Archived: The Rose

Updated 12 January 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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2012, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

The inspection was carried out on 15 and 17 November 2017 by one Inspector and was unannounced. The inspection was in response to concerns raised by a family member. We reviewed information we held about the service including statutory notifications. Statutory notifications include information about important events that the provider is required to send us.

During the inspection, we spoke with three people who lived at the home, two relatives, two staff members and the manager. We also reviewed the commissioner’s report of their most recent inspection. We looked at care plans relating to three people and three staff files and a range of other relevant documents relating to how the service operated.

Updated 12 January 2018

The inspection took place on 15 November 2017 and was unannounced. At our last inspection on 6 February 2015, the service was found to be meeting the required standards in the areas we looked at. The Rose is a residential care home for up to three people with learning difficulties. At the time of our inspection three people were living at the home. Shortly after the inspection visit the funding authorities supported people to find alternative places to live due to concerns about the service.

The care service has not been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service were not supported to live as ordinary a life as any citizen.

The provider and the registered manager are the same person. A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run. The provider had not been present at the service since 03 September 2017 and they had not ensured the appropriate support was in place for people who lived at The Rose in their absence. At the time of our visit there was an acting manager in post who was not registered with CQC and who was covering the absence of the provider. The acting manager told us that they did not know when the provider would return.

People’s health needs were not managed appropriately to ensure people were safe. Staff had not reported safeguarding concerns to help keep people safe.

Safe and effective recruitment practices were not followed to ensure that all staff were suitably qualified and experienced. There were no arrangements in place by the provider to ensure there were sufficient numbers of suitable staff available at all times to meet people’s individual needs.

People who lived at The Rose had no best interest or mental capacity assessments (MCA) in place and staff did not promote daily choices for everyone.

Staff had not received inductions, training or competency assessments. People were not supported to express their views; they were not always involved with decisions about their care. Risk assessments did not address all areas of concern and lacked the guidance needed to inform staff how to keep people safe.

People were not supported to maintain their interests or develop personal goals.

There were no systems in place to monitor the quality and audit the service. Daily notes and other documentation such as reviews of care plans had not been completed since October 2016. Meetings for people and staff were not completed.