Archived: Roseleigh

About the service

Roseleigh provides accommodation and personal care to six people some who have a learning disability and physical needs. At the time of our inspection six people were receiving care and support.

People’s experience of using this service and what we found

Although risks to people had been identified, management had not always considered people’s individual needs and as a result there had been situations when one person was harmed due to two people being left alone together. In addition, one to one support was not always consistently provided meaning there was a potential for accidents and incidents to occur.

Staff were not deployed in an organised way and this resulted in people not always receiving the support they required. There was also a potential risk to people due to a lack of staff at night-time. Although the registered manager told us an additional staff member was being recruited, this had not yet happened.

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support best practice. People’s communication needs were not always supported to enable people to be more involved in planning their care

The service was not always able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture.

Right Support: The model of care did not always support people’s choice, control and independence. Although people were able to make their own decisions around their care and how they spent their time, some potentially restrictive practices were taking place without staff following the principles of the Mental Capacity Act 2005. Although people were encouraged to participate and learn daily living tasks in order to boost their independence, information was not always provided to people in a way they could understand.

Right Care: People’s care was person-centred and promoted people’s dignity and privacy. Staff showed regard for people’s comfort and they treated people with kindness. People had access to healthcare professionals and were supported by staff to attend appointments.

Right culture: There were positive values and attitudes of the management team and good relationships had been developed with the loved ones of those they cared for. This helped staff to provide personalised care.

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.

People lived in an environment that was personalised for them and they were provided with support from staff who had been trained appropriately.

Lessons were learnt from incidents and accidents which helped to keep people safe. Where concerns regarding medicines management were identified measures were taken and the issues addressed. Safeguarding concerns were taken seriously, reported and investigated in line with the guidance.

People, relatives and staff were given the opportunity to contribute towards the running of the service, through in-house meetings and surveys. The registered manager was open and honest with relatives and staff and demonstrated a good understanding of duty of candour; always apologising when things went wrong.

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

Rating at last inspection

This was the first inspection since the service registered with us on 9 May 2019. This is an established service which registered under a new provider on this date.

Why we inspected

We carried out this inspection as it was the first inspection of this service since the change of provider in 2019.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to people’s safe care and treatment, the mental capacity act, staffing and governance. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will ask the registered provider for an action plan, telling us how they plan to make improvements to their service to demonstrated they can achieve a good rating. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.