Rossendale Hall

Updated 31 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector, one specialist advisor and two experts-by-experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The specialist advisor was a nurse.

Service and service type:

Rossendale Hall is part of The Rossendale Trust. The service is registered to support people with learning disabilities in supported living accommodation. Apartments are based within the main office grounds and in community settings based in Macclesfield and Buxton.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service five days’ notice of the inspection site visit because we needed to be sure that people using the service and their support staff would be in.

What we did:

Prior to the inspection we contacted Cheshire East Council to seek their views of the service. We also reviewed information we held about the service and checked whether we had received any notifications about events which the provider is required to tell us about by law. We looked at the information the provider had sent us about the service in the Provider Information Return (PIR). The PIR contains key information that providers are required to send about their service, what they do well and improvements they intend to make. We used all of this information to plan the inspection.

During the inspection we spoke with the Chief Executive Officer, the registered manager, an operations manager, a group leader, and seven support staff. We also spoke with ten people who used the service [either in person or by telephone] and nine relatives by telephone. We looked at the care records of four people, eight medicine administration records (MAR) and other records associated with the operation of the service.

Updated 31 May 2019

About the service: Rossendale Hall is registered to provide regulated activity [personal care] to people with learning disabilities in supported living accommodation. Apartments are based within the main office grounds and in community settings based in Macclesfield and Buxton. At the time of this inspection 68 people were receiving regulated activity.

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 outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; promotion of 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.

People’s experience of using this service:

People and relatives were positive about the care and support provided.

People told us that they felt safe. Medicines were administered by trained and competent staff and staff were aware of procedures to follow to prevent and control the spread of infection. People were protected from abuse and avoidable harm.

People continued to receive a service that was effective. People’s needs were fully assessed and regularly reviewed. Care and support were person-centred, people enjoyed good outcomes and quality of life. Staff were well trained and knowledgeable about the needs and wishes of the people they supported. Where people were unable to make decisions about their care, the service followed the principles of the Mental Capacity Act 2005. Supporting people to maintain their health and well-being was a key focus of the service.

Staff were kind and caring, treating people with respect and without discrimination. People were supported to live active lives, maintaining and improving their independence. Warm and friendly relationships had developed between staff and people using the service. Advocacy services were contacted if needed to ensure people’s rights were protected. People were able to express their views in a variety of ways.

Each person had a well-developed care plan which was tailored to their individual needs and provided staff with the information needed to provide support which was responsive to people’s needs and wishes. There was a procedure in place to handle concerns/complaints and people and relatives told us they knew who to speak with if they had any concerns and that they would be listened to.

The service was led by a management team with clear lines of authority. The registered manager led an open culture which focused on learning and continually improving the service provided. The registered provider’s vision for the service was embedded in care and support delivery. There had been a misunderstanding regarding notifying the Care Quality Commission about events which happened within the service, however the manager took immediate action to rectify this.

Rating at last inspection: At the last inspection the service was rated Good [7 October 2016].

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue our on-going monitoring of the service and all information we receive. We will use this information to determine when we next inspect the service.

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