Archived: Rose Care Services Limited

Updated 1 August 2017

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 and to look at the overall quality of the service. We were unable to provide a rating for the service under the Care Act 2014 as we were unable to evidence all aspects of the key lines of enquiry at this inspection.

The inspection was carried out by a single inspector. It took place on 23 June 2017 and was announced. We told the provider that we were coming, as, we needed to be sure that the manager would be available when we inspected as they were involved in the delivery of care.

Before the 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. As part of our planning we looked at the information we held about the service including the PIR. We also looked to see if we had received any notifications from the provider. A notification is information about important events that the provider is required to send us by law.

During our inspection we spoke with the person using the service, the provider’s representative, the registered manager and an office staff member by phone. We looked at their support plan, the staff files for the registered manager, one office staff member and provider’s representative and the SL staff file. We also considered records related to the running of the service such as the quality monitoring system and policies and procedures. We tried to make contact with the SL carer on a number of occasions by phone unsuccessfully but did manage some limited contact by email. We were unable to make contact with the social care professional involved to gain their views about the service.

Updated 1 August 2017

This was the provider's first inspection since their registration in December 2015. Rose Care Services Ltd is registered as a Shared Lives scheme and to provide personal care for people in their own homes. At this inspection on 14 June 2017 one person was using the Shared Lives scheme and had been since March 2017. The service employed one Shared Lives carer (SL carer) who was contracted by the scheme to support people as well as provide them with a place to live.

The service had a registered manager 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.

We did not find enough information and evidence about parts of the key questions we ask about services, or the experiences of people using the service, to provide a rating to each of the five questions and an overall rating for the service. We were therefore not able to rate the service against the characteristics of inadequate, requires improvement, good and outstanding at this inspection.

At this inspection we found current risks we could identify for people were assessed and monitored. We saw that SL carers and all staff had safeguarding training. We were unable to judge the effectiveness of the service in response to a wider range of possible risks that can occur. Risks in relation to emergencies were identified. However, some improvement was needed to the business continuity plan to ensure it would give staff advice on a full range of possible emergencies. Medicines were not currently being administered and we were unable to judge the effectiveness of the systems available. However, we found the medicines policy needed some improvement to ensure it provided effective guidance for SL carers in all circumstances.

People told us they felt safe, happy and well cared for and their dignity, independence and family links were recognised and respected. People had an individual plan of their care and support needs and this addressed their individual cultural and spiritual needs. People’s needs for stimulation and socialisation were recognised and addressed. People were supported with their nutritional needs and with access to health professional when needed. There was a complaints policy in place although this required some improvement to provide full information to anyone wishing to raise a complaint. The SL carer told us there was always someone available in an emergency if they needed support.

There were effective recruitment processes in place. We saw there was an assessment and matching process including introductory visits to ensure it met people’s needs and all parties were happy to go ahead with the placement. SL carer told us the assessment process was thorough, they had plenty of training and they felt well supported. We were not able to evidence training certificates for all the training provided at this inspection. There were enough staff to meet the current needs of people at the service. Staff were aware of their responsibilities under the Mental Capacity Act and Deprivation of Liberty safeguards but we were unable to see this operating in practice.

People told us the service was well managed and we saw there was a system of monitoring visits, calls and unannounced visits to check on the service provided and identify any areas for improvement. There was a comprehensive system to monitor the quality of the service although it was difficult to evidence its effectiveness because of the limited scope of the service at the time of the inspection. We found the provider and registered manager to be open to learning and knowledgeable about their roles.

We were unable to gather sufficient evidence for the key lines of enquiry to provide a rating for each key question and an overall rating for the service at this inspection.

We will be in contact with the provider as the service develops and decide on a suitable time to carry out the next inspection and provide a rating for the service.