Archived: Rosewarne

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

We inspected Rosewarne on 11 and 12 July 2016. The inspection was unannounced. An Expert by Experience helped the inspector with the inspection. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The service was last inspected in August 2013 when it was found to be meeting the requirements of the regulations.

People who used the service were safe. We were told, “I am happy, I would not move,” and Rosewarne was a, “Safe and supportive environment.” Staff were seen as, “Very supportive and caring.” People said most of the time there was enough staff, but we were told there could sometimes be delays in receiving timely support and some staff shortages.

People told us they received their medicines on time. Medicines were well organised, records kept to a good standard, and staff had received suitable training to administer medicines.

Staff told us they had confidence that management would take any allegations of abuse seriously, and subsequently take suitable action. Staff had been trained to recognise potential signs of abuse.

Staff had received training to provide care and support to people. Training included moving and handling, first aid and person centred care. Most staff had obtained a National Vocational Qualification, or diploma in care. Staff received regular supervision, from managers, to support them, and help develop their care practice.

Personnel files contained information, such as written references and an enhanced Disclosure and Barring Service check, to ensure staff were deemed as suitable people to work with people with a disability. Suitable recruitment processes, such as the completion of an application form, and a formal interviewing process were in place.

The service had appropriate links with medical services such as general practitioners, community nurses, dentists, chiropodists and opticians. The registered manager of the service said these services were supportive, and people said they received enough support from these professionals.

There were activities available for people. Activities available included going shopping, going out on various social trips, sensory room activities, and going to college. The service had several, suitably adapted vehicles to enable people to go out and about in the community.

Care records provided suitable information such as a care plan, daily records and risk assessments. Care plans were regularly reviewed. The service had appropriate systems in place to assess people’s capacity in line with legislation and guidance, for example using the Mental Capacity Act (2005).

People told us they were very happy with their meals and always had enough to eat and drink. Comments received about the meals included, “The food is lovely. I really enjoyed my lunch today it was very good.” People said they had a choice and received enough support when they needed help with eating or drinking.

People remarked if they had any concerns or complaints they would feel confident discussing these with staff members or management, or they would ask their relative to resolve the problem. They were sure the correct action would be taken if they made a complaint.

People felt the service was well managed. There were suitable systems in place to monitor the quality of the service.

Many of the people who lived at Rosewarne were not all able to tell us about their experiences due to their disabilities.

During our inspection we spoke with the duty manager, three staff and three family members of people who lived at Rosewarne. Comments from family members included 'we are so thrilled that X is living in such a lovely place', 'the staff are wonderful' and 'we have known the service for a great many years and the care has always been very good and very supportive of the family too'.

Before people received any care or treatment, they were asked for their consent and the provider acted in accordance with their wishes.

People's privacy and dignity was respected and people experienced care, treatment and support that met their needs and protected their rights.

People were protected against the risks associated with medicines, because the provider had appropriate arrangements in place to manage medicines.

There were enough qualified, skilled and experienced staff to meet people's needs.

Records were stored securely in order to protect people's confidentiality.