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Inspection Summary


Overall summary & rating

Good

Updated 20 November 2018

Rosedale Care Home Limited is a ‘care home’ for people with learning disabilities. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Rosedale Care Home accommodates up to seven people in one adapted residential house in a residential area. At the time of the inspection there were seven people living there. The service provided was not initially developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. However, people were given choices and their independence and participation within the local community encouraged.

This inspection took place on the 9 October 2018 and was unannounced. We had previously inspected this service in April 2016, at that inspection the service was rated ‘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.

The provider was the registered manager. 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.

The service had a positive ethos and an open culture. The provider was approachable, understood the needs of the people in the home, and listened to staff and relatives. There were effective systems in place to monitor the quality of the service and drive improvements. However, the provider needed to ensure that they remained up to date with national strategies around the care and development of services for people with learning disabilities.

People were consistently protected from the risk of harm and received their prescribed medicines safely. Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.

The care that people received continued to be effective. Staff had access to the support, supervision and training that they required to work effectively in their roles. People were supported to maintain good health and nutrition and live fulfilled lives.

People developed positive relationships with the staff. The staff were friendly, passionate about their work and caring; they treated people with respect, kindness, dignity and compassion. People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.

Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty. People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support.

People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received. Information was available in various formats to meet the communication needs of the individuals.

Inspection areas

Safe

Good

Updated 20 November 2018

The service remains good.

Effective

Good

Updated 20 November 2018

The service remains good.

Caring

Good

Updated 20 November 2018

The service remains good.

Responsive

Good

Updated 20 November 2018

The service remains good

Well-led

Good

Updated 20 November 2018

The service was not always well-led.

The provider had not always considered national strategies in relation to the development of services for people with learning disabilities.

There were effective systems in place which monitored the quality and standards.

The service was open and transparent and people were encouraged to express their views and ideas