Background to this inspection
Updated
29 August 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was completed by one inspector.
Service and service type
Roseville House 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including support workers, team leaders, locality manager, deputy manager and the registered manager.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and training and records relating to the management of the service, including policies and procedures were reviewed.
Updated
29 August 2019
About the service
Roseville House is a residential care home providing personal care to six people aged under 65 at the time of the inspection. The service can support up to six people with learning disabilities or autistic spectrum disorder.
The home has six individual bedrooms, with one on the ground floor. Some bedrooms have en-suite bathroom facilities. There are communal areas, including two lounges, a ‘games’ room, dining room and access onto a large garden. Staff did not wear anything that suggested they were care staff when coming and going with people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
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.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People felt safe and able to talk about anything that worried them. People were protected from the risk of abuse. Staff knew how to identify potential signs of abuse and knew how to report concerns. Risks associated with people's care and the environment had been identified and measures in place to help reduce the risk.
People received their medicines when they needed them and they were managed safely. People contributed to keeping the home clean and tidy.
Staff provided people with support that met their assessed needs. Staff knew about people's health needs and supported them to access health care services when they required. People were encouraged to maintain a good diet.
People's right to privacy was respected, their dignity was maintained, and people were encouraged to be independent. Staff knew people well and understood what and who was important to them. Staff supported and made sure people were involved in and able to make decisions about their own day to day care and support.
People received personalised support from staff who knew them well. People were supported to take part in a range of social activities they enjoyed. People had the information and knowledge they needed to make complaints about their care, if they wanted to.
People felt included in what happened at the home and were happy living there. They were comfortable around staff and given opportunities to give feedback and suggestions on what they wanted to happen at the home. The provider and registered manager monitored the service to ensure they continued to provide a good quality service that kept people safe and met their needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.