We carried out a review of the data available to us about Lovely Rose Care Services on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Lovely Rose Care Services, you can give feedback on this service.
About the service
Lovely Rose is a supported living service. The service provides personal care and support for people with learning disabilities and physical and sensory impairment.
Everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection the service supported five people who lived in two domestic properties and were being supported with personal care by the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Relatives and people we spoke with were positive about the care provided. One relative said, “I have got nothing but praise for them they do a great job”. People told us the service supported their needs well. One person told us how they had become more independent since they joined the service.
People were able to access healthcare services to promote their health. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Robust recruitment procedures were in place to make sure staff were of good character and suitable to work in the service. Staff received training to enable them to carry out their role effectively. Staff received regular supervisions to identify any training requirements.
Medicines were managed in line with good practice guidance. Records we saw indicated people using the service received their medicines as the prescriber intended. Medicines were stored safely in locked cabinets in people’s houses.
Risk assessments were in place to ensure people were safe from harm and management plans were in place in response to ongoing risk. Environmental risk assessments were carried out which meant people and staff were living and working in a safe place. Some staff provided 24-hour support and stayed overnight at one house.
Care plans were individualised and reflected people’s current support needs. Audits were carried out by the registered manager to ensure the quality of the service was maintained.
The service applied the principles and values (consistently) of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 7 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
There was a registered manager at the service who registered with the Care Quality Commission on 21 March 2016. A registered manager is a person who has registered with the Care Quality Commission 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.
One relative told us, “By and large quite good, my wife and I are very much involved.” Another relative commented, “Very cheerful, which means a lot. They do virtually everything for him.”
One member of staff told us, “It’s a family business. I am still growing.” Another member of staff said, “It’s fun, parents are like an extended family.”
Staff received training in safeguarding. They told us they would not hesitate to report any concerns. One member of staff told us, “The manager is always available; I can call her if I am not sure.”
Safe recruitment procedures were carried out. Files we saw contained relevant documentation required to ensure only suitable staff were appointed. The registered manager told us it was important that staff had the right attitude and were genuinely ‘caring’. Staff received appropriate induction training and supervision. Staff received a training programme that spanned the first 12 weeks of working for the company.
Support was on-going and an essential part of continuing development. Staff told us they felt supported and would always ask if they were unsure or concerned with any aspect of care they provided. Policies and procedures for the safe management of medicines were in place and being followed. Medicine charts we saw had been completed appropriately. People were supported to take their medicines. Where people required staff to administer their medicine, a risk assessment was in place to ensure the request was appropriate and staff were competent to carry out this role.
People had access to healthcare services to maintain good health. One member of staff told us how an occupational therapist had been involved in support for one person to ensure the environment was adapted to encourage the person’s independence and mobility. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the service had policies and procedures which supported this practice.
Relatives we spoke with told us they knew how to make a complaint and were given the information to do so when they first joined the service. One relative told us that they see staff every week when they visit their family member. They told us, “I would speak to them (staff) first if something was wrong.”
The service had effective quality monitoring systems in place to drive improvements and ensure high quality care was provided for people who used the service. Quality assurance checks were carried out in people’s homes by the management.