This inspection was carried out on 21 October 2015 and was unannounced.
Roselands provides accommodation for up to 15 people who have a learning disability and who need support with their personal care. Accommodation is arranged over two floors and most bedrooms have en suite facilities. There were 15 people living at the service at the time of our inspection.
The registered manager was present throughout our inspection. 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, a deputy manager, assistant manager and senior staff, provided leadership to the staff and led by example. Staff were motivated and felt supported by the registered manager and management team. The staff team had a clear vision of the aims of the service which was based on equality and mutual respect. Staff treated people as individuals and gave each person centred support. Staff told us the registered manager was approachable and they were confident and positive about her management style.
There were enough staff, who knew people well, to meet peoples’ needs. Peoples’ needs, appointments and activities had been considered when deciding how many staff were required on each shift. Staff were checked before they started to work at the service to make sure they were safe and suitable to work with people. Staff were trained and supported to provide safe care. Staff met regularly with the registered manager to discuss their role and practice and any concerns they had.
Staff knew the signs of abuse and were confident about how to raise a concern. Emergency plans were in place and staff knew how to keep people safe in an emergency. Possible risks to people had been identified and were managed to keep people as safe as possible without restricting them in any way.
People’s needs had been assessed to identify the care they required. Care and support was planned with people and reviewed to make sure people continued to have the support they needed. People were encouraged to be as independent as possible. Detailed guidance was provided to staff about how to provide all areas of the care and support people needed.
Medicines were stored and administered safely. People had the support they needed to remain healthy and well. Staff responded to any changes in people’s health needs, people told us that staff always called their doctor if they felt unwell. Staff had worked very closely with health professionals, especially from the local community team, which had led to good outcomes for people.
The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards which applies to care homes. Arrangements were in place to check if people were at risk of being deprived of their liberty. Systems were in operation to obtain consent from people and to comply with the Mental Capacity Act 2005. People were supported to make decisions and choices about all aspects of their lives.
People were supported to participate in hobbies and activities that they enjoyed. There was a lovely atmosphere, with lots of laughter, people told us about their holidays and about fundraising events that had helped to plan and organise. People were involved in planning the menu and cooking meals and were supported to have a balanced diet; everyone said the food was very good.
A variety of equipment was provided to support people to remain as independent as possible. Staff listened to what people told them and responded appropriately. People were treated with respect and their privacy and dignity was maintained. People told us that they had no complaints and if they did they would speak to the staff who would listen to them and take action.
The caring and enabling attitude of the registered manager and staff team was very clear. All staff had an unconditional positive regard for everyone they supported, staff spoke about supporting people to achieve their goals and ambitions and about the importance of supporting people to lead fulfilling, meaningful lives.
The environment was safe, clean and homely. Maintenance and refurbishment plans were in place. Safety checks were completed regularly. Everyone had their own bedroom which was very personalised, most with en suite facilities and people told us that their bedrooms were comfortable.
The registered manager completed regular checks of the quality of the service provided. When shortfalls were found action was taken quickly to address these and prevent them from occurring again. People, their relatives and staff were asked about their experiences of the care. These were used to improve and develop the service.
Accurate records were kept about the care and support people received and about the day to day running of the service. This provided staff with the information they needed to provide safe and consistent care and support to people. Information was provided to people in a way that was suitable for them.