Archived: Rosedene

Updated 24 November 2017

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 9 and 10 October 2017 and was unannounced.

The inspection team consisted of one adult social care inspector and a pharmacist inspector.

We reviewed information we held about the service, such as notifications, information from the local authority and from Healthwatch. Healthwatch is an independent consumer champion which gathers information about people’s experiences of using health and social care in England.

The registered provider had 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.

During the inspection we spoke with three people who used the service. We also spoke with three members of care staff, the registered manager, the manager of the home and the business excellence manager.

We looked at a variety of documentation including; care documentation for two people, two staff files, meeting minutes, policies and procedures, medicine administration records and quality monitoring records.

Updated 24 November 2017

The inspection took place on 9 and 10 October 2017 and was unannounced. The home was previously inspected in January 2017. We found the provider did not have suitable arrangements in place for obtaining, and acting in accordance with the consent of people who used the service in relation to care and treatment provided to them in accordance with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. We found people were not protected from the risks of unsafe medication administration. The provider did not have suitable arrangements in place for assessing, monitoring and improving the quality and safety of the service. We concluded these were breaches of Regulations 11, 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014. The provider sent us an action plan outlining how they would meet these breaches. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.

Rosedene is a residential care home providing accommodation and personal care and support for up to three people who have a learning disability. People using the service are supported to maintain their independence and live a lifestyle of their choice.

The service had a registered manager in post at the time of our inspection. 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.

Medicines were managed appropriately. However, we recommended that medicine receipt records should be signed by two members of staff to confirm the accuracy of the medication received into the home. We recommended, in relation to the handwritten MAR, that two members of staff sign the MAR to confirm the information has been transcribed correctly. This should also include allergy details. In addition where a person uses a patch to administer medicines, staff should sign the MAR twice to confirm removal and application.

There was an appropriate recruitment process was in place, which was overseen by the provider’s Human Resource department. There were enough staff to meet people’s needs. The Learning and Development Manager had responsibility for ensuring staff training and supervisions were kept up to date. When staff training and supervisions were due this was planned for on the staff rota.

Care records and risk assessments were in place for areas such as; travelling in vehicles and accessing the community. These were regularly reviewed and provided guidance to staff on how a person’s needs should be met. The care records evidenced people had accessed to other healthcare professionals when needed.

We saw evidence to show that equipment and appliances were maintained. The provider was fitting window restrictors to all first floor windows and temperature valves on the taps to prevent injury to people who lived at Rosedene. The provider had a redecoration schedule in place to ensure the home was updated over the next year. We found the home was clean and odour free.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff were knowledgeable about the MCA. They clearly explained how they supported people to make decisions about their care. Throughout the inspection we observed staff respecting people’s choices including, when to get up and have their breakfast.

Staff respected people’s privacy and dignity. We observed people's independence was promoted, and staff encouraged people to do as much for themselves as they were able. The provider had introduced a ‘bite sized bulletin’ to communicate with people. This was an easy read newsletter which would be published four times a year. It provided information regarding the registered manager, the CQC, how to make a complaint and explained the values of the company. Information regarding how to access advocacy services was displayed in the home.

The provider had a complaints policy and procedure in place. There had been no complaints raised since the last inspection.

Staff felt supported and asked to provide feedback on the service. The provider sought feedback on the quality of the service through questionnaires.

The registered manager had a monthly audit system in place and continued to make improvements to the auditing used within the service. The provider’s business excellence manager carried out quarterly compliance checks in areas such as complaints. A bi-monthly health and safety check was also completed to add further assurance that the service was effectively assessing, monitoring and improving the quality and safety of the service.