17 May 2023
During a routine inspection
About the service
Roseneath Avenue is a residential care home providing personal care for up to 6 people living with a learning disability and/or autistic spectrum disorder. At the time of the inspection, there were 6 people living at the home. Each person had a large flat within the home consisting of a bedroom, living and kitchen area and a bathroom and contained everything the person needed to live independently.
People’s experience of using this service and what we found
Right Support:
People were supported by staff to pursue their interests. The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Staff did everything they could to avoid restraining people. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their needs. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcomes. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this. At the time of the inspection, there was a high usage of agency staff. We found concerns around the lack of training and supervision regular agency staff.
Right Care:
Staff had training on how to recognise and report abuse. However, we found some concerns around how safeguarding issues were identified and managed. Whist staff had training around safeguarding, we found safeguarding concerns were not always identified and managed appropriately. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People who had individual ways of communicating, using body language, sounds, pictures and symbols could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them. People’s care, treatment and support plans reflected their range of care and support needs.
Right Culture:
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. Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them, including advocates, were involved in planning their care. The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 December 2018)
Why we inspected
The inspection was prompted in part due to concerns received about safeguarding and staffing. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseneath Avenue on our website at www.cqc.org.uk
Enforcement
We have identified 3 breaches of regulation in relation to managing safeguarding concerns, ensuring regular agency staff were appropriately trained and supported and the governance of the home.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.