Archived: Rose House

Below is a summary of what we found. The summary is based on our observations and looking at records during the inspection.

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

Systems were in place to make sure that managers and staff learned from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve.

Is the service well-led?

Improvements had been made to ensure formal supervision and staff appraisals were up to date. This meant staff had the opportunity to formally discuss their development and any concerns they had about work practice.

Improvements had been made to ensure the service had an effective quality assurance system that identified shortfalls and showed how they had taken remedial action to continually improve the service.

Below is a summary of what we found. The summary is based on our observations during the inspection, discussions with five people using the service, three relatives, and the staff supporting them and looking at records.

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

People were treated with respect and staff helped people to be an independent as possible. People using the rehabilitation unit told us the staff were first class and they were helped to recover quickly so they could return to their own homes

The manager sets the staff rotas, they take people's care needs into account when making decisions about the numbers, qualifications, skills and experience required. This helped to ensure that people's needs were met.

Medication was administered safely and people's rights were respected which ensured people could take charge of their own medication safely.

Systems were in place to make sure that managers and staff learn from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve.

Is the service effective?

The home had systems in place to ensure people's wishes were respected. Staff told us about how people were assisted to return home after effective rehabilitation. People told us they were looking forward to going home, but said their stay at the home had been very good.

People living with dementia were supported to lead an active life. Staff were knowledgeable about people's care needs which helped them to provide effective care.

Is the service caring?

The manager had ensured that staff had a good understanding of people's needs as they had completed training on person centred care for people living with dementia. This helped them to understand people's needs.

The manager told us that a number of staff had completed training on how to support people on the rehabilitation unit. This ensured appropriate care and treatment was given to people who used the service.

People's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. For example, staff ensured they provided activities that were appropriate to the needs of people who used the service.

Is the service responsive?

People were supported by kind and attentive staff. We saw that staff showed patience and gave encouragement when supporting people.

Is the service well-led?

The manager had been in post for a long period of time and staff told us they felt supported by her. However, formal supervision and staff appraisals were not up to date. This meant staff did not have the opportunity to formally discuss their development.

The service had a quality assurance system, however records seen by us showed that not all of the shortfalls identified had been addressed. Care plan audits did not identify that some information had not been reviewed. Medication audits had not identified that all medication held at the home had been booked in correctly.

We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to quality assurance, and the improvements they will make in relation to staff supervision and appraisals.

People told us they were happy with the food and refreshments they received. We saw evidence of people being given choices as to what they wished to eat. A nutritious and balanced diet was made available.

People told us they felt the home was clean. There were systems in place to manage and monitor the prevention and control of infection.

One person who used the service felt there were not always enough staff on duty. However, a review of staffing records showed there were sufficient staff to meet people's needs.

People who used the service told us they knew how to make a complaint and who to complain to. There was a complaints procedure in place and staff were aware of their responsibilities to report verbal complaints so they could be formally investigated.