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Inspection Summary


Overall summary & rating

Good

Updated 23 November 2018

“Rose Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one CQC contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Rose Court provides accommodation, care and support for up to 11 people who are living with a learning disability. At the time of our inspection there were ten people living at the service.

At the last inspection in January 2016, the service was rated Good.

At this inspection 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.

The service has a registered manager. 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.

The registered manager was not available on the day of the inspection and we were supported by the deputy manager.

The environment was not well cared for and was not clean in all areas. We were informed following the inspection that a plan to improve the environment had been put in place.

People felt safe being supported at the service. Staff were knowledgeable about how to protect people from harm. They had received effective safeguarding training.

There were sufficient numbers of staff deployed to meet people's needs when required. Safe recruitment processes were in place to help ensure that staff were suitable to work in this type of service. Staff had received training and an ongoing support to help with their development.

People continued to be consulted about their care. Detailed care plans clearly documented their individual needs, preferences and choices. Risks to people’s health, safety and wellbeing had been assessed and there were effective risk management plans in place which mitigated risk. All care plans and risk assessments had been regularly reviewed to ensure that they were reflective of people's current needs.

People are supported to have maximum choice and control of their lives and staff (do not) support them in the least restrictive way possible; the policies and systems in the service support this practice.

People continued to be supported to access a range of health care professionals to help maintain their health and wellbeing. There were effective systems in place for the safe storage and management of medicine and regular audits were completed. People received their medicines as prescribed.

Staff were supportive and respectful. People's privacy and dignity continued to be maintained and respected. Staff knew people's needs and preferences and provided personalised support. People were supported to participate in meaningful activities and hobbies that were of interest to them.

People and staff found the registered manager and deputy to be supportive and approachable and were very positive about how they managed the service. People felt listened to and said that staff were responsive to any concerns they raised. Quality monitoring systems and processes were used to make improvements when required.

Inspection areas

Safe

Good

Updated 23 November 2018

The service remains Good.

Effective

Requires improvement

Updated 23 November 2018

The service was not always effective.

The environment was not well cared for and did not create a pleasant environment for people to live in.

People's consent was always sought in line with legislation and guidance.

Staff were trained and supported to ensure they followed best practice.

People were supported to access all healthcare services they required.

Caring

Good

Updated 23 November 2018

The service remains Good.

Responsive

Good

Updated 23 November 2018

The service remains Good.

Well-led

Good

Updated 23 November 2018

The service remains Good.