Archived: Rosewood

Updated 27 February 2020

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

One inspector carried out this inspection.

Service and service type

Rosewood is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the Redcar & Cleveland, Middlesbrough, Stockton-on-Tees and North Yorkshire local authority commissioning teams and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with two relatives over the telephone and three social workers via email. We spoke with five members of staff including the registered manager, and four support workers. We carried out observations of practice.

We reviewed a range of records. This included two people’s care records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 27 February 2020

About the service

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.