Roselawn House

Updated 22 April 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 25 February 2022 and was announced. We gave the service 48 hours’ notice of the inspection.

Updated 22 April 2022

Roselawn House is a residential care home for eight people with learning disabilities. Accommodation includes a kitchen, lounge and dining room, bathrooms and toilets. Each person has their own bedroom and there is access to a large enclosed garden. There were eight people using the service at the time of our inspection.

At our last inspection in March 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The care service had not been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. This was because the service was registered before the guidance was published. However, the service was working towards developing the provision in line with these principles. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People continued to experience person-centred, flexible support. People's care needs were assessed, kept under review and they were fully involved in making decisions about their care and support. Assessments considered whether people had any needs in relation to their disability, sexuality, religion or culture. Staff understood and respected these needs.

Risks to people’s health and well-being were assessed and reviewed when needed. Staff took action to minimise these risks and keep people safe.

Staff knew how to recognise and report any concerns they had about people’s care and welfare and how to protect them from abuse. The provider followed an appropriate recruitment process to employ suitable staff. Staffing was managed flexibly so that people received their care and support when they needed it.

People received the support and care they needed to maintain their health and wellbeing. Referrals were made to other professionals as necessary to help keep them safe and well.

People received their medicines as prescribed although medicines were not always stored and managed in line with best practice guidance. We have made a recommendation concerning medicines management.

Roselawn House continued to be kept clean, well maintained and furnished to comfortable standards. The provider considered and recognised the needs of people with physical and sensory disabilities. People were provided with the necessary equipment to promote their independence and meet their assessed needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The service remained responsive to people's individual needs. People were involved in their care planning, and staff respected their choices and promoted their independence. Care plans were updated to reflect any changes and ensure continuity of their care and support.

People's privacy and dignity was respected and upheld by the staff team and people were supported to maintain relationships with those who were important to them.

There were enough staff to support people’s needs and staff worked flexibly to support people with their preferred interests, activities and hobbies. People enjoyed varied social and leisure activities and had opportunities to try new ones.

The home had stable management and leadership. There was an established registered manager who worked alongside the staff team to ensure people received the care and support they needed. Feedback regarding the registered manager was positive from people, their relatives and staff.

People, their families and staff were encouraged to share their views and contribute to developing the service. Any concerns or complaints were acted on and the provider used feedback to improve the service.

The provider had systems in place that continued to be effective in assessing and monitoring the quality of the service provided. Action plans were used to highlight any areas where improvements were required and these were monitored to ensure that changes were made.

Further information is in the detailed findings below