Archived: Rose House

Updated 2 May 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 was a comprehensive inspection and took place on the 3 April 2018 and was announced. The provider was given 48 hours’ notice because the location was a small care home for younger adults who are often out during the day and we needed to be sure that someone would be in. The inspection was carried out by one inspector.

Before the inspection we reviewed information we already held about this service. This included details of its registration and previous inspection reports and any notifications of serious incidents they had sent us. We used information the provider sent us in the Provider Information Return. 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 contacted the local authority with responsibility for commissioning care from the service to seek their views.

During the inspection we spoke with two people who used the service and observed how staff interacted with people. We spoke with two staff, the registered manager and a support worker. We looked at care records relating to two people including care plans and risk assessments. We reviewed the medicines records of four people. We checked staff recruitment and supervision of four staff and looked at the training records for six staff. We examined various policies and procedures and looked at minutes of staff and service user meetings. We checked the quality assurance and monitoring systems that were in place.

Updated 2 May 2018

Rose House is a residential care home for four people with learning disabilities or on the autistic spectrum. Four people were using the service at the time of inspection. At the previous inspection of this service in March 2016 we rated them as Good overall. We found one breach of regulations at that inspection because the service did not always have enough staff on duty to meet people’s needs. During this inspection we found this issue had been addressed and the service remains rated as Good.

The service had a 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. 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.

Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. Procedures were in place to reduce the risk of the spread of infection. Medicines were manages in a safe manner. Steps had been taken to promote the safety of the premises. Robust staff recruitment practices were in place.

Staff received on-going training to support them in their role. People were able to make choices for themselves and the service operated within the principles of the Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals. Systems were in place for the assessment of need for prospective people to use the service.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the senior staff at the service. Quality assurance and monitoring systems were in place which included seeking the views of people who used the service.

Care plans were in place about end of life care. However, these were not always comprehensive and we have made a recommendation about this.