You are here

Reports


Inspection carried out on 10 June 2019

During a routine inspection

About the service: Roslyn House is a residential care home registered to provide personal care to eight people with a learning disability or autism. 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 using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them

People’s experience of using this service:

The service had effective safeguarding systems in place, and staff had received suitable training about recognising abuse.

Appropriate risk assessment procedures were in place so any risks to people, staff or visitors were minimised.

Staff were recruited appropriately. Staffing levels were satisfactory, and people received timely support from staff when this was required.

The medicines system was well organised and staff received suitable training. People received their medicines on time.

The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised.

The registered manager was able to demonstrate the service learned from mistakes to minimise the risk of them happening again.

The service had suitable assessment and care planning systems to assist in ensuring people received effective and responsive care.

Staff received induction, training and supervision to assist them to carry out their work. All new staff completed the Care Certificate.

People received enough to eat and drink. Some people were encouraged to assist with cooking and shopping to improve their independence. People were involved in planning the menu.

The building was suitable to meet people’s needs and maintained to a satisfactory standard.

People received support from external health professionals and were encouraged to live healthier lives. Support was received, for example, from the learning disability nursing team, GP’s, district nurses and speech and language therapists.

Staff encouraged people to have choices about how they lived in line with legal guidance.

People said they received support from staff which was caring and respectful. Care promoted people’s dignity and independence. People were involved in decisions about their care.

People had the opportunity to participate in activities and to spend time with the wider community

People felt confident raising any concerns or complaints. Records showed these had been responded to appropriately.

The service was managed effectively. People and staff had confidence in the registered manager.

The service had suitable systems to monitor service delivery and bring about improvement when necessary.

The team worked well together and had the shared goal of providing a good service to people who lived at the home.

The service worked well with external professionals, and other organisations to provide good quality care.

Rating at last inspection: Rating at last inspection: ‘Requires improvement.’ (published on 18 June 2018.)

The service was last rated ‘Good’ in the report dated 6 February 2016.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to make improvements to the service.

Why we inspected: We completed this inspection to check whether suitable action had been taken following the last inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect

Inspection carried out on 12 May 2018

During a routine inspection

Roslyn House is a residential care home for up to eight people with a learning disability or autism. At the time of the inspection eight people were living at the service. The service is part of the HF Trust group who run a number of residential, supported living and domiciliary care services throughout Cornwall, and nationally. This announced comprehensive inspection took place on 12 May 2018. We last inspected Roslyn House on 6 February 2016, we had no concerns at that time and the service was rated Good.

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. The application procedures for this in care homes and hospitals are called the Deprivation of Liberty Safeguards (DoLS). We checked whether the service was working according to the principles of the MCA.

One person had a DoLS authorisation in place but this had expired in February 2017. No application to continue the authorisation had been made to ensure any restrictions were lawful, proportionate and remained the least restrictive option. Families were asked to consent on behalf of people who lacked capacity. There were no records in place to show they had the legal authority to do this.

Monitoring records to demonstrate people had received specific care in line with their care plan were completed. For example, some people had food and fluid charts to help staff check they were receiving enough to eat and drink. However, daily logs in place to record how people had spent their time and what had worked well for them were infrequently completed.

The care service was set up twenty-five years ago and was designed to provide group living for people with learning disabilities. Work had been done to ensure the service was managed in line with the values that underpin the CQC ‘Registering the Right Support’, and other current best practice guidance. This guidance includes the promotion of the values of; choice, independence and inclusion. The service was working with people with learning disabilities that used the service, to support them to live as ordinary a life as any citizen. People had access to private spaces and were able to choose where they spent their time. Staff supported people to access the community regularly. People’s independence was respected and they were encouraged to develop and maintain skills.

The service requires a registered manager and there was one in post. 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.

People were comfortable and at ease with staff. Some people chose to spend time in their rooms and others were in shared areas of the service. People came into the office during the day to ask staff for support or to spend some time chatting. Staff were considerate and respectful when speaking with people. Relatives told us they were confident their family members were safe and well supported by staff who knew them well and understood their needs.

