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Inspection Summary


Overall summary & rating

Outstanding

Updated 23 October 2019

Rowan House provides a supported living service and personal care for people who are unable to provide it for themselves because of old age, illness or disability. Where people live in their own home they receive care and support in order to promote their independence. As there is a separation between the care and accommodation, the care they receive is regulated by the CQC but the accommodation is not. On the day of our inspection, 150 people were using the service but not everyone was receiving a regulated activity. Some of the people using the service had complex needs and the frequency of the care and support depended on people's individual requirements.

The provider of the service had merged with the previous established provider in April 2018. The previous provider had constantly demonstrated they were providing good quality care. As part of the merger the new provider had retained a well-established staff group, including senior leaders such as the registered manager. Peabody Limited has three additional adult care services which have been inspected by the commission, and rated as good, with one that had outstanding features.

Supported living

People receiving supported living services rented accommodation separately from the care that was provided by the service. These were small shared houses and bungalows. Where care staff were required to remain at the service overnight, they were provided with appropriate sleeping arrangements.

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

People received an exceptionally safe service. Staff supported people in the least restrictive way possible to ensure that they were able to lead their best lives. The providers policies and systems supported this practice.

Staff had an excellent understanding of how to safeguard vulnerable people. The service had a very open and transparent culture and staff and people were supported to speak up if they had any concerns. All staff were recruited safely and people using the service were involved in this process.

People received a very effective service. Staff had access to great training opportunities and had an excellent understanding and knowledge of best practice relating to individual people’s care needs. All staff had a good understanding of the Mental Capacity Act 2005, and people were supported to have maximum choice and control over their lives.

People had access to a variety of health and social care services to enhance their physical and mental wellbeing. Healthcare professionals spoke highly of the support people received.

Staff were exceptionally caring and often went the extra mile to support people to live their best lives, including after their working day had finished. Professionals, relatives and people were very positive about the care that was provided. People were treated with respect and dignity and staff understood the value of maximising people’s independence and the positive impact this would have on people’s lives.

People received a service that was not only responsive to their needs but also incredibly person centred. Care plans documented how staff should manage identified individual risks to people, without imposing unnecessary restrictions on their lives. Disability was not viewed as a barrier to people accessing all potential opportunities, rather it was a challenge to find ways to support people to live in the way they wanted.

External professionals, people receiving a service and relatives told us that this service was outstandingly led. The registered manager acted as an exceptionally strong role model to all levels of staff. They were knowledgeable, kept up to date with all best practice guidance and disseminated this to staff effectively. There was a shared vision that every person receiving a service had their potential maximised. Team leaders and senior managers shared this passion and supported staff to work creatively with people to mitigate and manage potential risks, supportin

Inspection areas

Safe

Outstanding

Updated 23 October 2019

The service was exceptionally safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 23 October 2019

The service was exceptionally effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 23 October 2019

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 23 October 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 23 October 2019

The service was exceptionally well-led.

Details are in our well-Led findings below.