Background to this inspection
Updated
12 August 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 inspection took place on 14 July 2017 and was unannounced. One inspector carried out the inspection.
Before the inspection, we checked the information we held about the service and the provider. This included notifications the provider had sent to us about significant events at the service. A notification is information about important events which the provider is required to tell us about by law. The provider completed a Provider Information Return (PIR). This is a form that requires providers to give some key information about the service, what the service does well and improvements they plan to make. We used this information in the planning of the inspection.
We undertook general and formal observations of how staff treated and supported people throughout the service. We used the Short Observational Framework for Inspection (SOFI) during this inspection. SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
During the inspection, we spoke with four people using the service and two healthcare professionals who were visiting. We also spoke with one care staff, a team leader, a compliance manager, the registered manager and the nominated individual. We reviewed four people’s care and medicines administration records. We looked at five staff files including documents relating to recruitment, induction, training and supervision notes. We reviewed records relating to the management and auditing of the service. We checked feedback the service had received from people using the service, their relatives and health and social care professionals.
After the inspection we received feedback from three health and social care professionals and two relatives about their views of the service people were receiving.
Updated
12 August 2017
This is the first comprehensive inspection we have carried out since the service registered with the Care Quality Commission (CQC) under a new provider in January 2016. The inspection was unannounced.
La Rosa 2 provides accommodation and personal care for up to six people with mental health needs. At the time of our inspection, four people were using the service.
A registered manager was in post at the time of the 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.
People were safe from avoidable harm. Staff had detailed guidance about how to manage identified risks to people’s health and well-being. People received safe care from a sufficient number of staff deployed at the service. Staff knew how to identify and report any concerns and potential abuse to keep people safe.
Appropriate selection and recruitment procedures followed at the service ensured only suitable staff delivered care to people. People received support to take and manage their medicines safely in line with best practice.
People received effective care provided by competent and skilled staff. Staff attended training and refresher courses and had their practice monitored to ensure they maintained their effectiveness to provide care.
Staff upheld people’s right to make choices about care and treatment and respected their freedom in line with the Mental Capacity Act 2005.
People received the support they required to maintain a healthy diet. Staff supported people to access a range of health and social care professionals when needed.
People received care and support from staff who were kind and compassionate. Staff encouraged and supported people to maintain relationships that mattered to them. People made decisions about how staff delivered care and support. Staff upheld people’s rights to have their care delivered with respect and to have their dignity and privacy maintained.
People’s needs were assessed and appropriate plans were in place to ensure the care provided met their individual needs. Staff adapted care delivered to people in line with each person’s changing needs.
People enjoyed taking part in a wide range of activities of their choosing for social interaction and stimulation. The provider actively sought people’s views about the service and ensured they acted on feedback received.
People knew the registered manager well and were happy about the management of the service. Staff were valued at the service and felt confident to share ideas about how to improve the service. Effective quality assurance systems ensured a continuous improvement of the service and the care people received. The provider enjoyed close working relationships with external organisations. This enabled the service to deliver care in accordance with best practice guidelines and current legislation.