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Inspection carried out on 23 November 2017

During a routine inspection

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 carried out on 5 January 2016

During a routine inspection

The inspection took place on 5 January 2016 and was unannounced.

The home provides accommodation for a maximum of six people requiring personal care. There were five people living at the home when we visited. A registered manager was not in post when we inspected the service as they had recently left the service and a manager had recently been recruited. 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 and associated Regulations about how the service is run.

People responded warmly to care staff looking after them and engaged with them in a friendly and positive manner. Relatives told us they did not have any concerns about their family member’s care.

People received care from staff who understood how to support people correctly and reduce the risk of injury to them when caring for them. People were supported by staff to take their medicines as prescribed. Medicines given to people were correctly recorded and stored away when not in use. The manager made regular checks to ensure people had received their medicines correctly.

People received care and support from staff who were regularly supervised and who could discuss people’s care so that they were clear about how best to support the person. People received care from staff that understood their needs and knew their individual requirements. Staff training was monitored to ensure staff received the correct training they needed to care for people.

People’s consent was appropriately obtained by staff. People who could not make decisions for themselves were supported by staff within the requirements of the law.

People enjoyed their food and were supported where possible to prepare their own drinks and meals. People were offered choices at mealtimes and were supported with any special dietary requirements they had. Staff understood people’s individual needs and preferences and ensured people received the food and drinks they liked.

People’s health needs were assessed regularly by the registered manager and care staff understood how they should care for people. Staff kept families informed about their relative’s care and where appropriate involved them in the decision making. People accessed other health professionals as appropriate such as physiotherapists, occupational health, dentists, doctors and opticians.

People liked the staff who cared for them and sought reassurance through touch. People’s privacy and dignity were respected and staff understood what it meant to support people to retain their independence. Care staff understood each person’s needs and supported people accordingly.

People did not always take part in activities they liked or had an interest in. People’s preferences for interests were in the process of being updated by the new manager so that staff would be able to support people develop their interests.

People were relaxed around the manager and routinely chatted and responded to her. Staff were positive about the manager and felt able to approach the manager and share ideas and concerns about people’s care. Care staff understood their role within the team and how best to support people.

The care people received was regularly reviewed by the manager to people’s care needs were current and up to date. People and their relatives were updated regularly by the care staff manager about any changes and issues affecting the person’s care.

Inspection carried out on 27 November 2013

During a routine inspection

We inspected Rosedene and spoke with three people who lived at the home, five of the staff on duty and the registered manager. We spent time in the communal areas and observed the interaction between staff and people who lived at the home. We looked at care records for two people and other supporting documents for the service.

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. Staff told us that: �If they don�t want something we will leave and try later� and: �I offer encouragement but never push it�.

People�s needs had been assessed and care and treatment was planned and delivered in line with their individual care plan. Staff told us they were aware of each person�s needs and how to give care and support to meet those needs. When asked, three people who lived at the home told us that they liked living there.

We saw that people looked comfortable in their home and knew the staff that supported them. When we spoke with staff they told us: �You get to know them and the care they need�.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Records we saw had been reviewed and updated and kept securely to protect the information held about the people who lived at the home.

Inspection carried out on 2 November 2012

During a routine inspection

During our inspection we spoke with two of the five people who were using the service. We observed how staff interacted and supported four people, the fifth person was not present in the home at the time of our inspection. We reviewed two people's care files and looked at supporting documents. We checked that people were safe and protected from harm and poor staff practices.

Staff provided health and social care support well. Community services were accessed to support people when necessary. We found that staff respected people's privacy and treated them with respect. They said staff talked to them about how they liked their support to be provided. One person said, "I like it here, yes I do."

We found that staffing levels were adequate to care and support the people living in the home. Staff spoke kindly with people and encouraged them to do things for themselves to maintain their daily living skills. One person told us, "I go out and buy my toothpaste." We overheard staff giving people choices about what they wanted to do and eat for their lunch.

We reviewed the care file of a person who had recently been admitted to the home. We found that the person had not been given the opportunity to visit the home so they were unable to meet other people or any of the staff. This meant the person was unable to make an informed decision about whether they wished to move into the home because senior staff had not complied with the registered provider's policy.

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