Rosevilla Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed all of the quality statements in this domain. Peoples needs were effectively reviewed and assessed safely, and staff worked well together to ensure people’s outcomes were met based on their care and support needs. People and their families told us their needs were assessed before they went to live at the home. Staff were able to explain how they gained consent from people before they provided care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they had their needs assessed before they came to live at the home. One relative we spoke with said “I went to visit another home nearby but this one was by far the best. They spent an hour and a half going through everything, explaining things to me. My [family member] is much better here as he has company and it’s brought him out of himself.

The staff we spoke with told us they felt there was enough information recorded about people before they came to live at the home. One staff member said “The manager goes and meets people before they come to the home."

People were informed about any risks and how to keep themselves safe. This was evidenced by people's care records and observing care being delivered by staff in a dignified and respectful way, balanced with their need to manage risks. People’s care records demonstrated peoples' risks were assessed, and people and staff understood them. People's care records and observations demonstrated a balanced and proportionate approach to risk that supported people and respected the choices they made about their care.

People told us staff spent time with them understanding what they wanted and what was important to them. One person told us “They spent an hour and a half going through everything, explaining things to me."

Staff told us how they worked well with the GP’s and District Nurses to ensure referrals were made and any recommendations were acted upon. We saw examples of this recorded in people’s records.

People’s care plans demonstrated the service worked in conjunction with external health care professionals to ensure people received the care they required in line with their changing needs.

People told us they were able to see doctors, dentists and GP’s when needed. Relatives told us they felt their family member was well taken care off in a joined-up way. One relative told us “The staff rang me to say my [family member] was unwell and they had called an ambulance. “They keep us informed of anything and everything."

Our conversations with staff assured us they understood the need to work well and seamlessly with other health care providers and each other. All of the staff said they liked working together as part of a team.

We received positive feedback from the local commission team regarding their working relationship with Rosevillas.

We viewed a range of supervisions and appraisals which had a heading for teamwork and working together. We also saw handover records were in place and they were completed thoroughly. Staff we spoke with told us they felt like they were part of a team.

Relatives and people who lived at the home told us they had access to health care services such as GP’s, District Nurses and dentists.

Staff told us they reported any concerns with peoples physical and mental needs appropriately to the relevant health care professionals and acted upon advice given to ensure people were well supported.

There were processes in place to ensure people had choice and support around their current health needs such as risk assessments around their current needs. There was also joined up working with other health and social care partners, such as GPs, dentists and District Nurses.

Relatives feedback forms indicated they were involved in their family member care reviews and had input into their care plans.

Staff told us they were involved in risk assessments and reviews. The registered manager told us people’s care plan reviews took place in line with the governance structure or were discussed during handover if there were any significant changes in people’s care and support.

People’s care records demonstrated care was recorded and monitored, for example, for some people on specialised diets, a food and fluid chart were kept, and weights recorded monthly.

People told us staff asked for consent before providing care. One person said “They always knock on my door."

Staff were able to discuss examples of how they gained consent from people. One staff member said “Each consent process would be individual to the patient depending on their needs and capacity, so I would always consult their care plan or ask a member of staff for assistance if I was unsure."

People’s care records demonstrated people’s capacity to consent to care and support had been considered, in line with the principles of the MCA. Where people lacked the capacity to provide consent, DoLS had been applied for appropriately and there was evidence of decisions being made in people’s best interests and in the least restrictive way possible.