Rosecroft

Updated 18 March 2023

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 conducted by one inspector.

Service and service type

Rosecroft is a 'care home'. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Rosecroft 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

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. However, we were able to review information we had received about the service since the last inspection. We used this information to plan our inspection.

During the inspection

We spoke to all 4 people who use the service, 3 staff members (support workers and the team leader) and the registered manager. We observed the support provided to people to understand their experiences of their care. We looked at a range of documents, including; 2 peoples care plans, additional care planning documents for persons with specific dietary needs or support, documents detailing activities undertaken by people, medicine records, staff recruitment files and training records. We reviewed staff meeting minutes and governance documents.

Updated 18 March 2023

About the service

Rosecroft is a small residential care home providing personal care to up to 5 people. The service provides support to people with learning disabilities. The care home can accommodate 5 people in 1 adapted building. At the time of our inspection there were 4 people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right 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. Staff told us individual people's preferences and how they supported them to maintain their independence. We observed staff supporting them gently and appropriately when required.

Right Care: People received person-centred care that promoted people's dignity, privacy and human rights. Staff recognised and responded to changes to individual's needs. We saw staff treated people with kindness and patience and responded to requests appropriately using their preferred communication methods such as communication cards and/or Makaton. Makaton is a unique language programme that uses symbols, signs and speech to enable people to communicate.

Right Culture: The management and staff valued the people who use the service and supported them to make it their home. The provider actively sought feedback from people, staff and professionals to maintain a safe and welcoming home. We saw people were calm, confident and happy to approach staff.

Rating at last inspection and update:

The last rating for this service was requires improvement (published 16 December 2022). There were breaches of regulations relating to safe care and treatment and good governance. These related to an absence of established and effective systems to identify, manage and mitigate risks to people. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

We undertook this focused inspection to confirm they met legal requirements and reflected improvements in care. This report only covers our findings in relation to the key questions safe and well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rosecroft on our website at www.cqc.org.uk.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk