Rosebery House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People were central to the assessment process. One person told us, “The staff include me in everything” and a relative said, “I always feel that staff listen, and we are fully included in decisions about [family members] care.”

The provider carried out detailed assessments on people's needs and choices to ensure they were providing people with the best support and treatment they needed. They told us all placements were carefully considered.

Staff had a good understanding and knowledge of the people who lived at the home. They were able to tell us about the care they provided for individual people. They focused on people's strengths so people could have fulfilled and meaningful lives.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence based good practice and standards. The management team kept up to date with best practice and shared this with the staff team. The staff team spoke knowledgably about their training in areas such as trauma informed care, personality disorders and positive behaviour support.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff told us they completed a communication book to share information within the team. Without exception staff said they felt listened to, valued and confident to share their ideas on how to improve service delivery.

Information was shared between staff effectively through a handover meeting and a communication book was shared with each care worker, with detailed information about who to support and how, and included any pertinent information or updates. Details were personalised about how people were feeling and any health-related concerns

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to make choices about their daily routines, diet, and exercise. Staff encouraged participation in activities that promoted both physical and social wellbeing, helping people maintain independence and quality of life. Staff engagement ensured people felt safe, cared for, and supported to maintain their health.

People chose what they wished to eat each day and were always offered alternatives if the options given were not acceptable. Most people received assistance from staff to prepare their food, but people were encouraged to prepare their own if they wished to do so. Staff supported with healthy meal planning where people agreed to this.

Staff supported people to access health care screening and health care services when people needed support. They made referrals to other organisations and requested immediate support if people experienced an issue with their health.

Records included information about each person's health needs and guidance for staff to show how these were met and affected their daily lives.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Without exception, staff said they thought standards of care were good, which led to positive outcomes for people. Staff had taken great care to ensure people's voices and choices were heard and to enable people to build and stay in control of their own lives.

The service monitored people's care support as well as any specific health care needs, such as diabetes. Care plans were reviewed and updated whenever there were any changes in a person’s care needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People said they were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible.

The registered manager and staff were passionate about supporting people in the least restrictive way and always considered and acted in people's best interests whilst acknowledging people's right to make unwise decisions.

Staff had received training and had a good understanding of the principles of the MCA. The registered manager was aware of the process to follow to make formal decisions in people's best interests if needed.