Background to this inspection
Updated
8 April 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
Rosebery is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rosebery is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gate the service 48 hours’ notice of the inspection. This was because it was a small service and we needed to make sure that people and staff would be in the home at the time of the inspection.
What we did before the inspection
We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke to all the people that used the service. We spoke to five members of staff including care staff, the registered manager and the deputy manager. We looked at a range of records including care plans and risk assessments, medicine records and two staff recruitment files.
After the inspection
We continued to look at records remotely after the inspection.
Updated
8 April 2022
About the service
Rosebery is a residential care home registered to provide personal care to adults aged over 18. The home is registered to provide care for one person. The home can support people that have a learning disability and people that have autism. The building is a terraced house on a residential street, with a good-sized garden and space to park cars.
People’s experience of using this service and what we found
People were kept safe as staff had good knowledge about risk and were experienced in how to meet people’s needs. A person supported told us, “I feel secure and well supported here.” People chose to have support for taking their medication and this was managed safely.
People benefited from a stable and consistent staff team who received good inductions and training. People were fully included in decisions about how to decorate their rooms and were involved in shopping and cooking meals.
A person told us, “The staff treat me with respect and talk to me like I’m an adult.” Staff were caring and respectful. People were involved in decisions about their care and care plans were person centred. Staff were committed to supporting people to be independent and move on to more independent living situations.
Staff encouraged people to maintain relationships and supported them to take part in activities in the local area. People told us staff knew their likes and dislikes and care was planned around this.
People benefitted from effective governance of the service. The appointment of a new manager resulted in better support for staff, and the home had a positive and enthusiastic culture. Staff told us managers had an open-door policy and they could talk to them anytime for advice and informal support.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The service had a homely and comfortable atmosphere and people were involved in the design and environment.
Care was person centred and people told us their dignity and privacy were respected. Staff had good knowledge about how to support people and gave them time and space when needed.
Staff supported people to lead confident and empowered lives. People were supported to reach their goals, for example going shopping and meeting friends independently.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 17 July 2020 and this was the first inspection.
Why we inspected
This was the first inspection for the home. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.