Rosebank Care Home

Updated 22 May 2019

The inspection:

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.

Inspection team:

The inspection team consisted of an adult social care inspector and an ‘expert by experience’. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

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

The service had a manager registered with the Care Quality Commission. 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 was an unannounced inspection which took place over two days on 8 and 9 April 2019.

What we did:

Our planning considered information the provider sent us since the last inspection. We also considered information about incidents the provider must notify us about, such as abuse or other concerns. We obtained information from the local authority commissioners and safeguarding team and other professionals who work with the service.

As part of the inspection we assessed the updates to the Provider Information Return [PIR] which is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection, we spoke with eight people using the service and received feedback from four relatives who told us about their experience of care. We also spoke with the registered manager, the Nominated Individual for the provider and five members of the support staff. We received feedback from a professional who visited Rosebank.

We carried out a SOFI observation. Short Observational Framework for Inspection (SOFI) is a methodology we use to understand the quality of the experiences of people who use services who may be unable to provide feedback due to their cognitive or communication impairments. SOFI helps us assess and understand whether people who use services are receiving good quality care that meets their individual needs.

We looked at three people’s care records and a selection of other records including quality monitoring records, training records, staff records, and records of checks carried out on the premises and equipment.

Updated 22 May 2019

About the service:

Rosebank is a residential service which provides accommodation and personal care for a maximum of 17 people with learning and physical disabilities and autism.

Since the last inspection in October 2016 best practice guidance for care services supporting people with learning disabilities has been developed and designed. ‘Registering the Right Support’ and other best practice guidance help ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes. On this inspection we looked at whether the service was meeting this best practice guidance; we found there were some shortfalls in the service provision.

People’s experience of using this service:

We found that people received care in a safe way. Individual risks to people and the environment had been identified and assessed and measures put in place to manage them and minimise the risk of avoidable harm occurring.

There were systems in place to monitor medication so that people received their medicines safely.

Staff had positive regard for the people being supported. People were clearly happy living at Rosebank. We found examples where people had improved their quality of life since they had been living at Rosebank and had been able to experience and develop communication skills where as previously they had not been given the opportunity. This had improved their wellbeing.

People's individuality and diversity was nurtured; individual achievements were acknowledged and celebrated, and people were treated with equal respect and warmth.

Staff treated people with kindness, compassion and respect and staff ensured that people’s dignity was maintained.

Although people did access the local community there were some barriers to this relating to the number of staff available in the care home setting. This was particularly in evidence at weekends when only two staff were available.

Care plans identified intended outcomes for people and how they were to be met in a way they preferred. There were some instances were better forward planning might assist with people accessing the local community. Specific support for some people was not always included in care plans.

People and family members knew how to raise concerns. There were easy read formats available for people understand information and staff took time to ensure people could raise any worries or concerns.

The leadership of the service promoted a person-centred care and a positive culture within the staff team. The registered manager showed a continued desire to improve on the service and displayed a good knowledge and understanding around the importance of working closely with other agencies and healthcare professionals where needed.

Rating at last inspection:

Rosebank was last inspected in October 2016. The report was published on 29 December 2016. At that time, it was rated as Outstanding under two of the domains we inspect by; Caring and Well led. At this inspection, we again heard some very positive examples to support this. However, some of our findings showed that this was not consistent in fully meeting the values of Registering the Right Support across the service and we therefore rated Caring and Well led as Good.

Further detail is in the full report.

Why we inspected:

This was a planned inspection that was scheduled based on the previous rating. We inspected to check whether the service had sustained its Outstanding rating. We found that the service continued to meet the characteristics of Good and the overall rating was reduced to Good.

Follow up: We will continue to monitor the service and follow up inspections will be planned in line with statutory requirements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk