Roselands

Updated 13 April 2022

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Three inspectors carried out the inspection.

Service and service type

Roselands is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement, the Care Quality Commission (CQC) regulates both the premises and the care provided, both were looked at during the inspection.

The service had a manager registered with CQC. This 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.

What we did before inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We reviewed the information we had received about the service since the last inspection. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

On 3 February 2022 we communicated with four people who used the service about their experience of the care provided. Some people who used the service communicated with us using different methods including the use of pictures, gestures and body language. We are improving how we hear people’s experience and views on services when they have limited verbal communication. We have trained some CQC team members to use a symbol-based communication tool. We checked that this was a suitable communication method and people were happy to use it with us. We did this by speaking to the registered manager.

On 22 February 2022 we spoke with six people who lived at Roselands. We spoke with five members of staff, the deputy manager and the registered manager from another of the provider’s services who was providing management support. We reviewed a range of records. This included three people’s care records and various medication records. We reviewed three staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We spoke with four people’s relatives to seek their views on the quality and safety of the service their loved ones received. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 13 April 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Roselands is a residential care home, a large house set over two floors and with a large garden, providing personal care to 15 people at the time of the inspection. The service can support up to 15 people with a learning disability.

People’s experience of using this service and what we found

Whilst the size of the service is not in line with best practice guidance would recommend for people with learning disabilities, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

Staff supported people to have the maximum possible choice, control and independence to be independent and they had control over their own lives.

Staff focussed on people’s strengths and promoted what they could do, so people had fulfilling and meaningful everyday life.

Staff supported people to pursue their interests.

Right Care

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people’s needs and keep them safe.

People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

Right Culture

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.

People received good quality care, support and treatment because sufficient numbers of trained staff could meet their needs and wishes.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

People told us or indicated they were happy living at the service. Relatives felt their loved one were safe living at Roselands. People were relaxed in the company of each other and staff and there was a relaxed and happy atmosphere. People were protected from the risks of abuse by staff who understood their responsibilities in relation to keeping people safe.

People were supported by a regular team of staff who had been recruited safely. Staff who knew people well and understood how best to communicate with them in a way they could understand.

The service was clean and there were robust infection prevention and control measures in place. Staff wore appropriate personal protective equipment.

Effective checks and audits on the quality and safety of the service were regularly completed. When shortfalls were identified, action was taken to address these.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support right care right culture.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.