Archived: Rosna House

Updated 20 February 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 21 January 2016 and was unannounced. The inspection was carried out by one inspector.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information in the PIR and spoke with the commissioners of the service to help plan our inspection.

We spoke with three people who used the service and two relatives to gather information about their experiences. Not everyone could talk to us in detail about their experiences so we spent time observing how staff offered care and interacted with people who used the service. We looked at two people’s care records to see if they were accurate and up to date.

We spoke with a member of care staff and the registered manager. We also looked at records relating to the management of the service. These included quality checks, four staff recruitment files and other documents to help us to see how care was being delivered, monitored and maintained.

Updated 20 February 2016

This inspection took place on 21 January 2016 and was unannounced. At the last inspection in February 2014 the provider was meeting the regulations that we checked them against.

The service provides accommodation and personal care for up to eight people who have mental health needs. At the time of the inspection, there were four people using the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service felt safe and staff knew how to recognise potential signs of abuse and how to report their concerns. People's risk were assessed and managed in a way that did not compromise their freedom and independence.

There were enough staff, who had been safely recruited, to meet the needs of the people who used the service. People received their medicines as prescribed.

Staff knew how to support people effectively and supported people to make their own decisions in line with the Mental Capacity Act 2005. Staff respected people's choices. People were supported to have enough food and drink to maintain a healthy diet and were supported to access healthcare professional input when required.

Staff were kind and caring to people who used the service and respected their privacy and dignity. Staff knew people well and knew their preferences, likes and dislikes though these were not always recorded in their care plans.

People were supported to be as independent as they could be and we saw that they accessed the community and areas of the home freely as they chose. People were supported to pursue their hobbies and interests and did not feel restricted.

People knew how to complain if they needed to and said they would feel confident in approaching the registered manager and provider with any concerns.

The registered manager did not always complete quality checks to ensure information in people's care plans was accurate and up to date. They did not have effective systems in place to ensure that staff training and supervision was up to date, despite staff saying that they felt supported.