Background to this inspection
Updated
9 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by three inspectors.
Service and service type:
Rosetta 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:
The inspection was unannounced.
What we did:
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. 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. This enabled us to ensure we were addressing potential areas of concern at our inspection
As part of our inspection we spoke with two people who lived at the service and observed the care and support provided to people. We also spoke with the registered manager and three staff members. Following the inspection, we spoke with two relatives who were in frequent contact with the service. We reviewed a range of documents about people's care and how the home was managed. We looked at four care plans, three staff files, medication administration records, risk assessments, complaints records, policies and procedures and internal audits that had been completed.
Updated
9 May 2019
About the service: Rosetta is a care home providing care for up to 12 adults with learning disabilities. The accommodation is provided over two floors with some bedrooms on the ground floor. At the time of our inspection, there were nine people living at Rosetta.
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. 'Registering the Right Support' Care Quality Commission (CQC) policy. Although the service is registered for up to 12 people the provider informed us they do not intend to take any further admissions to the home in line with the principles of Registering the Right Support.
People’s experience of using this service: Whilst many positive interactions were seen we also observed occasions where staff did not always demonstrate caring values when supporting people. Quality assurance systems had failed to identify the concerns raised during our inspection.
Recruitment files showed that gaps in staff employment histories had not always been fully explored to ensure that people were supported by suitable staff. Following the inspection, we were informed that this concern had been addressed. We have made a recommendation regarding this. Staff received induction, training and supervision to support them in their roles. However, the registered manager told us they would personally value the opportunity to receive a more formal supervision with written records.
Risks to people’s safety were considered and plans implemented to minimise these. However, we have made a recommendation regarding ensuring staff are fully aware of people’s needs. People lived in a safe environment and staff understood their responsibilities in protecting people from potential abuse. People received their medicines in line with prescriptions and had access to a wide range of healthcare professionals.
Staff were aware of people’s past histories and interests and people had access to a range of activities. However, care records and activity plans were not always completed in a detailed manner. The registered manager told us this was in the process of being addressed as part of the implementation of an electronic records system. We have made a recommendation regarding ensuring that activities provided are in line with people’s needs.
People and their relatives told us they were treated well by staff and that the registered manager was accessible. People were supported to maintain their independence and their dignity and privacy were respected. Permanent staff spoke affectionately about the people they supported.
Rating at last inspection: At the last inspection the service was rated Good (report published on 15 October 2016)
Why we inspected: This was a planned comprehensive inspection
Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk