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Inspection carried out on 1 November 2019

During a routine inspection

About the service

Rosewin is a residential care home providing personal care for one person with learning disabilities.

The service is a detached two-story property with enclosed gardens. It is located in a very rural area near Camborne, Cornwall.

The service has been developed specifically for the person it supported and was designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. Although the service’s rural location limited the person’s assess to the local community it had been selected as it was close to a number of outdoor spaces the person enjoyed visiting regularly. The person received highly personalised support in an environment that had been adapted to their individual needs.

The person was comfortable, relaxed and at home in the service. Staff responded promptly and appropriately to their needs and provided person centred support.

The service was short staffed. The provider had identified a minimum level of staffing that was necessary to ensure the person safety during periods of emergency and travel disruption. Records showed that the provider had been routinely aiming to staff the service minimum safe levels in the month prior to our inspection. Staff told us, “There are not enough staff” and managers said, “We are short staffed at the moment, we have been actively recruiting for the past three months but have had limited success.” Records showed and staff told us that the service had never been staffed below minimum safe levels as they had completed additional shifts to prevent this from happening.

We have recommend the provider reviews current staffing levels and the arrangements place to support the person during recognised seasonal changes in support needs with commissioners and relatives.

The service’s recruitment practices were safe and staff training had been regularly refreshed to ensure they had the skills necessary to meet the person’s needs. Staff had a good understanding of local safeguarding procedures and there were safe systems in place to support the person with medicines. Risks were well managed, and the person was regularly supported to participate in new activities.

Staff knew the person well and had a detailed understanding of their individual needs and preferences. The care plan was detailed and provided staff with enough guidance to enable them to meet the person’s support needs. Records showed the person was regularly supported to participate in a variety of activities and staff told us, “[Person’s name] gets out and about as much as [they] want.”

Relatives were happy with the quality of support the service provided and understood how to raise issues and report any concerns or complaints to managers.

The service was currently led by a registered manager who was supported by full time deputy manager. At the time of our inspection the registered manager was spending half their time supporting another registered service. The provider intended in future that the deputy manager would apply to become registered and that current registered manager would move to the other service. Staff told us they were well supported by their managers who were supportive and approachable.

The service’s quality assurance systems were appropriate and all incidents were fully investigated to identify any areas of learning or where improvements could be made.

Rating at the last inspection

This was the first inspection of the service since it’s registration in November 2018.

Why we inspected

This was a planned initial inspection of the service.

Follow up

We will continue to monitor information we receive about the service until we return to vi