Roses Healthcare

Updated 7 February 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was undertaken by 1 inspector

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. The Nominated Individual was in the process of submitting an application to register.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 10 January 2023 and ended on 20 January 2023 We visited the location’s office on 10 January.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We sought feedback from the local authority and commissioners who work with the service.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection

During the inspection

We spoke with 3 relatives of the children and young people using the service to find out their experience of the care and support provided. We spoke with 7 members of staff including 4 care workers, the service manager, training and culture development manager and the Nominated Individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records which included 2 care plans, 3 staff recruitment files and a variety of records relating to the management of the service, including policies and procedures.

Updated 7 February 2023

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.

About the service

Roses Healthcare is a domiciliary care service providing personal care to people living in their own homes. At the time of the inspection the service was primarily providing respite support for families of children and young people with learning disabilities and autism. There were 5 people using the service when we inspected.

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

Right Support: People and their families were happy with the support they received from the staff who supported them to access fulfilling activities and gain new experiences.

Personalised risk assessments gave clear strategies for staff to follow in keeping people safe, whilst enabling people to be as independent as possible.

Staff were skilled in recognising signs when people experienced emotional distress and knew how to support people to keep them safe. Effective systems were in place to closely monitor incidents and prompt action was taken to mitigate the risk of repeat incidents.

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. People were involved with their care and supported to build and develop meaningful relationships. Any complaints or concerns raised were listened to and action taken to address them. The provider used feedback to develop and improve the service.

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Right Care: People’s support plans were personalised, and people were supported to express their individuality. The staff team were understanding towards the people they supported and were passionate about the care they gave.

People’s dignity was respected, and people had the opportunity to try new experiences, develop new skills and gain independence. Staff supported people to pursue educational and leisure interests. A relative said, “The support given has exceeded our expectations.”

Right culture: People were at the heart of everything the service did. Management and staff were focused on providing individualised care and achieving good outcomes for people and their families.

People were valued and staff encouraged to champion equality, respect and dignity and treat people with warmth. Staff received training on equality and diversity that was embedded in supporting people’s protected characteristics. People were supported to follow their cultural beliefs.

The management team had the specialist skills, knowledge and experience to perform their roles and had a clear understanding of people’s needs. Systems and processes were in place to monitor the quality and performance of the service.

There was good communication between, staff, management and families. People and staff were listened to and encouraged to give their feedback about the service. The manager was committed to driving improvement and provide the best care and outcomes for people.

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

Rating at last inspection

The service was inspected but not rated (published 5 April 2019)

Why we inspected

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.