19 November 2014
During a routine inspection
This inspection took place on 19 November 2014 and was announced. We provided the registered manager with 24 hours’ notice of the inspection, because the registered manager is often out of the building supporting staff at other locations. We needed to be sure that they would be in.
Rosemanor-Hopton is a care home which provides accommodation for up 17 people with mental health needs who require nursing or personal care. At the time of the inspection there were 14 people using the service. There was a registered manager in place. 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.
Before people came to live at Rosemanor-Hopton, their care needs were assessed and from this information a care plan was developed, risks were identified and a management plan was implemented for each person. People had regular one-to-one meetings with their key worker; a keyworker is a member of staff assigned to the person. At a one-to one meeting, issues relating to the person’s physical and mental health and social care needs were discussed.
Staff worked with people accordance with their care plan. Changes in the person’s care needs were identified by staff and care was delivered to meet those needs. People were cared for in a way in which they preferred. We observed that staff engaged well with people. Staff spoke with people and had conversations about the plans they had for the day, one person said that they were going out for the day. When staff or people wanted to speak about confidential issues, they had access to a quiet room to have those conversations.
People were encouraged to participate in daily activities. People chose what they wanted to do for the week this was recorded onto a weekly timetable and provided to people for their use. People had strong links to the local community with health, social and probation services as well as voluntary organisations which supported people with drug and alcohol misuse and mental health issues.
Staff were aware of signs of abuse and how to report an incident of abuse to the local authority. Staff had received updated safeguarding adults training and there was a safeguarding policy in place. People consented to care they received and the registered manager and staff were aware of their responsibilities and the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).
Meals were provided for people and they could choose which meals they wanted to eat. There was a daily menu displayed, people were able to eat an alternative meal if they chose. Some people were supported with improving their daily living skills and staff supported them in the kitchen to prepare meals for themselves. There were areas available for people to eat in the dining room area.
There was a complaints policy in place and a document to record complaints. Staff encouraged relatives, health and social care professionals to provide feedback on the quality of the service. People were routinely asked for their feedback on the service and the service and external healthcare workers carried out regular quality audits. Staff and people had monthly meetings where various issues such as meals times and food were discussed, and recorded.