31 March 2022
During a routine inspection
About the service
Rowan House is a care home that accommodates up to nine people who have learning disability or people who are autistic. People have their own rooms, with shared communal areas including lounge, kitchen/dining area and garden. At the time of our inspection there were six people living in the service.
People’s experience of using this service and what we found
Right Support
Staff supported people to have the maximum possible choice, independence and control over their lives. Staff focused on people's strengths and promoted what they wished to do, so people had a fulfilling and meaningful everyday life. People had a choice about their living environment and were able to personalise their home and rooms. People moved freely around their home and were involved in day to day activities and maintenance of their home.
Staff supported people to take part in activities and pursue their interests in their local area and to interact with people who had shared interests. Staff enabled people to access routine and specialist health and social care support in the community to maintain their health and wellbeing. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. People's medicines were managed safely and regularly reviewed which enabled people to achieve the best possible health outcomes.
Right care
Staff promoted equality and diversity in their support for people. They understood and responded to people’s individual and diverse needs. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity.
Staff understood how to protect people from poor care and abuse. The service worked with people, relatives and health and social care professionals to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People’s care plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. They received good quality care, support and treatment because trained staff could meet their needs and wishes. The registered manager had not consistently notified the Care Quality Commission of serious incidents that had occurred within the service. They took immediate action to rectify this and improve recording and notifications of incidents following this inspection visit.
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs and rights at the heart of everything they did.
People and those important to them were involved in planning their care. The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating
The service was rated as good under previous ownership (published July 2018).
Why we inspected
Since our last inspection there had been a change of ownership of the home, so we undertook this inspection to assess that the service is applying the principles of right support right care right culture.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.