Rosewood Lodge Residential Home is a care service that provides accommodation and personal care for older people, including people who may be living with dementia. It is registered to accommodate up to 20 people. The home is situated in a residential area of Hessle, close to the boundary of Hull, in the East Riding of Yorkshire.This inspection was carried out on 11 February 2016 and was unannounced. The service was last inspected in January 2014 and the service was found to be compliant in all of the standards apart from requirements relating to workers. This was followed up in March 2014 and the service was found to be compliant.
The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager in post who was registered with the Care Quality Commission (CQC). 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 found that staff had a good knowledge of how to keep people safe from harm and there were enough staff to meet people's assessed needs. Staff had been employed following appropriate recruitment and selection processes and we found that the recording and administration of medicines was being managed appropriately in the service.
We found assessments of risk had been completed for each person and plans had been put in place to minimise risk. The home was clean, tidy and free from odour and effective cleaning schedules were in place.
We saw that staff completed an induction process and they had received a wide range of training, which covered courses the home deemed essential, such as, safeguarding, moving and handling and infection control and also home specific training such as dementia awareness, dignity and end of life.
The registered manager understood the Deprivation of Liberty Safeguards (DoLS) and we found that the Mental Capacity Act 2005 (MCA) guidelines had been followed. The home did not use restraint, but the registered manager understood the process to ensure that any restraint was lawful.
People's nutritional needs were met. People told us they enjoyed the food and that they had enough to eat and drink. We saw people enjoyed a good choice of food and drink and were provided with snacks and refreshments throughout the day.
People told us they were well cared for and we saw people were supported to maintain good health and had access to services from healthcare professionals.
We found that staff were knowledgeable about the people they cared for and saw they interacted positively with people living in the home. People were able to make choices and decisions regarding their care. Staff were aware of the end of life process for people living in the home, recorded their views and wishes and held reflective debriefings following a person’s death.
People had their health and social care needs assessed and care and support was planned and delivered in line with their individual care needs. Care plans were individualised to include preferences, likes and dislikes and contained detailed information about how each person should be supported.
People were offered a variety of different activities for people to be involved in. People were also supported to go out of the home to access facilities in the local community.
People's comments and complaints were responded to appropriately and there were systems in place to seek feedback from people and their relatives about the service provided. We saw that any comments, suggestions or complaints were appropriately actioned.
We found the registered provider had audits in place to check that the systems at the home were being followed and people were receiving appropriate care and support.