Archived: Roselands Residential Home Limited

Updated 4 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was an unannounced comprehensive inspection which took place on 15 and 16 March, 2018. The first day of the inspection was carried out by an adult social care inspector and an expert by experience. An expert by experience is a person who has personal experience of using this type of service or caring for someone who uses this type of care service. On the second day one adult social care inspector returned to the service.

Before the inspection we reviewed information we held about the service. This included the inspection report from our last inspection in March 2016. We also looked at the Provider Information Return (PIR). This is a document that asks the provider to give us some key information about the service, what the service does well and any improvements they are planning to make. We also reviewed the statutory notifications the CQC had received from the provider. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay.

Prior to the inspection we contacted the local authority quality monitoring officer to ask if they had any concerns about the service, which they did not.

During our visit we spoke with the registered manager, the owner, two care assistants, the activities coordinator, six people who lived at the home, four relatives and two care assistants. We also spoke with other staff in passing. We looked around the home checking on the condition of the communal areas, toilets and bathrooms and kitchen. We spent time observing a lunchtime meal and the administration of medicines.

As part of the inspection we reviewed the care records of three people living at the home. The records included their care plans and risk assessments. We reviewed other information about the service, including training and supervision records, three staff personnel files, medicine administration records, audits, meeting minutes and maintenance and servicing records.

Updated 4 April 2018

Roselands is a 'care home'. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Roselands is located in an old vicarage and has been adapted and extended to provide accommodation for up to 19 people. At the time of our inspection there were 16 people living at the home.

At our last inspection we rated the service good overall, although we found one breach of the Health and Social Care Act. This was because care records did not provide enough information to guide staff on the care and support people required. At this inspection we found improvements had been made and the service was no longer in breach of the regulations. We found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Systems remained in place to help safeguard people from abuse. Staff understood what action they should take to protect vulnerable people in their care. Recruitment checks had been carried out to ensure staff were suitable to work in a care setting with vulnerable people. At the time of our inspection there were sufficient staff to respond to the needs of people living at the home.

The home was well-maintained, clean and decorated to a good standard. Maintenance checks on services and equipment were up-to-date. Procedures were in place to prevent and control the spread of infection. The management of medicines was safe. The service plans to introduce more detailed documentation around the administration of ‘when-required’ medicines.

Staff encouraged people to make choices where they were able. The service was working within the principles of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).

People were supported by staff who had the knowledge and skills to undertake their duties. Staff completed a programme of training and received regular supervision and an annual appraisal.

Warm and caring relationships had been encouraged at the service and staff were polite and friendly when engaging people. People's privacy and dignity were respected. People had good access to other health professionals for advice and support, when needed. Care plans, which were reviewed regularly, reflected the needs of each individual.

There was strong, committed leadership from the registered manager and home owner and staff told us they felt supported by the management team. Audits and quality checks were undertaken on a regular basis and any issues or concerns addressed with appropriate actions. The service was committed to partnership working and had developed links with other healthcare professionals and the local community.