Background to this inspection
Updated
17 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was completed by one inspector.
Service and service type:
Roslyn House is a care home for people with learning disabilities. People in care homes receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. Being registered 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.
Notice of inspection:
This inspection was unannounced. The inspection site visit activity started on 10 June 2019 and ended on 11 June 2019.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we spoke with two people to ask about their experience of the care provided. We spoke with three members of care staff and the registered manager.
We reviewed a range of records. This included three people's care records, and medicine records. We also looked at three staff recruitment files. We also looked at other records in relation to training and supervision of staff, records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider.
Updated
17 July 2019
About the service: Roslyn House is a residential care home registered to provide personal care to eight people with a learning disability or autism. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them
People’s experience of using this service:
The service had effective safeguarding systems in place, and staff had received suitable training about recognising abuse.
Appropriate risk assessment procedures were in place so any risks to people, staff or visitors were minimised.
Staff were recruited appropriately. Staffing levels were satisfactory, and people received timely support from staff when this was required.
The medicines system was well organised and staff received suitable training. People received their medicines on time.
The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised.
The registered manager was able to demonstrate the service learned from mistakes to minimise the risk of them happening again.
The service had suitable assessment and care planning systems to assist in ensuring people received effective and responsive care.
Staff received induction, training and supervision to assist them to carry out their work. All new staff completed the Care Certificate.
People received enough to eat and drink. Some people were encouraged to assist with cooking and shopping to improve their independence. People were involved in planning the menu.
The building was suitable to meet people’s needs and maintained to a satisfactory standard.
People received support from external health professionals and were encouraged to live healthier lives. Support was received, for example, from the learning disability nursing team, GP’s, district nurses and speech and language therapists.
Staff encouraged people to have choices about how they lived in line with legal guidance.
People said they received support from staff which was caring and respectful. Care promoted people’s dignity and independence. People were involved in decisions about their care.
People had the opportunity to participate in activities and to spend time with the wider community
People felt confident raising any concerns or complaints. Records showed these had been responded to appropriately.
The service was managed effectively. People and staff had confidence in the registered manager.
The service had suitable systems to monitor service delivery and bring about improvement when necessary.
The team worked well together and had the shared goal of providing a good service to people who lived at the home.
The service worked well with external professionals, and other organisations to provide good quality care.
Rating at last inspection: Rating at last inspection: ‘Requires improvement.’ (published on 18 June 2018.)
The service was last rated ‘Good’ in the report dated 6 February 2016.
Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to make improvements to the service.
Why we inspected: We completed this inspection to check whether suitable action had been taken following the last inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk