Archived: Rosewood

Rosewood is a residential care home for up to eight adults with learning disabilities, some of whom have associated physical disabilities. People live in one adapted bungalow. At the time of inspection, six people were using the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. The service fitted in well within the residential area where it was located. There were no identifying signs at the front of the home to indicate it was a care home. Industrial bins at the rear of the property were adequately concealed. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People had access to regular opportunities to enhance their social well-being. The high standard of care which people received from staff led them to achieve positive outcomes. People said they were very happy living at the service and had developed meaningful relationships with staff.

Staff demonstrated excellent knowledge and understanding of people and their individual needs. They were responsive to the risks and challenges which people faced. There were always enough staff on duty to safely care for people. Staff worked together as a team and were adaptable to change. This supported people to receive person-centred care.

Staff were supported to carry out their roles. They were supportive of each other and respected the registered manager. They were committed to the people using the service. Quality assurance measures were effective and had led to continual development at the service. People had been central to this.

People were supported with their well-being. They had attended healthcare appointments and had been supported to make decisions about health screening and vaccinations. Medicines were safely managed. Good support was in place to support people with their nutritional needs.

People were involved in their care and were supported to make decisions. Rooms were individually decorated and reflected people’s personalities. Care was continually dignified, and people were supported with their independence. Some people were involved in activities of daily living at the home.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

Rating at last inspection and update

The last rating for this service was good (published 19 July 2017).

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.

Rosewood is a care home which provides care and support for adults with learning disabilities, some of whom also have associated physical disabilities. The home is registered to provide accommodation for up to eight people. The home is a detached bungalow set in its own grounds, and parking is available.

People were kept safe and free from harm. Risk assessments identified individual risks to people's health and safety and there was information in each person's support plan showing how they should be supported to manage these risks. Risks to people arising from the premises were assessed, and plans were in place to minimise them.

There were systems in place to ensure that people received their medication as prescribed.

There was enough staff to meet people's needs. Recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work. Staff told us they received training to be able to carry out their role and received additional training to ensure they could support people’s needs. Staff were given effective supervision and a yearly appraisal.

Staff understood safeguarding issues, and felt confident to raise any concerns they had in order to keep people safe.

People were supported to maintain a healthy diet, and people’s dietary needs and preferences were catered for. We observed people had a choice of what to eat and when to eat.

The service worked with external professionals to support and maintain people’s health.

Staff protected people's privacy and dignity. All interactions between staff and people were caring and respectful, with staff being consistently patient, kind and compassionate as well as being fun. We observed lots of laughter and singing throughout the day. Staff demonstrated affection and warmth in their contact with people, which was clearly reciprocated.

Support plans ensured staff had all the guidance and information they needed to enable them to provide individualised care and support. People and their family members were consulted and involved in assessments and reviews.

People had access to a wide range of activities, which they enjoyed. Staff were clearly passionate about providing meaningful activities and spent a lot of time on a one to one basis with people.

The service had a clear complaints policy that was applied when issues arose.

The registered manager was a visible presence at the service, and was actively involved in monitoring standards and promoting good practice. The service had quality assurance systems in place which were used to drive continuous improvements.

Further information is in the detailed findings below:

The provider had made reasonable provision for service users to have as full and diverse a life as possible given people's care requirements.

The home was comfortable with large rooms and a large outside area. Staff and service users engaged positively with each other and we observed warm and caring interactions.

One service user told us;

"It's marvellous, the staff look after us"

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

The provider responded appropriately to any allegation of abuse.

The provider had taken steps to provide care in an environment that was suitably designed and adequately maintained.

People were protected from the risks of inadequate nutrition and dehydration.

We observed that staff interacted with people living at the home in a relaxed, friendly manner, and had the time to engage people in hobbies and activities. People looked well cared for.

We looked at the care plans for three people who live at the home. Records for each person showed that the home had carried out sufficient assessment of the needs of each person, to enable appropriate care and support to be given.

Staff told us they enjoyed working at the home, and had been given sufficient training to enable them to be confident in their roles. Staff said there were sufficient numbers of staff always on duty and they had time to carry out care tasks and interact with people living at the home.

We looked at medication administration records and checked some people's medication to make sure that the records were correct, The home had sufficient procedures in place to ensure medication was managed safely.