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Inspection Summary


Overall summary & rating

Outstanding

Updated 22 January 2020

About the service

Rossall is a nursing home providing personal care to 46 people with complex needs at the time of our inspection. The service can support up to 46 people within three units spread over one floor. There are multiple lounges, rest spaces, dining areas and themed rooms for people’s comfort and relaxation.

People’s experience of using this service and what we found

The provider continued to have exceptionally high staffing levels and skill mixes to maximise people’s safety and welfare. A relative commented, “The home is a well organised team, each member fully supporting each other. I cannot speak highly enough of the team.” People and relatives told us this meant they were empowered to lead significantly more purposeful lives. The provider excelled in protecting people from harm, including extensive training provision. They were also highly innovative and effective in using evidence-based tools and procedures to retain people’s safety. A relative stated, “Absolutely, [my relative] is not at all unsafe. I can’t praise this place enough.” The registered manager continued to maintain very good standards in the safe management of people’s medicines. The focus was centred on administering medication only where it maximised a purposeful life.

The provider was highly effective at ensuring people were vigorously assessed and monitored through extensive, multi-disciplinary and proactive treatment programmes. A visiting professional said, “Having worked for quite some time with this home, I find it is without doubt excellent. It is the most enthusiastic and compliant of all the services we work with.” The provider continued to maintain an outstanding model to meet people’s nutritional care. A relative told us, “[My family member] absolutely does not go hungry, she has everything she needs.” The provider had an extensive training programme that led to extremely effective and skilled staff. A relative confirmed, “Yes, absolutely the staff are well trained.”

People were supported to have 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. A visiting professional stated, “The care records show an exemplary standard in the application of the Mental Capacity Act (2005).” Staff demonstrated outstanding skills in deploying different methods to help people fully participate in their care. The provider excelled at maintaining and enriching a highly adapted environment to support distressed individuals, including sensory areas to stimulate them and provide activities.

The management team and staff embraced people’s diversity and excelled in sensitive care delivery centred on optimising people’s human rights. A visiting professional described staff as exceedingly calm, professional and kind when assisting each person. People and relatives unanimously described staff as exceptionally caring. A relative commented, “What really sets them apart is their kindness and compassion. Often going the extra mile to make not just my [relative], but myself and my family feel very safe and secure.”

The registered manager provided an outstanding range of activities to improve people’s social skills and mental welfare. A staff member told us, “The activities are amazing and we keep this as our main focus.” The management team created a highly proactive care model to ensure staff were responsive to people’s needs. They delivered outstanding end of life care by optimising people’s comfort, wishes and symptom management and instilled this in their workforce.

The provider worked with other organisations to enhance its excellent service delivery. The management team analysed survey results with a strong desire to continuously improve. Extensive service auditing was clearly directed at reviewing any lessons learnt to maximise people’s safety and quality of life. Rossall had very strong leadership with an excellent caring approach

Inspection areas

Safe

Outstanding

Updated 22 January 2020

The service was exceptionally safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 22 January 2020

The service was exceptionally effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 22 January 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 22 January 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 22 January 2020

The service was exceptionally well-led.

Details are in our well-led findings below.