Rosewood

Updated 8 April 2021

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 coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 23 March 2021 and was announced prior to us entering the home, so we could ensure that measures were in place to support an inspection and manage any infection control risks.

Updated 8 April 2021

Rosewood is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. 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

Rosewood is registered to accommodate up to six people with physical disabilities and learning disabilities who may also have an autistic spectrum disorder. The accommodation is on one floor and has six single bedrooms with en suite facilities.

At our last inspection on 15 January 2016 we rated the service ‘Good’. However, we asked the provider to take action to make improvements in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) and this action has been completed.

At this comprehensive inspection we found that improvements had been made. Mental capacity assessments had been completed and DoLS applications made where appropriate. Information was recorded in people’s support plans in relation to best interest decisions.

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 home has not changed since our last inspection.

This inspection was completed on 12 June 2018 and there were six people living in the home at the time of the inspection.

A registered manager was in post. 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.

The registered manager was not available as they were on leave on the day of the inspection. The provider had ensured that there was another manager supporting the people living in the home and the staff. The manager in Rosewood understood their responsibilities in relation to notifying CQC of certain events that happened at the service.

The service was safe because potential risks to people had been recognised and information on how to minimise risks had been recorded. Staff were aware of how to reduce risks to people. Staff understood their roles and responsibilities in relation to keeping people safe from harm and abuse. Medicines were managed safely. There were enough staff on duty to meet people’s support needs.

People received an effective service because their needs were met by staff who were well trained and supported to do their job. People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice. People's nutritional needs were met by staff who knew each person's needs well. People’s health and wellbeing was maintained and provided by a range of health and social care professionals.

People received good care because staff treated people with kindness, compassion, dignity and respect. People had choices in all aspects of their daily lives and were able to continue with interests and friendships outside the service. Staff ensured people remained as independent as possible.

People received a service that was responsive. People and their relatives (where appropriate) were involved in their personalised support plans and reviews. The information about them in relation to their care and support was up to date.

People were encouraged to take part in a range of activities that they enjoyed, some were planned and others were the choice of the person at that time. This helped prevent social isolation. Systems were in place to support people with end of life care should this ever be needed.

People had received a service that was well led. Quality assurance systems were used to check that the service provided quality care and made improvements where necessary. People were encouraged to share their views about the service being provided.

Further information is in the detailed findings below.