- Care home
Rosekeys
Assessment report published 19 June 2025
Contents
Ratings
Our view of the service
Date of Assessment: 22 April to 13 May 2025. The service is a residential care home set over 2 floors with separate bungalow accommodation at the rear of the main building providing personal care and support to adults of all ages living with a learning disability and autistic people. At the time of the assessment the service was providing support to 3 people.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence, and good access to local communities that most people take for granted.
We carried out this assessment because we found breaches of regulations at our last assessment, and we assessed to see if the provider had made improvements.
The provider was previously in breach of the legal regulation in relation to person centred care and consent. Improvements were found at this assessment and the provider was no longer in breach of this regulation.
The provider was also previously in breach of the legal regulation in relation to safe care and treatment and good governance. Improvements were not found at this assessment, and the provider remained in breach of these regulations.
People were not always protected and kept safe. Staff did not always understand and manage risks. The facilities and equipment were not consistently well-maintained, and any risks mitigated. There were enough staff with the right skills, qualifications and experience who were effectively deployed to ensure people could engage with meaningful activities. Staff and the management team demonstrated they had positive working relationships with people.
Managers made sure staff received training and regular supervision to maintain the quality of care.
People’s assessments took account of people’s communication, personal and health needs, although information was not always clearly recorded. People had enough to eat and drink to stay healthy, but this was not always documented consistently. Staff worked with all agencies involved in people’s care for the best outcomes. People’s health, including support with moving and positioning was not always carried out and monitored effectively to ensure people’s health and support healthy living. Staff did not consistently involve those important to people when decisions were made in people’s best interests where they did not have capacity. People were effectively supported with medicines and consideration was given to ensuring professionals were involved in the review of medicines to improve people’s health outcomes.
People had choice in their care and were encouraged to maintain relationships with family and friends. The registered manager and provider supported staff wellbeing.
Leaders had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable, and supportive, helping staff develop in their roles. Staff did not always understand their roles and responsibilities or carry these out in line with their training. Managers were open to feedback and receptive to new ideas. The management team were working with staff to embed a culture of continuous improvement with staff given time and resources to try new ideas.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
Some people could not directly tell us about their experience. We gathered evidence of peoples experience where they weren’t able to communicate this to us through observation, reviewing records, and we spoke with people’s relatives to get feedback on the care and support their loved one received. Relatives were positive about the quality of people’s care. They felt their loved ones were safe and staff treated them as individuals. One person said, “The staff understand [name] needs. [Name] is very happy and goes out more.” People said the service provided interesting activities they enjoyed, this kept people physically and mentally active. This showed people were included and listened to and staff interacted positively with them. We observed how staff supported people with their individual dietary needs following guidance from professionals although this wasn’t reflected in people’s care records. People knew staff and leaders well and appeared comfortable and confident engaging with them.