Rosewarne

Updated 13 April 2021

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.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 16 February 2021 and was announced.

Updated 13 April 2021

About the service: Rosewarne is a residential care home for up to 12 people. The service is registered to provide accommodation for people with a physical disability and/or a learning disability. At the time of the inspection 11 people were living at Rosewarne.

People’s experience of using this service: Rosewarne had gone through some recent changes at management level. There was a new provider in place and the registration had changed in 2018. There was also a new registered manager and a new team leader.

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.

Staff told us there had been some organisational changes, but these had not impacted on how care was delivered. People and staff said the management team at Rosewarne were approachable and visible within the service.

Staff meetings were frequent and an opportunity to raise any concerns or discuss working practices.

The service was developed and designed before the introduction of Registering the Right Support and other best practice guidance. The principles of Registering the Right Support reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The service was a large purpose-built home, bigger than most domestic style properties. It was registered for the support of up to 12 people, 11 people were using the service at the time of inspection. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was partly mitigated by the building design which was unobtrusive and fitted into the surrounding residential area.

Technology was in place to enable people to operate doors, windows, curtains and TV’s. The layout of the premises meant opportunities for people to take part in some household everyday tasks were limited. There were plans to make changes to the kitchen to address this.

Staff were friendly and spent time talking with people and supporting them in their chosen routines.

Some people were able to go out independently and this was encouraged. Other people were more reliant on staff and they had opportunities to go on various trips and attend day services.

Activities in-house were more limited. Organised events took place, usually monthly. Day to day pastimes were not routinely organised. Following the inspection, the registered manager contacted us to tell us they had organised a meeting to discuss this with people living at Rosewarne.

Care plans were well organised and informative. There was clear guidance for staff on how to support people at all times. Staff were able to tell us the support people needed to keep them healthy and safe. There were good systems in place to help ensure staff were up to date with any change in people’s needs.

Rating at last inspection: This was the first scheduled inspection since a change in registration in 2018. Under the previous provider the service was rated Good (date last report published: 10 August 2016)

Why we inspected: This inspection was planned according to the previous rating.

Follow up: We will schedule our next inspection in line with CQC methodology. We will continue to monitor the service. If we receive information of concern we may inspect sooner.

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