We carried out a review of the data available to us about Rosewarne on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rosewarne, you can give feedback on this service.
We found the following examples of good practice.
Staff were using personal protective equipment (PPE) correctly and following current infection prevention and control guidance to help keep people safe. Additional training in the use of PPE, Covid-19 and infection control practices had been provided to all staff. PPE, handwashing facilities and guidance on the management of infection control risks was available throughout the service.
The service has good supplies of PPE and additional equipment was available for use by staff in the event of an outbreak of the infection. The registered manager regularly worked alongside care staff and provided regular informal training updates to ensure current infection control guidance was fully understood and followed.
The service was clean, well maintained and clutter free. Each shift one staff member was designated as the infection control lead with specific responsibilities for cleaning and housekeeping tasks. All high contact areas were cleaned regularly throughout the day and night staff had been supplied with additional steam cleaning equipment. Furniture with permeable upholstery in communal areas had been replaced with furniture which was easier to clean.
The service was closed to most visitors at the time of the inspection as there was a national lock down in place. Appropriate arrangements had been made prior to lock down to enable relatives to visit the service safely. A lounge area with a separate entrance had been designated for visiting and outdoor visits had been encouraged and supported when weather permitted. Video conferencing technologies had been used to enable people to maintain relationships which were important to them. People were encouraged to engage with exercise and spend time outdoors regularly. The service minibus had been used to enable people to visit beaches and other outdoor areas of interest while maintaining social distancing.
The service had appropriate admission procedures in place and everyone who moved into or returned to the service form hospital, was initially cared for in isolation. Regular testing of staff and people who used the service was completed in accordance with current guidance. Arrangements had been made to enable people and staff to access the vaccine.
People were able to access the service’s communal areas if they wished and were encouraged to maintain social distancing. The service’s infection control policies had been reviewed and updated in response to the Covid-19 pandemic. Plans had been developed detailing how an outbreak of the infection would be managed.
The registered manager had maintained open communication links throughout the pandemic and ensured people, relatives and staff understood why the precautions being taken were necessary.
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