Archived: Roseleigh

Updated 9 January 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Before the inspection we looked at all the information we had about the service. This information included the statutory notifications that the provider had sent to CQC. A notification is information about significant events which the service is required to send us by law. In addition, we reviewed the Provider Information Return (PIR). This is a form that asked the provider to give some key information about the service, what the service did well and improvements they planned to make.

We visited the home on 7 and 8 December 2017. Our inspection was unannounced and carried out by one inspector.

During our inspection we spoke three people using the service. We also spoke with the registered manager, the assistant manager and a care worker and an agency care worker. We looked at care records for three people, staff files for three staff members, medicines records for two people and other records relating to the running of the service.

After the inspection we spoke with two relatives.

Updated 9 January 2018

Roseleigh is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. Roseleigh does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service supports up to seven younger adults with learning disabilities and/ or autism. There were five people using the service at the time of our inspection.

When we last visited the home on 9 September 2015 the service was meeting the regulations we looked at and was rated Good overall. However, we rated the service Requires Improvement in the key question ‘Is the service well-led?’ because there was no registered manager in post.

At this inspection we found the service was Good overall and for each key question.

There was a registered manager in post at the time of 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.

People were protected from abuse and improper treatment as staff understood their responsibilities in relation to safeguarding well and received annual training in this. The provider had processes in place to share learning across the organisation and improve when things went wrong, such as when there were incidents and accidents and safeguarding allegations.

The provider managed risks relating to people’s care and also the premises through well. People received care in premises which were safe, clean and well maintained. The premises met people’s support needs and people had access to all communal areas.

The provider checked staff were suitable to support people and there were enough staff deployed to support people safely. The provider managed people’s medicines safely.

People received care in line with the Mental Capacity Act 2005 and staff understood their responsibilities in relation to this Act as they received annual training. The provider applied for and followed authorisations to deprive people of their liberty (DoLS) as part of keeping them safe.

People’s needs and choices were assessed by the provider and people and their relatives were involved in the process.

Staff understood people’s needs, including their health needs, and supported people to maintain their health. People received their choice of food and drink.

People were supported by staff who felt well supported by the provider. Staff received suitable induction, training, supervision and annual appraisal to help them understand the best ways to support people. The provider worked well with other services in the organisation as well as with external organisations in providing joined-up care to people.

Staff were caring and supported people respectfully, maintaining their privacy and dignity. People were supported to be as independent as they wanted to be. People were supported to maintain relationships with those who were important to them.

People were involved in reviewing their care and the provider reviewed people’s care regularly so information was reliable for staff to follow in caring for people. People were supported to participate in activities they enjoyed.

The provider encouraged people to feedback on the service and communicated openly with people, relatives and staff. The provider had a complaints procedure to investigate and respond to any complaints.

The registered manager and staff had a good understanding of their role and responsibilities and leadership was visible and capable at all levels.

The provider monitored and assessed the service well and promptly made improvements where any shortfalls were identified.