Archived: Rosewarne

Updated 9 August 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We visited Rosewarne on 11 and 12 July 2016. The inspection was carried out by one inspector and was unannounced. An Expert by Experience helped the inspector with the inspection. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses a care service.

Before visiting the home we reviewed the Provider Information Return (PIR) and previous inspection reports. The PIR is a form that asks the provider to give some key information about the service. We also reviewed notifications of incidents. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing potential areas of concern.

During the two days of the inspection we spoke with eight people who used the service. We had contact (either through email or speaking to) with five relatives. We also spoke with the registered manager and five members of staff. Before the inspection we had written contact or spoke with five external professionals including advocates, health and social care professionals who visited the service regularly. We inspected the premises and observed care practices during our visit. We looked at four records which related to people’s individual care. We also looked at five staff files and other records in relation to the running of the service.

We used the Short Observational Framework Inspection (SOFI) over the lunch time period of the second day of the inspection. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Updated 9 August 2016

Rosewarne is a care home which provides accommodation for up to 12 people with physical disabilities who require personal care. At the time of the inspection 12 people were using the service. Most people who used the service had cerebral palsy.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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 inspected Rosewarne on 11 and 12 July 2016. The inspection was unannounced. An Expert by Experience helped the inspector with the inspection. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The service was last inspected in August 2013 when it was found to be meeting the requirements of the regulations.

People who used the service were safe. We were told, “I am happy, I would not move,” and Rosewarne was a, “Safe and supportive environment.” Staff were seen as, “Very supportive and caring.” People said most of the time there was enough staff, but we were told there could sometimes be delays in receiving timely support and some staff shortages.

People told us they received their medicines on time. Medicines were well organised, records kept to a good standard, and staff had received suitable training to administer medicines.

Staff told us they had confidence that management would take any allegations of abuse seriously, and subsequently take suitable action. Staff had been trained to recognise potential signs of abuse.

Staff had received training to provide care and support to people. Training included moving and handling, first aid and person centred care. Most staff had obtained a National Vocational Qualification, or diploma in care. Staff received regular supervision, from managers, to support them, and help develop their care practice.

Personnel files contained information, such as written references and an enhanced Disclosure and Barring Service check, to ensure staff were deemed as suitable people to work with people with a disability. Suitable recruitment processes, such as the completion of an application form, and a formal interviewing process were in place.

The service had appropriate links with medical services such as general practitioners, community nurses, dentists, chiropodists and opticians. The registered manager of the service said these services were supportive, and people said they received enough support from these professionals.

There were activities available for people. Activities available included going shopping, going out on various social trips, sensory room activities, and going to college. The service had several, suitably adapted vehicles to enable people to go out and about in the community.

Care records provided suitable information such as a care plan, daily records and risk assessments. Care plans were regularly reviewed. The service had appropriate systems in place to assess people’s capacity in line with legislation and guidance, for example using the Mental Capacity Act (2005).

People told us they were very happy with their meals and always had enough to eat and drink. Comments received about the meals included, “The food is lovely. I really enjoyed my lunch today it was very good.” People said they had a choice and received enough support when they needed help with eating or drinking.

People remarked if they had any concerns or complaints they would feel confident discussing these with staff members or management, or they would ask their relative to resolve the problem. They were sure the correct action would be taken if they made a complaint.

People felt the service was well managed. There were suitable systems in place to monitor the quality of the service.