Our current view of the service
Updated
22 August 2025
Date of assessment: 22 and 23 September 2025.
This was an inspection due to the length of time the service had not been inspected. Rose House is a residential care home supporting up to 16 people, including autistic people and people with a learning disability.
We have 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,independenceand good access to local communities that most people take for granted. While staff demonstrated compassion and a commitment to improving the service, further work was needed to ensure these principles were fully understood and embedded. New members of the provider had already started to recognise this.
This inspection found that people were supported by kind and caring staff who treated them with dignity and respect. Staff had built strong relationships with people and their families, and people told us they felt safe and well cared for. One person said, “Staff are very good for me,” and another gave a thumbs up when asked about staff.
Staff understood people’s individual needs and supported them to make choices about their care. However, opportunities to promote independence were sometimes missed. Some care plans were not accessible to people with communication needs. While people had positive outcomes, improvements were needed to ensure care was consistently based on evidence-based practice, particularly in relation to supporting autistic people and embedding bespoke communication systems.
Medicines were managed safely. Staff recruitment was safe, and training was in place. Although, further bespoke training was needed to enhance staff understanding of specific conditions and best practices.
The environment was clean and infection control practices were understood. However, the suitability of the location for people with increasing mobility needs required review.
The service was well-led. The registered manager demonstrated compassion and knowledge, and staff felt supported and empowered. Systems were in place to oversee care and safety, and concerns raised during the inspection were acted upon immediately.
People's experience of the service
Updated
22 August 2025
People were positive about the care they received and the support staff gave them. They described staff as kind, respectful and attentive, and said they felt safe and well cared for. One person said, “Staff cuddle me if I am worrying. They are all good to me.” Another told us, “I like living here. Staff are good to me.”
People were supported to make choices about their daily lives, including meals, activities and routines. One person said, “I get up at 5:30 every day. I can go to bed anytime.” Another shared, “I would like to go out more if they had more staff. I would like to go to the beach.” People were encouraged to maintain independence. One person said, “They help me make a drink.” Another noted, “I can make most meals by myself.”
Observations for those less able to verbally communicate showed positive staff interactions and engagement. Staff were observed offering choices, responding to emotional needs, and promoting dignity and comfort.
People spoke about their relationships with staff and how they felt included. One person said, “Staff are very good for me. They help when I am upset.” Another commented, “Staff are good and welcoming. It feels like a home.” Relatives also described the service as “like an extended family” and praised the staff’s compassion and professionalism.
Some people expressed a desire for more outings and activities, and some noted that staffing levels occasionally limited these opportunities. One person said, “I would like to go out more often. Sometimes we’re short staffed.” Despite this, people felt listened to and supported. One person shared, “I ring my sister every day and see how she is,” and another said, “They always help me when I need it.”
People’s cultural and communication needs were considered. One person celebrated Diwali and enjoyed wearing traditional clothing. Another used signs to support their communication. Although, staff had not yet received training in this. People were supported to maintain contact with family and friends, and to express their preferences and wishes.
Overall, people felt safe, respected and valued. They were supported to live meaningful lives in a homely environment, with staff who strived to meet their individual needs and preferences.