Background to this inspection
Updated
15 November 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Roseville House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Roseville House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Before the inspection we reviewed information we held about the service. We sought feedback from the local authority and professionals 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.
During the inspection
During the inspection we spoke with 3 people who use the service and 2 relatives. We spoke with 7 staff including, the registered manager, support workers and a member of the providers quality team. We reviewed 2 care plans and the medicine records for all 6 persons. We looked at health and safety documentation, accident and incident forms and other information relevant to the day-to-day management of the service. We observed the care and support people received over the course of the inspection.
Updated
15 November 2023
About the service
Roseville House is a residential care home providing personal care to up to 6 people. The service provides support to adults with learning disabilities and autism. At the time of our inspection there were 6 people using the service. People have access to shared communal space and the home is situated close to local amenities.
People’s experience of using this service and what we found
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.
Right Support: People’s needs were understood. People’s care plans and risk assessments were developed with people’s input and ensured staff knew how to support people appropriately. Staff understood how to communicate with people and support them to have a meaningful day.
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.
People were supported by enough staff and had access to external health professionals when needed. People had access to a balanced diet and professional guidance was implemented.
The accommodation was maintained, and necessary repairs were scheduled. For example, replacement windows.
Right Care: People’s care was person centred and their protective characteristics were understood. Staff received training to help them understand people’s individual needs.
People were treated with kindness and their privacy respected. People were supported to maintain relationships with their family and engage with the local community.
People’s end of life wishes were considered and any agreed plans were documented.
Right Culture: We found the governance systems needed some improvement to ensure there was better oversight of people’s medicine and that notifications required by CQC were submitted within the specified time frames.
Staff engaged well with the manager and found them approachable. People, staff and relatives felt listened to and told us they would be confident raising a concern if necessary.
People were encouraged to develop their independent living skills as well as participate in activities they were known to enjoy. Staff understood best practice and showed a commitment to wanting to reduce any restrictive practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, (Published on 29 August 2019.)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.