- Care home
Rosekeys
Report from 1 May 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 03 June 2024 to 24 June 2024. Rosekeys is a ‘care home’ providing personal care and support to older people and younger adults living with a learning disability and autistic people. At the time of the assessment, the service was supporting 8 people with their personal care needs. Rosekeys was last rated Inadequate (published 15 February 2024). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We assessed a total of 23 quality statements from the safe, effective, caring, responsive and well-led key questions and found areas of good practice and concern. The scores for the key questions caring and responsive have been combined with scores for the key question ratings from the last inspection. Though the assessment of these 23 quality statements indicated areas of concern since the last inspection, our overall rating has changed to requires improvement. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right Support, Right Care, Right Culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found 4 breaches of regulation at the assessment of this service, in relation to safe care and treatment, the need for consent, person centred care, and the governance of the service. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People and their relatives told us they were happy with the care and support received from the service. People told us the service had improved recently but they did highlight concerns that if the management structure and pace of change was not sustainable or not supported by the provider the service quality may deteriorate again. We identified shortfalls at the service which presented a risk to people and the quality of the care they received, risks were not always identified or proactively managed to ensure people were safe and protected from harm. People were not consistently supported to have maximum choice and control of their lives as documentation was not up to date to guide staff to support them in the least restrictive way possible and in their best interests and was not focused on supporting positive outcomes for people.