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Inspection Summary


Overall summary & rating

Good

Updated 6 March 2018

Rosedene provides accommodation for a maximum of six people requiring personal care. There were five people living at the home when we visited.

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 CQC policy.

There was a registered manager in post when we inspected the home. 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 around care staff who understood how to keep people safe. Staff had received updated training and understood people’s individual circumstances. Staff understood who to report concerns to as well as the risks to people’s health. Staff understood people’s health conditions and how they required supervision and support. The risks to people’s health were reviewed regularly and updated based on the known risk to people’s health. Staff working at the home had been subject to background checks before they started their employment at the home. Staffing needed to support people safely was reviewed and updated based on people’s changing needs. People’s access to medicines was reviewed and checked to ensure people received their medicines as prescribed.

Staff were supported through access to training and supervision and received feedback on their performance. Staff supporting people understood the importance of obtaining their consent before undertaking any support tasks. Staff supported people to maintain a healthy diet. People were also supported to attend appointments with healthcare professionals in order to aid their health and wellbeing.

People knew and liked the staff supporting them. Staff understood people’s individual care needs and preferences. Staff involved people in their care by explaining choices and supporting people to make decisions about their care. People were supported by staff who demonstrated an understanding of supporting people with dignity and respect.

People were supported to pursue hobbies and interests that were important to them. Staff understood how to support people. People’s care was reviewed and updated in response to their changing care needs. People understood they could speak with staff and the registered manager if they were unhappy about their care. Complaints were recorded and responded to in line with the registered provider’s policy.

People knew and liked the registered manager. Staff spoke positively about working at the home and understood their role within the team. Staff felt able to seek help and guidance as well as contribute ideas to care planning. Regular reviews of people’s care ensured people’s care planning was timely and up to date. The registered manager reviewed and updated people’s care regularly and sought advice and guidance to improve the care people received.

Inspection areas

Safe

Good

Updated 6 March 2018

The service was safe.

People felt safe and comfortable around staff. Staff understood what it meant to protect people from harm and had received refresher training in safeguarding. Regular checks were completed on equipment to ensure they were safe to use. Staff understood people’s health conditions and the risks associated with their health. Staffing levels were monitored by the registered manager and recruitment checks included checks of the staff members background. Staff ensured people received support with their medicines. Staff understood the importance of reducing the spread of infection.

Effective

Good

Updated 6 March 2018

The service was effective

People were supported by staff that had received support and training to care for people. People were offered choices in the meals to maintain a healthy lifestyle. People were supported to attend appointments with healthcare professionals to maintain their health and wellbeing. People chose how their bedrooms should be arranged and people were supported in line with legal requirements.

Caring

Good

Updated 6 March 2018

The service was caring.

People liked the staff that cared for them and staff understood how to support people and respect people’s dignity and human rights. People were involved in their care planning. People understood they could speak with the registered manager and staff if they were concerned about anything.

Responsive

Good

Updated 6 March 2018

The service was responsive.

The service was responsive people were involved in planning their care and people’s care was reviewed and updated in response to changing needs. A complaints process was in place to investigate and respond to complaints.

Well-led

Good

Updated 6 March 2018

The service was well led

People and staff knew and liked the registered manager and that she was accessible. Staff understood they could receive support from the registered manager and were encouraged to highlight issues affecting people’s care. The registered manager had a system in place for monitoring, reviewing and updating people’s care. The registered manager worked with other stakeholders to develop people's care in response to their needs.