Rosedale

Updated 14 December 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 checked 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 site visit activity started on 6 November 2018 and concluded on 7 November 2018. The inspection team on the first day consisted of one inspector and an expert by experience. An expert-by-experience is somebody who has experience of this type of service. The expert's area of expertise was mental health and physical and sensory disabilities. An inspector and an inspection manager attended the home on the second day of the inspection.

Before the inspection we looked at all the information we had about the service. This information included statutory notifications that the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. The provider had also completed a Provider Information Return (PIR). This is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make. We also contacted the local authority responsible for monitoring the quality of the service to obtain their views. We used this information to help inform our inspection planning.

During the inspection we met with the registered manager and four members of staff including the deputy manager. After the inspection, we spoke with a representative of the provider to seek input on feedback from the inspection. We looked at four people's care records, staff training and recruitment records and records relating to the management of the service. We also spoke to four people who use the service to gain their views about the care and support they received. We received feedback from two health and social care professionals.

Updated 14 December 2018

We carried out this unannounced comprehensive inspection on 7 and 8 November 2018.

Healycare Limited - Rosedale is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Rosedale is registered to provide accommodation and personal care for up to six people with a mental health diagnosis. There were five people living in the service on the days of our inspection.

At the last inspection on 29 March 2016, the service was rated ‘Good’. At this inspection the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service was managed by a registered manager who was registered on 28 September 2011. 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.

The service's arrangements around fire safety required expert input to ensure that people were completely safe and they were appropriate for the home. We have made a recommendation around this issue that you can see in the 'Safe' section of this report.

People received their medicine as prescribed by healthcare professionals. Medicines were stored securely to ensure they were safe. There were risk assessments which identified risks to people and management plans had been put in place to ensure people’s health and well-being were maintained.

People consented to the care and support they received. The service complied with the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). Staff had been trained and understood their responsibilities in relation to MCA and DoLS.

People were safeguarded from the risks of abuse and improper treatment. Staff had received training on safeguarding and they were knowledgeable on the procedure to follow if they had any concerns. There were sufficient staff available to safely meet people’s needs.

People told us staff were kind and caring. We observed that staff treated people with respect and promoted their dignity. People were supported to communicate their views about how they wanted to be cared for.

People’s nutritional needs were met. People told us they enjoyed the choice of food that was available to them. People had access to food and drinks throughout the day. People were kept occupied and encouraged to participate in activities.

The premises was clean and hygienic.

Staff were trained on various areas to ensure they had the relevant skills, knowledge and experience to provide good care to the people they looked after. Staff received regular support and supervision to carry out their duties effectively.

The service liaised with various healthcare professionals to meet the needs of people.

People had their individual needs assessed and their care planned in a way that met their needs. People received care that reflected their preferences and choices. Reviews were held with people and their relatives to ensure people’s support reflected their current needs.

People had opportunities to share their views and give feedback about the service and these were acted upon. The service was subjected to regular quality checks to ensure it was of good quality and met people’s needs.

Further information is in the detailed findings below.