Archived: Rosewarne Care

Updated 20 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 9 and 12 February 2018 and was unannounced. The inspection team consisted of one adult social care inspector.

The service was previously inspected on 5 November 2015 when it was found to be good in all areas. Prior to the inspection we reviewed the information we held about the service and notifications we had received. A notification is information about important events which the service is required to send us by law.

During the inspection we met and spoke with the three people who used the service, two members of care staff and the registered manager. After the inspection we also communicated with two health and social care professionals who visited the service. We also inspected a range of records. These included three care plans, three staff files, training records, staff duty rotas, meeting minutes and the services policies and procedures.

Updated 20 March 2018

This inspection took place on 9 and 12 February 2018 and was unannounced. Rosewarne Care is a ‘care home’. 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.

Rosewarne Care accommodates up to six people who have learning disabilities. Four people were using the service at the time of our inspection. The service is situated in a semidetached property with an enclosed outdoor space in a rural location on the outskirts of Camborne.

The service had a 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 is a family run business and support is provided in a domestic style. The registered manager is also one of the registered providers and is responsible for meeting people’s day to day support needs. The registered manager was supported by a team of three part time care staff and an office administrator.

People were relaxed and comfortable at Rosewarne care and told us, “It’s very nice here” and “I am happy living here.” Staff had received safeguarding training and understood their responsibilities in relation to protecting people from abuse and harm. The registered manager had responded appropriately to an incident that had occurred and acted to ensure people were protected from discrimination.

The registered manager and staff knew people well and understood their individual care and support needs. People enjoyed the company of their support staff and there was a relaxed, comfortable and homely feel to the service. People approached staff for support without hesitation and staff responded immediately to address people’s needs. One person told us, “[The staff] are all kind.” Staff told us they enjoyed their role and took pleasure in describing people’s achievements.

Staff were well motivated and told us the registered manager, who they worked alongside every day, provided effective leadership. Staff told us, “Most of the time the registered manager is here and she is always on the end of the phone if you need her, It’s a great place to work” and “You have nothing to be worried about”.

Information was stored securely and there were systems in place to monitor the service’s performance, gather people’s feedback and identify where improvements could be made. All Firefighting equipment had been regularly serviced and utilities had been regularly tested by appropriately skilled contractors.

People’s medicines were managed safely. Medicine administration records had been accurately completed and staff had been provided with appropriate guidance on the use of as required medicines.

Registered manager and staff team were sufficiently skilled to meet people’s care and support needs. Rotas showed there were enough staff available to meet people’s needs and staff told us, “There is always somebody here.” Although the service had not recently recruited new members of staff appropriate induction procedures were available. Staff records showed all necessary pre-employment checks had been completed for existing staff before they were permitted to provide care.

Detailed assessments of people’s needs were completed before they moved into the service. This was done to ensure the service could meet the person’s needs without impacting on people already using the service. The assessments process included visits to the person’s home and the person visiting the service to meet staff and other residents. People’s initial care plans were based on information gathered during the assessment process combined with background information from commissioners and relatives.

People’s care plans were sufficiently detailed and staff had a detailed understanding of each person individual needs. People’s care plans had been reviewed and updated regularly and people were involved in these processes. Care plans included information about how people preferred to be supported as well as guidance on how to provide support when the person was feeling upset or anxious.

People were able to choose how to spend their time and to access the community when they wished. During our inspection one person was attending a work placement and another person was supported to go shopping and out for lunch by a member of staff. Two people chose to spend their time in the service and were supported by the registered manager to engage with a variety of activities including, dancing, craft activities and exercise routines. Staff told us, “I take [person’s name] out every Wednesday for lunch” while one person said, “I don’t stop in, it’s no good stopping in.” Health and social care professionals told us, “This service had tapped into my client's motivation, sourcing some good ideas for her to trial local activities and groups” and “I feel the people that live there have a good quality of life.”

The Registered manager and staff had a good understanding of the Mental Capacity Act 2005 and records showed that where people lacked capacity staff had consistently acted in their best interest. However, a necessary Deprivation of Liberty Safeguards application to the local authority had not been made in relation to recent changes in one person’s care plan. We discussed this situation with the registered manager who subsequently made the necessary application. We have recommended that the registered manager review current guidance to ensure people’s rights were protected at all times.