Background to this inspection
Updated
22 May 2018
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 comprehensive inspection was unannounced and took place on 1 May 2018.
The inspection was carried out by one inspector.
Prior to the inspection we reviewed the information we held about the service, including information from members of the public, notifications sent to us by the provider and the Provider Information Return. A PIR is a document the provider sends us, to share key information on how what the service does well and any areas of improvement they plan to make.
During the inspection we spoke with one person, two care staff, the registered manager and the provider. We reviewed three care plans, two medicines records, two staff files, policies and procedures, audits and other records relating to the management of the service.
After the inspection, we spoke with one relative. We also contacted three healthcare professionals to gather their views of the service however we were unable to speak with anyone.
Updated
22 May 2018
La Rosa Care Home is a residential care home for seven people with mental health issues. The service is a large residential home based over three floors in the London Borough of Lambeth. At the time of the inspection there were five people using the service.
At our last inspection on 15 December 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
People continued to receive support from staff to maintain their safety. Staff were aware of the providers policy on reporting and escalating suspected abuse. Staff received on-going training in safeguarding and whistleblowing. The service had devised, monitored and developed risk management plans that identified risks and gave staff clear and current guidance on how to mitigate identified risks. Where incidents had taken place, these were regularly reviewed to learn from them.
People’s medicines were managed safely to ensure they received their medicines as prescribed. Records confirmed medicines were audited regularly to ensure any errors identified were addressed swiftly.
People continued to be supported by sufficient numbers of suitably qualified staff to keep them safe. Staffing levels were flexible to meet people’s changing needs. Staff continued to receive effective training to enhance their skills and knowledge. People received support from staff that reflected on their working practices through regular supervisions and annual appraisals.
Cleaning schedules were in place in line with the provider’s infection control policy, to minimise the risk of cross contamination. Maintenance issues were identified and action taken to rectify the issue was taken in a timely manner.
People were encouraged to maintain their independence, gaining daily living skills to enhance their lives. People’s health and wellbeing was regularly monitored and where concerns were identified, action was taken in conjunction with healthcare professionals to address this and changes implemented into the delivery of care.
People continued to be encouraged to make decisions about the care and support they received. Consent to care and treatment was sought prior to care being delivered. Staff received on going training in Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
People were supported to develop their care plans, wherever possible. People were encouraged to share their views around how they wanted to receive care. Care plans were person centred and reviewed regularly, changes were shared with staff.
People were aware of how to raise a complaint. Complaints were documented and action taken swiftly to minimise repeat incidents and seek a positive resolution.
People continued to be supported to develop end of life care plans, in a way that did not affect their mental health.
People, their relatives and staff spoke positively about the registered manager and management team as a whole. People were encouraged to share their views in an open and inclusive service that sought people’s views in a way to improve the service.
The registered manager carried out regular audits of the service to drive improvements. Audits were reviewed and action plans implemented where required.