Archived: Rosebank Lodge

Updated 1 August 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

One inspector carried out this inspection.

Service and service type

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

The service did not have a manager registered with the CQC. The former registered manager had left in March 2019 and a new manager had been in operational day-to-day charge of the service since May 2019. The new manager is in the process of applying to be registered with us. This means they will be 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 this inspection, we reviewed all the information we had received about the service since their last inspection. This included any statutory notifications the provider had been required to send us. We received email feedback from a local authority social worker who regularly visited the service. This information helped us plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with three people who used the service about their experience of the care provided. We also talked with seven members of staff including, the regional manager, the new service manager, the deputy manager and four support workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also looked at a range of records that included four people’s care plans, six medicines administration record sheets and four staff files in relation to their recruitment, training and supervision. A variety of other records relating to the management of the service, including policies and procedures were also read.

Updated 1 August 2019

About the service

Rosebank Lodge is a residential care home. It was registered to accommodate and provide personal care and support to 13 people with learning disabilities or autistic spectrum disorder. At the time of our inspection 13 adults aged between 30 and 65 with mild to severe learning disabilities or autistic spectrum disorder lived at the care home.

The care home is larger than current best practice guidance suggests for residential services for people with learning disabilities or autistic spectrum disorder.

However, this has not had a negative impact on the people living there. This is because 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’s experience of using this service

We found no evidence during this inspection that people were at risk of harm following two recent safeguarding incidents described below. This was because the provider had taken appropriate action to mitigate the risks associated with them.

People were protected against the risk of avoidable harm and abuse by staff who knew how to keep them safe. People told us they were happy with the care and support they received at Rosebank Lodge and felt safe living there. Staff managed potential risks people might face in a positive way that protected their dignity and rights. The provider deployed sufficient numbers of suitably vetted staff in the care home to keep people safe. People received their prescribed medicines when they should. People were protected against the risk of cross contamination as the provider had clear infection control measures in place.

The service was consistently well-led. The culture the providers had created promoted high-quality, person-centred care. People spoke positively about the managers. There were clear management structures in place and managers were visibly present in the care home. The provider had effective systems in place to assess and monitor the quality and safety of the service people received and learn lessons when things went wrong. Managers also sought the views of people living in the care home, their relatives and staff, and worked in close partnership with other external bodies and professionals. This all helped drive improvement.

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

Rating at the last inspection

The last rating for this service was Good (published 15 December 2018).

Why we inspected

This focused inspection was prompted in part by recent notifications we received about safeguarding incidents involving two people using the service. One incident is currently subject to a criminal investigation by the police, while the other is subject to a local authority safeguarding enquiry. As a result, this inspection did not examine the circumstances of either of these incidents, but did examine the risks associated with the Key Questions, Is the service Safe and Well-led?

No areas of concern were identified in respect of the other three Key Questions, ‘Is the service effective, caring and responsive?’. We therefore did not inspect them. Ratings from the previous comprehensive inspection for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service remains good. This is based on the findings at this inspection. Please see the Key Questions of Safe and Well-led sections of this full report.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosebank Lodge on our website at www.cqc.org.uk.