There were enough staff to support people according to their ne

Inspection carried out on 6 February 2016

During a routine inspection

This announced inspection took place on 6 February 2016. We informed the registered provider at short notice we would be visiting to inspect. We did this to ensure people who lived at Roslyn House would be available to speak with us and the registered manager be present at the service on the day of the inspection to provide us with the information we needed. The service was last inspected in August 2013 and found to be compliant with regulations.

The service provided accommodation and personal care for up to eight people living with a learning disability. At the time of our inspection there were six people using the service.

The service is required to have a registered manager and at the time of our inspection a registered manager was in post. 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.

People and their relatives told us they were happy with the care and support provided by staff at Roslyn House and believed it was a safe environment. One relative said, “We are very happy with how Roslyn House cares for [person’s name]”. A person who lived at the service told us they felt happy living at Roslyn House and it was clear people were comfortable with staff and moved freely around their home.

Staff had developed positive relationships with people and understood their needs well. People were encouraged to be individuals and do what they wanted to do to provide them with a fulfilling life. For example, people went out each day to various local community activities, such as voluntary work. People also left the home for trips supported by staff. There were a range of personalised and appropriate risk assessments in place to help keep people safe.

The safety and maintenance of the premises was looked after by the organisation and also by the organisation who owned the building. When needed the registered manger would report required maintenance and this would be organised centrally by HF Trust. This meant the management of the service had done appropriate checks to keep people safe while they were living at Roslyn House. Premises were properly maintained and provided a well decorated and inviting environment. All living areas were clean and inviting.

Staff understood how to keep people safe. Accidents and incidents were recorded and investigated. This meant management could identify recurring events and take action to reduce these.

Support was provided by staff who knew people well and understood their needs. There were enough staff to meet people’s changing needs and wishes. The service used a bank of relief staff to supply more staff at short notice when needed.

Medicines were stored, handled and recorded safely. This meant that people using the service were given the correct medicines at the correct time and this was clearly recorded.

People and their relatives said they were confident in the staff group who provided good quality care. Staff received regular training and demonstrated they were skilled and knowledgeable about their roles who. They were encouraged to complete additional qualifications and regularly received supervision from their managers. Annual staff performance appraisals had been completed.

People were supported to maintain good health, have access to healthcare services and received continuing healthcare support. Staff supported people to eat and drink enough and maintain a balanced diet.

Care records were clear, informative and up to date. Records were regularly reviewed, and accurately reflected people’s care and support needs. Details of how people wished to be supported were recorded in their care plans and provided clear information to enable staff to give effective support. Where risks had been identi

Inspection carried out on 14 August 2013

During a routine inspection

We spoke to three people who used the service who were at home during the inspection and two relatives. The four other people who lived at Roslyn were at the day centre and therefore out for the day. People had limited verbal communication but were able to tell us they were ‘happy’ at Roslyn. We undertook observations of staff interacting with people who used the service in a kind and calm manner. We saw staff showed, through their actions, conversations and during discussions with us, empathy and understanding towards the people they cared for.

We saw people's privacy and dignity was respected by the way staff assisted people with their personal care.

We examined people’s care files and found the records were up to date and reviewed as the person's needs/wishes changed.

We found people who used the service were involved in making day to day decisions and participated in tasks at home, such as cleaning and doing their laundry. The records showed they went out frequently and saw healthcare professionals when they needed them.

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

People who use the service, staff and visitors were protected against the risks of unsafe or unsuitable premises

Staff said they had received sufficient training to enable them to carry out their roles competently and felt there was sufficient staff on duty to meet people’s needs.

Inspection carried out on 1 December 2012

During a routine inspection

We spoke with two people who used the service. Others were not able to give us their view of the service due to their disabilities. Through conversations with two people we found people were supported to take part in activities of their choice and make decisions and choices regarding their daily lives.

The home had a relaxed atmosphere, which was friendly and welcoming on the day of our inspection.

Staff were positive about their roles and the support they received from their immediate manager and the wider organisation. Staff were trained and competent for the role they were recruited for.

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. The provider had an effective system in place to identify, assess and manage risks to people’s health, safety and welfare.

Reports under our old system of regulation (including those from before CQC was created)