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Archived: Rosetta Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 May 2019

About the service: Rosetta is a care home providing care for up to 12 adults with learning disabilities. The accommodation is provided over two floors with some bedrooms on the ground floor. At the time of our inspection, there were nine people living at Rosetta.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. 'Registering the Right Support' Care Quality Commission (CQC) policy. Although the service is registered for up to 12 people the provider informed us they do not intend to take any further admissions to the home in line with the principles of Registering the Right Support.

People’s experience of using this service: Whilst many positive interactions were seen we also observed occasions where staff did not always demonstrate caring values when supporting people. Quality assurance systems had failed to identify the concerns raised during our inspection.

Recruitment files showed that gaps in staff employment histories had not always been fully explored to ensure that people were supported by suitable staff. Following the inspection, we were informed that this concern had been addressed. We have made a recommendation regarding this. Staff received induction, training and supervision to support them in their roles. However, the registered manager told us they would personally value the opportunity to receive a more formal supervision with written records.

Risks to people’s safety were considered and plans implemented to minimise these. However, we have made a recommendation regarding ensuring staff are fully aware of people’s needs. People lived in a safe environment and staff understood their responsibilities in protecting people from potential abuse. People received their medicines in line with prescriptions and had access to a wide range of healthcare professionals.

Staff were aware of people’s past histories and interests and people had access to a range of activities. However, care records and activity plans were not always completed in a detailed manner. The registered manager told us this was in the process of being addressed as part of the implementation of an electronic records system. We have made a recommendation regarding ensuring that activities provided are in line with people’s needs.

People and their relatives told us they were treated well by staff and that the registered manager was accessible. People were supported to maintain their independence and their dignity and privacy were respected. Permanent staff spoke affectionately about the people they supported.

Rating at last inspection: At the last inspection the service was rated Good (report published on 15 October 2016)

Why we inspected: This was a planned comprehensive inspection

Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.

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

Inspection areas

Safe

Good

Updated 9 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 9 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 9 May 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Good

Updated 9 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 9 May 2019

The service was not always well-led

Details are in our Well-Led findings below.