- Care home
Rosclare Residential Home Limited
Report from 16 May 2024 assessment
Contents
Ratings
Our view of the service
Rosclare Residential Home Limited is a residential care home providing personal care for up to 19 people. The service provides support to older people, some of whom were living with dementia. At the time of our assessment there were 15 people using the service. The assessment took place between 11 June to 10 July 2024. We undertook this assessment to follow up on areas identified as requiring improvement at our last assessment. A new registered manager was in post who provided clear leadership and oversight at the service. There was a culture and vision at the service which focused on delivering change and improving outcomes for people. Staff knew the people they were caring for well. They supported them to stay as independent as possible, whilst providing care and support when required. Staff worked with healthcare professionals to ensure people’s health needs were met. Staff supported people to stay safe and adhered to their responsibilities to safeguard people from avoidable harm and within the Deprivation of Liberty Safeguards. Staff had developed caring relationships with people and people were happy living at the service. However, they felt at times there were not enough staff. People also felt their dignity was not always maintained, particularly after having a shower. The new governance processes in place had enabled a number of improvements to be undertaken at the service and to continue to learn and develop. However, we found some of these systems were not always effective and we continued to find that some records lacked detail, particularly regarding risk management and mental capacity decisions, and the provision of activities to ensure people were adequately engaged and stimulated. The provider was keen to improve the service where we recognised shortfalls. They listened to our feedback and took prompt action to address any concerns identified during this assessment.
People's experience of this service
People were happy and felt safe. A person told us, “It’s just a happy, safe place to be.” Staff listened and tailored the care provided in response to people’s individual support needs. People’s comments included, “[Staff are] all nice here. I feel well looked after.” A family member told us, “Within days of arriving here my relative loved it. That has a lot to do with the caring attitude of the staff. They’re all very kind. I knew she was contented. The carers talk to [my relative] even though she is now not able to speak with them. They still chat and she understands, I can see it in her facial expression. The staff are lovely.” People and relatives felt involved in their care and any changes in needs were reviewed and carefully planned for. People were able to see healthcare professionals to ensure their health needs were met and there was good continuity of care. People received their medicines as prescribed and had regular reviews with their GP. However, people found at times they were not able to get the support they required from staff and felt at times where they spent their time at the home was restricted because of staffing arrangements. One person said, “It does feel safe. I suppose it is knowing that you can get help if needed, although there are not always staff around – they seem to disappear at times.” Another person told us, "I prefer to sit in my room…but [staff] always insist that I go to the lounge” and “[Staff] like you to go downstairs during the day.” People felt respected by the staff that cared for them, however, some support was not provided in a way that maintained people’s dignity and left people feeling ‘embarrassed’. Additional training was going to be provided to staff to address this concern. Whilst improvements had been made to the activity provision at the home, people still felt there was not enough engagement and stimulation, with relatives telling us that people often looked “bored”.