Archived: Rosna House

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.

The inspection was unannounced which meant the service did not know we would be coming. We spoke with the provider and the registered manager.

We found that improvements had been made and some training had been provided to staff, with other training planned. Staff supervisions had also taken place.

Eight people were in residence when we visited. We spoke with three people living in the home and two staff. There was one visitor during our inspection. The registered manager was not on duty on the day of the inspection.

People who used the service told us they liked living in the home. They appeared relaxed and comfortable. We saw written comments from two of the people who used the service. One said: 'I am very well looked after. I can go to the shops if I want to'. Another said: 'I have friends here. I am very happy here'.

We saw that people who used the service were able to give consent to the care, treatment and support that they received.

We saw that people were treated kindly by staff and with respect. We found that staff were discreet and sensitive when people wished to discuss any personal issues.

We found that all electrical equipment had been maintained to ensure the safety of people who used the service.

We checked records and found that staff were not suitably trained and supported to provide care and treatment to people who used the service.

We found that there were systems in place to handle and respond to complaints made by people who used the service or people acting on their behalf.

People who used the service told us they liked living at Rosna House and they were well cared for. People told us they had enjoyed Christmas and had had lots to eat.

The service was quiet and people were relaxing around the home. The manager told us that staffing was reduced due to Christmas and the normal routine of the home was affected as college and other activities were not available over the Christmas period.

People who used the service told us they felt safe living at Rosna House and we saw the service had a safeguarding procedure.

Relatives of people who used the service told us they were happy with the care their relative received.

The manager had implemented quality monitoring audits to monitor the service being provided.

We had concerns over training and support for staff being sufficient to enable them to carry out their roles effectively.