We carried out a review of the data available to us about Roses Care Services on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Roses Care Services, you can give feedback on this service.
There was registered manager in place. 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.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good overall. We however found and the provider’s quality assurance systems needed improving.
People told us they felt safe receiving care from the staff. Staff had received training in safeguarding adults and understood their responsibilities to identify and report any concerns. Risks to people’s well-being and their environment were assessed and recorded. There were sufficient staff deployed to keep people safe and people were supported by consistent staff. Where people needed support with taking their medicines, they were supported to receive these as prescribed.
People continued to receive support from suitably trained staff who had the skills and knowledge to carry out their roles effectively. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health and to meet their nutritional needs.
The service continued to be compassionate and people benefited from meaningful, caring relationships with staff. People were treated with dignity and respect. People were supported to remain independent as much as possible.
The service remained responsive. People were supported by staff that knew people's needs. The team ensured people's changing needs were considered. People knew how to complain and were confident any issues would be dealt with promptly.
People knew who the registered manager was and told us they felt the service was run well. We however found the provider’s quality assurance systems were not fully effective and needed improving. The provider sourced an external consultancy and was in a process of implementing improved systems. The provider sought people's views and opinions and acted upon them. The team promoted a positive, transparent and open culture and staff told us they felt valued.
There was a registered manager in post. 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 received safe care and support. Staff understood the need to protect people from harm and abuse and knew what action they should take if they had any concerns. There were sufficient staff to meet the needs of people that used the service and recruitment procedures protected people from receiving unsafe care from care staff unsuited to the job.
Care records contained risk assessments and risk management plans to protect people from identified risks and helped to keep them safe but also enabled positive risk taking. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.
People received care from staff that were supported to carry out their roles to meet the assessed needs of people living at the home. Staff received training in areas that enabled them to understand and meet the care needs of each person.
People were actively involved in decisions about their care and support needs. There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005. In addition, people were supported to identify and respond to their changing healthcare needs.
People received care from staff that were kind and friendly. People had meaningful and fun interactions with staff and looked forward to seeing the staff. Staff understood people’s needs and ensured people were given choices about how they wished to receive their care. People received care at their own pace and had their privacy and dignity maintained when receiving assistance with their personal care.
People’s care needs were assessed to ensure the service could meet people’s expectations before they began using the service. Care plans were written in a person centred manner and focussed on empowering people to receive the care they required. They detailed how people wished to be supported and people were fully involved in making decisions about their care. People received the care they needed and a suitable complaints procedure was in operation to resolve any concerns people raised.
People and staff reacted positively to the registered manager and the culture within the service focussed upon supporting people’s health and well-being which enabled people to stay in their own homes as long as possible. Systems were in place to identify where improvements were required and for people and staff to provide feedback about the service.
We spoke with four care workers and two administration staff who said they enjoyed working for Roses Care services. One care worker said "they are very supportive here. The training is good and the service is very flexible". Another said "I think it is a well organised, caring service. It definitely puts people first".
We found people were respected and involved in their care and that they were safe from abuse and the risks of abuse. Their care was appropriately planned, risks were well managed and the service was responsive to peoples' needs.
We looked at staff files and saw that care workers were recruited and selected appropriately and that they received appropriate, on-going training. We also saw that the manager monitored and assessed the quality of the service and responded to the needs and preferences of people who used the service.
We found the service to be safe, caring, effective, responsive to needs, and well led.
One person we spoke with commented, "The service is really well organised. I cannot fault them". Another person said, "The manager and the carers are very conscientious. They all do a good job."
We found the agency was efficiently managed and we saw that the agency office was well equipped and appropriately staffed. We saw that care workers had received the training they needed to do their job safely and effectively.