Archived: Three Roses Ltd

Three Roses is a domiciliary care agency providing the regulated activity personal care. The service provides support to people living with dementia and older people. At the time of our inspection there were 11 people using the service. The service provides support to people in their own homes who live in Bath and surrounding areas. 

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

Staff were not always recruited using safe recruitment principles.

Staff had received mandatory and induction training. They were supplied with personal protective equipment and had received appropriate training on how to use it safely. Staff had received supervisions and were supported by the registered manager.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. At the time of the inspection the recording systems were moving from paper to electronic systems, which had resulted in some confusion about which system to use.

People and their relatives we spoke to were very happy with the support they received, they felt listened to and involved in their care. They felt safe and respected.

People’s care plans were not always kept up to date and lacked the detail needed to ensure that someone could step in and safely support a person.

Staff evidenced they understood how to support people.

The registered manager had not introduced any quality systems for monitoring service delivery to make improvements and there were no records of lessons learnt.

The registered manager told us she was only accepting referrals when she had capacity however, the registered manager was having to work with people for a lot of the week. This left her unable to fulfil her management responsibilities.

Staff, people and their relatives told us they knew how to complain and were confident they would be listened to by the registered manager.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 19 August 2021 and this is the first inspection.

Rating at last inspection

This service was registered with us on 19 August 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement and Recommendations

We have identified breaches in relation to medicines management, staffing and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.