Rosglen

Updated 11 February 2020

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

The inspection team comprised of one inspector.

Service and service type

Rosglen is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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

Prior to the inspection we reviewed information and evidence we already held about the home, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. We also sought feedback from the commissioner of the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with the person who used the service about their experience of the care provided. We spoke with four staff members, including the registered manager, operations manager and two support workers. We spoke to one social worker and the person’s case manager, who responsible for coordinating their package of care. We spent time observing daily life at the home.

We reviewed a range of records, including medication administration records (MAR’s), care records, staff personnel files, training records as well as information relating to the health and safety and management and oversight of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 11 February 2020

About the service

Rosglen is a residential care home providing care to adults over the age of 18 with an acquired brain injury, physical disability or sensory impairment. The service can support up to six people.

At the time of inspection there was one person living at Rosglen. Since the service had begun operating in February 2019 they provided a service to three people in total and in that time two people had moved to alternative placements before we came to inspect. In this report we primarily focus on the experience of the person who was present at inspection; on occasion we refer to ‘people’, where we are confident our judgements reflect the experience of the entire service and not just the individual present at inspection.

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

The person who used the service was extremely complimentary about Rosglen, “It’s great here, I’ve been at a few care services (listing care services), this is the best.” They said staff and the management team were very caring and approachable. Throughout the inspection we observed a friendly atmosphere at Rosglen, and we saw the person who used the service was well cared for.

The person’s care files showed their care needs had been thoroughly assessed, and they received a good care from staff who understood the type of support they needed. When the service had more occupants, we saw periods where the dynamic of the home was not always positive, which highlighted minor improvements to the assessment process were required to ensure the compatibility of people living at the service had been fully considered before they were admitted. This is of increased importance in small care settings.

Care plans were highly personalised and gave clear information on how to support the person beyond just their physical needs to ensure their entire person-hood was upheld. Goals and aspirations were clearly identified in their care records and we saw many examples where the service had helped them to fulfil these. Professionals associated with the person’s care were extremely complimentary about the support Rosglen had provided to their ‘client’ and said the management team collaborated effectively on their package of care.

Staff knew the person’s needs well, and we saw caring interventions and conversations throughout our inspection. The person who used the service said they enjoyed their meals and their dietary needs and preferences were met. A range of meaningful activities were on offer to keep people occupied, according to their individual interests. Complaints and concerns were well managed, and the manager took prompt action to address people’s concerns.

Staff were recruited safely and they received appropriate training which was relevant to their role and people's needs. Although people received care from skilled and caring staff, we saw the lack of diversity in the workforce sometimes did not lead to positive outcomes for people. The management team assured us steps were being taken to address this in their next recruitment drive. Staff were supported by the management team through regular formal supervisions where they could discuss their on-going development needs. Systems were in place to ensure people were protected against the risk of abuse and ensure their medicines were received in line with the prescriber’s instructions.

The management team conducted audits and checks to further ensure the quality and safety of services provided to people. People, their relatives and staff were able to share their ideas and views about the service and support provided.

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.

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

Rating at last inspection

This service was registered with us on 20/12/2018 and this is the first inspection.

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.