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We are carrying out a review of quality at Rowandale. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 21 December 2016

We undertook this inspection on 5 August 2016. This was an unannounced inspection.

Rowandale is a residential care home registered to provide care for up to 11 young adults who have a learning disability. All facilities in the home were provided on one level. There was a large lounge and dining area and all of the bedrooms for people who used the service were of single occupancy. At the time of the inspection there were 11 people living in the home.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

At the last inspection on 23 March 2014, we found the service was meeting the regulations that were applicable at the time.

During this inspection we found the service was meeting the requirements of the current legislation.

Staff and the registered manager were aware of the appropriate procedure to take if abuse was suspected. Staff demonstrated their understanding of the types and signs of abuse.

Relatives of people living in the home told us their family members were safe and they had no concerns. We saw positive meaningful relationships had been developed between people who used the service and the staff. People were seen reacting positively to staff, smiling and laughing in their presence.

Duty rotas demonstrated that there was enough staff on each shift to enable them to meet people’s individual needs. During our inspection we observed sufficient numbers of suitably qualified staff delivering people’s care in a timely and unrushed manner.

Medicines were safely administered, recorded and stored. We saw records had been completed in full and where gaps had been identified, notes confirmed the actions that the staff had taken as a result of these.

Staff files confirmed that staff were safely recruited to work in the home. We saw evidence of appropriate checks taking place. Staff had received regular up to date training that was relevant to their role. Staff confirmed they received all mandatory training along with a nationally recognised qualification. Supervision records had been completed. Staff confirmed regular supervision was taking place and felt supported by the registered manager.

The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The registered manager and staff were aware of their responsibilities in relation to MCA and DoLS. Referrals had been submitted to the relevant assessing authority. This would prevent people from being deprived of their liberty unlawfully.

Staff delivered care to people ensuring their privacy and dignity was maintained at all times. Where it was clear people required support, staff communicated with them using appropriate methods of communication for their individual needs. It was apparent that there were positive respectful relationships between people who used the service and the staff.

Relatives and professionals told us people’s experiences of care was exceptional. Staff demonstrated that they clearly understood people’s individual needs and the care they delivered was person centred. Staff were observed providing excellent personalised care. It was evident staff understood people’s needs thoroughly. People who used the service were seen laughing and smiling and reacting positively to all if the staff team.

There was an exceptional programme of activities in place for people. These were tailored around people’s likes, choices and abilities. Relatives told us they were delighted with the full programme of stimulating and fulfilling activities on offer. There was a dedicated activity team who ensured all activities were re

Inspection areas

Safe

Good

Updated 21 December 2016

The service was safe.

Staff and the registered manager told us the appropriate actions they would take if there were any allegations of abuse. There was a policy in place to guide staff on the appropriate procedure to follow.

Risks assessments had been developed and records confirmed measures were in place to mitigate any risks.

Records confirmed staff had been safely recruited. Duty rotas demonstrated appropriate numbers of staff were in place to meet people’s individual needs.

Medicines were administered safely and records were completed in full following their administration. Staff had access to relevant policies and procedures to support them in safe medicines administration.

Effective

Good

Updated 21 December 2016

The service was effective.

People were protected from unlawful restrictions. Staff and the registered manager were aware of their responsibility in relation to the Mental Capacity Act 2005. Appropriate referrals were completed to prevent any unlawful restrictions.

Staff supported people with their meals according to their needs, choice and requirements.

Staff had the appropriate knowledge, skills and training to provide effective care delivery.

Caring

Good

Updated 21 December 2016

The service was caring.

Relatives gave exceptional feedback about the care their family members received.

Care was delivered according to people’s individual needs and wishes.

Staff clearly understood the importance of maintaining people’s privacy and dignity. Staff were sensitive to people’s individual needs and were observed knocking on bedrooms doors prior to entering them.

Responsive

Outstanding

Updated 21 December 2016

The service was extremely responsive.

The activities programme offered to people was exceptional. People had access to excellent meaningful, individualised activities tailored around their likes and choices.

People’s care records contained detailed information on how to meet their individual needs. Reviews of care were undertaken regularly to ensure the care records reflected up to date information.

The feedback we received about the service was exceptional. There was a robust complaints procedure in place. Complaints were dealt with appropriately.

Well-led

Good

Updated 21 December 2016

The service was well-led.

The feedback about the registered manager was exceptional. It demonstrated her commitment to providing excellent quality care to people who used the service.

Audits and quality monitoring was completed regularly and detailed the actions taken as a result if any gaps were identified.

Team meetings took place for all staff on a regular basis. The registered manager told us innovative practice was recognised in the work her team did during these meetings.