Archived: Rosefern Residential Home

Updated 27 July 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was carried out on 29 April 2016 and was unannounced. The inspection was undertaken by one inspector.

Prior to our inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We read this document to gain an overview of the service from their perspective.

We looked at all the information we held about the service, including statutory notifications that the service had sent to the Care Quality Commission (CQC). Statutory notifications are events that are legally required to be notified to CQC relating to the service or people who use the service. We also considered information that had been shared with us by the local authority.

We looked at all areas of the home, including people's bedrooms, when they were able to give their permission. We looked at the bathrooms, toilets and all communal areas. We spent time looking at four care records and associated documentation. This included records relating to the management of the service; for example policies and procedures, audits and staff duty rotas.

During the inspection we spoke with three people who use the service, two care workers, the deputy manager and the registered manager.

We reviewed four care plans and examined records required for the management of the service such as audits, staff rotas and policies and procedures. We looked at the recruitment records for three members of staff. We also carried out observations of medication being administered, a meal time and interactions between people and staff.

Following the inspection we spoke on the telephone with a doctor, a nurse and a social worker to gather information about the service, and their comments as professionals are included in this report.

Updated 27 July 2016

Rosefern is a care home which provides accommodation for up to 12 people with a learning disability and/or autism who require personal care. There were six people who lived at the service on the day of the inspection.

At the last full inspection on 14 October 2014, we asked the provider to take action to make improvements (for example to person-centred care and good governance), and this action had been completed when we undertook a follow up inspection in August 2015.

At this comprehensive inspection, we saw that improvements had been maintained and there were no further breaches. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rosefern Residential Home on our website at www.cqc.org.

There was a registered manager at this service. 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.

Staff were trained to keep people who used the service safe and they knew how to raise a concern if they saw poor practice. Care plans were detailed and included associated risk assessments that were recorded and reviewed regularly.

There were sufficient staff employed to meet people’s needs and they had received an effective induction. They were supported through supervision by senior staff. People and professionals had confidence in the skills and knowledge of staff.

Medication was administered and recorded safely by staff. Medication reviews were carried out regularly and people's care plans showed that people received their medication appropriately, with any changes logged as they occurred.

Safety and maintenance checks were carried out and recorded regularly in the home. Evacuation plans were specific to each person and the emergency on-call system gave staff clear guidance on the procedure.

People were protected because staff were aware of and followed the principles of the Mental Capacity Act (MCA) 2005.

Consent was sought from people before care and support was given. If people required support with decision making then staff made referrals to the right professionals to ensure that decisions were made in people's best interests.

There were a variety of meal choices available and people were involved in choosing the menu. Snacks and drinks were available when people wanted them.

People who used the service were positive in their comments about the staff approach and we saw that staff showed respect to people and maintained their dignity and privacy. Professionals made positive comments about people being supported in a kind and caring manner.

Staff gave a person-centred approach to support and we observed that people’s preferences, views and choices were respected. This was reflected appropriately in their care plans. People were supported to choose and engage in activities both inside and outside of the home.

In order to maintain the quality of the service a variety of audits were completed and reviewed regularly. Service policies and procedures were in place and these were also available for people in an appropriate format.

The service was led well by a registered manager and a deputy manager who both had experience of working with people who had a learning disability. People's care plans and files contained records that were clear and detailed. Professionals were positive in their comments about the open and positive attitude of the managers.