Three Roses Home

Updated 22 November 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 comprehensive inspection took place on 25 October 2018 and was unannounced. The inspection team consisted of one inspector.

Before the inspection we reviewed information available to us about this service. The registered provider had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law.

We requested information about the home from Healthwatch and the local authority. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care. The local authority has responsibility for funding people who use the service and monitoring its safety and quality.

During the inspection we spent time with people in the communal areas of the home and we saw how staff supported the people they cared for. We used the Short Observational Framework for inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with six people who lived at the home, the registered manager, and four care staff members. We also gained the views of a health and social care professional who provides support to people living at the home. In addition, we spoke with a representative of a local firm who was forging links with Three Roses Home, to offer additional opportunities to people, and further promote people’s well-being.

We reviewed three people’s care records and reviewed how people’s medicines were managed. In addition, we looked at information which showed us how the registered manager monitored the quality of the care provided. This included questionnaires completed by people and their relatives, and checks the registered manager made on the safety of the environment.

Updated 22 November 2018

This inspection took place on 25 October 2018, and was unannounced.

At the last inspection in April 2016 the services was rated as Good. At this inspection we found the service remained Good. The evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going 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.

Three Roses Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Three Roses Home provides short and long-term accommodation and care for up to 14 people with learning disabilities or autistic spectrum disorders. There were 14 people living at the home at the time of our visit.

There had been a change of registered manager since our last inspection. 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.

Improvements had been made in the way people were supported, and how this was recorded, if people were not always able to make their own decisions. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People's safety needs were considered when their care was planned and given. We found staff knew people’s safety needs well, and understood how to raise any concerns they may have for people’s well-being. Learning had been taken from previous incidents and changes introduced to the way people’s medicines were administered and recorded, so the chance of errors was further reduced. There was enough staff to care for people and to provide reassurance to them when needed. Systems were in place to reduce the chance of people acquiring infections.

People’s needs were considered and planned for before they came to live at the home. As part of this process staff talked with other professionals so they could gain their views on the care people needed. People showed us they were confident staff knew how to care for them, and they would be listened to. Staff were supported to provide good care to people and to develop the skill and knowledge they needed to assist people living at the home.

Staff supported people to have enough to eat and drink so they would remain well. People told us they enjoyed their meal time experiences, which reflected their choices. People were complimentary about the support they received to enjoy good health.

We saw people liked the staff who cared for them, and people were also happy to express their affection for other people living at Three Roses Home. Staff spoke respectfully and warmly about the people they cared for, and people were encouraged to make their own decisions about the care they wanted. People’s right to dignity and privacy was promoted by staff.

Care was offered to people which reflected their individual needs, goals and preferences. Staff adapted how they communicated with people, so they were offered care in the ways they preferred. The care service was working within the values 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. The views of people’s relatives and other health and social care professionals were considered when people’s care was planned. Staff supported people to keep in touch with people who mattered to them.

There was a complaints procedure in place, which was designed to ensures all complaints were handled fairly and consistently. No complaints had been made since our last inspection; people told us this was because staff listened to any suggestions or concerns they may have.

Staff were confident if they made any suggestions to improve people’s care, senior staff and registered manager would listen to them. The registered manager spent time chatting with people and staff, so they could be sure people were receiving the care they wanted. The registered manager worked with other organisations and undertook checks on the care provided, so they could be assured planned improvements were driven through to benefit people living at the home.