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Inspection Summary


Overall summary & rating

Good

Updated 5 January 2018

This inspection took place on 18 October 2017 and was unannounced. A second and third day of inspection took place on 19 and 25 October and these dates were announced.

Rosewood House is a residential home which provides nursing and personal care for up to 78 people. At the time of our inspection there were 74 people living at the home, some of whom were living with dementia.

A registered manager was in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We last inspected this service in August 2015 when an overall rating of 'Good' was awarded. At this inspection we found the service remained ‘Good.’

People we spoke with told us they felt safe living at the home. Relatives we spoke with all said they felt their family members were safe. Staff had received training in safeguarding and knew how to respond to any allegations of abuse. Safeguarding referrals had been made to the local authority appropriately, in line with set protocols.

The arrangements for managing people's medicines were safe. Medicines were stored securely and medicine records were up to date with no gaps or inaccuracies.

A thorough recruitment and selection process was in place which ensured staff had the right skills and experience to support people who used the service. Identity and background checks had been completed which included references from previous employers and a Disclosure and Barring Service (DBS) check.

Although people's needs were met in a timely manner, we have made a recommendation about staffing levels and the deployment of staff. This was because we noted that a high number of people who used the service had complex needs both in relation to dementia and general nursing needs, and some people and staff we spoke with felt more staff would be beneficial.

Risk assessments about people’s individual care needs were in place, for example in relation to falls, pressure damage and nutrition. Control measures to minimise the risks identified were set out in people's care plans for staff to refer to. Each person had a personal emergency evacuation plan (PEEP) which provided staff with information about how to support them to evacuate the building in an emergency situation such as a fire or flood.

People had maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. Care records contained evidence of people being supported during visits to and from external health care specialists.

Staff received regular supervisions and appraisals and staff training in a range of key areas was up to date.

Staff spoke with people in a kind, caring and respectful way. People’s individual choices were sought and respected.

Care records showed that people’s needs were assessed before they started using the service and care plans were written in a person-centred way. Person-centred is about ensuring the person is at the centre of any care or support plans and their individual wishes, needs and choices are taken into account.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs.

The provider had an effective complaints procedure in place and people who used the service and their relatives were aware of how to make a complaint.

The provider had an effective quality assurance process in place. Staff said they felt supported by the management team. People who used the service, family members, staff and visiting health and social care professionals were regularly consulted about the quality of the service via meetings and surveys.

People who used the service spoke positively about the registered manager and said they would recommend Rosewood House to others.

Inspection areas

Safe

Good

Updated 5 January 2018

The service remains Good.

Effective

Good

Updated 5 January 2018

The service remains Good.

Caring

Good

Updated 5 January 2018

The service remains Good.

Responsive

Good

Updated 5 January 2018

The service remains Good.

Well-led

Good

Updated 5 January 2018

The service remains Good.