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Inspection carried out on 14 November 2019

During a routine inspection

About the service

Rough Lee Home provides accommodation and personal care for up to 17 adults with physical disabilities and is situated in Accrington. The home is purpose built and accommodates people on the ground floor. Accommodation is provided in single bedrooms the majority having en suite facilities. At the time of inspection there were 15 people living in the home.

People’s experience of using this service and what we found

People told us they felt safe in the home and reassured by the care and support provided. Staff understood how to protect people from abuse and avoidable harm. Risk management policies ensured people were supported to remain safe in the least restrictive way possible. The environment was well maintained and regular testing had been completed of safety equipment.

People received care from staff who were trained and knowledgeable about their needs. People were supported to eat and drink and praised the quality of the food. People had maximum choice and control about their care, and were supported to make important decisions in line with guidance and the law. People had access to health care including regular screening to help maintain optimum health.

People and their relatives said the staff were kind and caring. People's equality needs had been fully considered, people told us they felt respected and cared for. We observed positive interactions in the home. The provider ensured people were able to maintain and develop their independence.

People received person centred care which reflected their needs and wishes. Regular reviews and updates ensured care remained appropriate. A range of activities were available both inside the home and in the community. People had the opportunity to make suggestions and be involved.

The home was well led by a committed management team. People felt fully involved in the day to day business of the home. Regular audits of care practice and records ensured the qualityof care was maintained.

Rating at the last inspection

At the last inspection the overall rating was good. Published (May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection carried out on 19 April 2017

During a routine inspection

The inspection visit took place on 19 and 20 April 2017, the first day was unannounced.

Rough Lee Care Home provides accommodation and personal care for up to 15 people with physical disabilities. At the time of the inspection 14 people were accommodated in the home. The home is a detached purpose built property with large gardens and a car park. All accommodation and facilities are located on the ground floor. Private parking facilities are available.

At the last inspection in July 2014 the service was rated Good. At this inspection we found the service remained good.

The registered manager had systems in place to record safeguarding concerns, accidents and incidents and take appropriate action when required. Recruitment checks were carried out to ensure suitable people were employed to work at the home. Our observations and discussions with staff and people who lived at the home confirmed sufficient staff were on duty.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.

Risk assessments had been developed to minimise the potential risk of harm to people who lived at the home. These had been kept under review and were relevant to the care and support people required.

Care plans were in place detailing how people wished to be supported. People who received support, or where appropriate their relatives, were involved in decisions and consented to their care.

People’s independence was promoted.

Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required.

We observed regular snacks and drinks were provided between meals to ensure people received adequate nutrition and hydration. Comments from people who lived at the home were all positive about the quality of meals provided. One person said, “The food here is the best.”

We found people had access to healthcare professionals and their healthcare needs were met.

People who lived at the home told us they were encouraged to participate in activities of their choice and a range of activities that had been organised. Entertainers were arranged on a regular basis.

People who used the service and their relatives knew how to raise a concern or to make a complaint. The complaints procedure was available and people said they were encouraged to raise concerns.

The registered manager used a variety of methods to assess and monitor the quality of Rough Lee Care Home. These included external audits, regular internal audits of the service, surveys and staff and resident meetings to seek the views of people about the quality of care being provided.

Inspection carried out on 30 July 2014

During a routine inspection

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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

The inspection was unannounced. The last inspection was carried out on 18 October 2013. All areas reviewed met current standards.

Rough Lee Care Home provides accommodation and personal care for up to 15 people with physical disabilities. At the time of the inspection 14 people were accommodated in the home. The home is a detached purpose built property with large gardens and a car park. All accommodation and facilities are located on the ground floor. The home has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

The people spoken with told us they felt well cared for and safe at Rough Lee. We saw that staff treated people with respect and were mindful of their rights and dignity.

Each person had an individual care plan which included risk assessments. These told the staff about the risks for each person and how to manage and minimise the risks to help keep people safe. However, one person told us their needs and wishes had changed. Whilst they had not previously mentioned these changes, the staff had not picked this up as the person’s risk assessment was only reviewed once a year. Timely and frequent review of risk assessments is important to ensure people can take responsible risks as part of their daily lives.

We found people’s needs were assessed before they started to use the service. Care records were personalised and identified people’s personal preferences about how they liked their care and support to be delivered.People were supported to access health care and where people had existing health conditions they were supported to manage these. People received care from staff who had received the training they needed to deliver care and they were well supported through supervision and appraisal.

People were served a variety of nutritious meals and were offered a choice each meal time. All people spoken with were very complimentary about the food and told us they enjoyed the meals provided.

Staff observed during our visit were caring. We observed positive interactions between staff and the people they supported. Staff spoken with had a good understanding of both people’s care and support needs; and their individual preferences.

There were clear management structures offering support and leadership. We saw there were arrangements in place to check the quality and safety of the service provided. This included regular audits and consultation with people living in the home and their relatives.

Inspection carried out on 18 October 2013

During a routine inspection

People using the service were encouraged people to make choices and be as independent as possible. We saw that people had signed their care records to indicate their agreement to the care and support provided at the home.

All the people we asked told us they were happy with the help and support they received at Rough Lee. One person said, �It�s excellent the staff are really caring. I�m cared for night and day.�

We saw that the home was clean, tidy and free from offensive odours. We found that appropriate procedures for the prevention and control of infection were in place.

We noted that all members of staff received the training they needed in order to provide safe and effective care for people using the service.

Although people said they would complain if necessary there had not been any complaints for several years.

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