaints were appropriately investigated and reported.

People confirmed they received safe care and support and when indicated staff liaised with relevant health and social care professionals.

Staff said they were well supported and had enough information to meet people’s needs.

The service worked well with partners and shared valuable information between services.

There was clear evidence of appropriate and timely referrals and reviews of people’s care and support. For example, with GPs, speech and language therapy team (SALT), respiratory team and older people mental health team (OPMHT).

People felt safe with the staff that supported them and felt able to raise any concerns.

Staff demonstrated an understanding of what might constitute abuse and knew how to report any concerns they might have. For example, staff knew how to report concerns within the organisation and externally such as the local authority, police, and the Care Quality Commission (CQC).

We saw kind and respectful interactions between people and staff.

Staff had received safeguarding training, to ensure they had up to date information about the protection of vulnerable people. The provider demonstrated an understanding of their safeguarding role and responsibilities. They explained the importance of working closely with commissioners, the local authority and relevant health and social care professionals on an on-going basis. There were clear policies for staff to follow. Staff confirmed that they knew about the safeguarding adults’ policy and procedure and where to locate it if needed.

People were supported and encouraged to be as independent as possible, with measures in place to minimise known risks. For example, through the layout of the premises and having necessary equipment available.

Staff were aware of and knew where to find information about people's risks. Staff told us that changes relating to people’s care were communicated to them through several different channels, for example internal messages, handovers, and staff meetings.

Staff were visible and attentive and knew how peoples’ risks were managed. The provider ensured there were enough staff to support people, for example in the communal areas.

People’s individual risks were identified, and the necessary risk assessment reviews were carried out to keep people safe. For example, risk assessments had been carried out for mobility, falls, diabetes, eating and drinking and skin care. Where indicated, monitoring charts were in place to ensure people received safe care and support. For example, charts were in place to monitor people’s food and fluid intake, repositioning, weight, and pressure relieving mattress settings. Risk management considered people’s physical and mental health needs and showed that measures to manage risk were as least restrictive as possible. This included ensuring necessary equipment was available to increase a person’s independence and ability to take informed risks. Records showed learning from incidents and investigations took place and appropriate changes were implemented. For example, care plans and risk assessments were updated. Involvement of other health and social care professionals was requested, where needed, to review people’s plans of care and treatment.

People told us staff helped them feel safe without minimising their independence. They felt able to move freely around the home and spend the day as they wished.

Staff confirmed they had received relevant health and safety training, including fire safety to carry out their roles to ensure the safety of people living in the home. The provider had a service improvement plan in place to ensure good oversight of all aspects of the premises. The registered manager liaised regularly with the provider to address any arising matters. A maintenance record was in place and jobs were completed in a timely manner.

People’s individual needs were met by the adaptation, design, and decoration of the premises. People had a variety of spaces in which they could spend their time and their bedrooms were personalised. Reasonable adjustments had been made to enable people to move around as independently as possible.

Risks relating to the physical environment had been identified and the necessary remedial actions were completed to ensure people’s safety. Environmental risk assessments considered all aspects of the home, both internally and externally to ensure people lived freely within a safe environment. The provider undertook regular health and safety checks of the premises. Safety systems and equipment used at the service were maintained and serviced at regular intervals to make sure these remained in good order and safe for use. People had individual personal evacuation plans in place to guide staff in the event of a fire.

People said they liked the staff supporting them and support was available in a timely way.

The provider ensured there were enough staff deployed to meet the needs of the people at the service.

We observed people being supported appropriately by staff in a timely manner throughout our visit.

Staff were well trained and competent in their jobs. Staff received training, which enabled them to feel confident in meeting people’s needs and identify changes in people’s health. Staff received training on a range of subjects including, safeguarding vulnerable adults, the Mental Capacity Act 2005 (MCA), moving and handling, first aid and a range of topics specific to people’s individual needs. For example, dementia, diabetes, skin care, end of life care and sepsis awareness. Staff had also completed nationally recognised qualifications in health and social care, including the Care Certificate, which encouraged them to provide safe, compassionate care. Staff received on-going supervision for them to feel supported in their roles and to identify any future professional development opportunities. Staff confirmed they felt supported by the registered manager. There were effective recruitment and selection processes in place.

People confirmed that the home was clean and tidy with a homely feel. Comments included, “My room is cleaned daily” and “The home is very clean.”

Staff were trained in infection control and said there was plenty of equipment to ensure effective infection control.

Staff wore appropriate personal protective equipment.

Effective infection control measures were in place. Hoists and other equipment were monitored and kept clean. Cleaning charts were up to date, which covered all aspects of the home. Infection control audits were completed on a regular basis to ensure the safety of the layout and hygiene of the premises. The provider’s infection prevention and control policy was up to date.

People confirmed they received their medicines in a timely and safe manner.

People were supported by staff who followed systems and processes to administer, record and store medicines safely. Staff made sure people received information about medicines in a way they could understand.

Staff followed effective processes to assess and provide the support people needed to take their medicines safely. Staff reviewed each person’s medicines regularly to monitor the effects on their health and wellbeing and provided advice to people about their medicines. Storage temperatures were monitored, there were suitable storage arrangements including medicines that required further security. There were regular safety checks for these medicines. Medicines were disposed of safely. Audits were undertaken to ensure people were receiving their medicines as prescribed. The checks also ensured medicines remained in date.