Rock House provides accommodation with personal care for up to 57 older people. There were 52 people living at the home at the time of the inspection. At the last inspection on 22 October 2014, the service was rated Good. At this inspection the service remained Good.

There was a registered manager in post. 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.

People using the service continued to receive safe care. Robust staff recruitment procedures were followed. Staffing levels met people's needs. People were protected from the risk of harm and received their prescribed medicines safely.

People using the service continued to receive effective care and have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received care from staff that had the knowledge and skills to meet their needs. Staff engaged well with people. Staff and people knew each other well. Staff spoke with people in a way that was respectful. Staff delivered care in such a way that protected people's privacy, dignity and individual choices were respected.

Staff referred people to health care services for specialist health care advice. Health care professionals we spoke with were confident that people's changing care needs were reported promptly and staff acted on professional guidance to help improve people's health.

People were supported with their nutritional needs and access to activities and individual interests. People also knew how to complain and were encouraged to share their views and opinions about the service they received. There were formal opportunities for people and relatives to feedback any concerns through surveys.

There were processes to monitor the quality of the service provided. There were other checks which ensured staff worked in line with the organisation's policies and procedures. Environmental checks were completed and staff knew the correct procedures to take in an emergency.

Rock House provides accommodation with personal care for up to 57 older people. There were 52 people living at the home at the time of the inspection. At the last inspection on 22 October 2014, the service was rated Good. At this inspection the service remained Good.

There was a registered manager in post. 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.

People using the service continued to receive safe care. Robust staff recruitment procedures were followed. Staffing levels met people's needs. People were protected from the risk of harm and received their prescribed medicines safely.

People using the service continued to receive effective care and have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received care from staff that had the knowledge and skills to meet their needs. Staff engaged well with people. Staff and people knew each other well. Staff spoke with people in a way that was respectful. Staff delivered care in such a way that protected people's privacy, dignity and individual choices were respected.

Staff referred people to health care services for specialist health care advice. Health care professionals we spoke with were confident that people's changing care needs were reported promptly and staff acted on professional guidance to help improve people's health.

People were supported with their nutritional needs and access to activities and individual interests. People also knew how to complain and were encouraged to share their views and opinions about the service they received. There were formal opportunities for people and relatives to feedback any concerns through surveys.

There were processes to monitor the quality of the service provided. There were other checks which ensured staff worked in line with the organisation's policies and procedures. Environmental checks were completed and staff knew the correct procedures to take in an emergency.

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. Where people did not have the capacity to consent, the provider acted in accordance with legal requirements. One member of staff told us: “It’s important that I gain consent for each stage of a care task.”

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People who lived at the home spoke positively about Rock House. One person who used the service told us, "I like it here, the staff are kind and helpful.” Another person told us, "It’s smashing and the food is nice too."

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were cared for, or supported by, suitably qualified, skilled and experienced staff. Appropriate checks were undertaken before staff began to work at Rock House.

There was an effective complaints system available. We saw the complaints procedure was displayed in communal areas of the building.

People’s privacy, dignity and independence were respected. People expressed their views and were involved in making decisions about their care and treatment. One person told us "The food is very good and there is always a choice".

People experienced care, treatment and support that met their needs and protected their rights. There was evidence that people had access to health care services, such as district nurses, doctors, community psychiatric nurses, chiropodists, opticians, continence advisors and tissue viability nurses.

One visiting healthcare professional said that in their opinion "The manager and deputy make a fantastic team" and there was "A really good, consistent team and they care about people".

People were cared for by staff who were supported to deliver care safely and to an appropriate standard. There were enough skilled and experienced staff to meet people's needs. All staff spoke very positively about the support they received from the manager.

The provider had systems in place to regularly assess and monitor the quality of service that people received. People who use the service, their representatives and staff were asked for their views about their care and they were acted upon.

We did not speak to people during this review. We last inspected this service under the previous regulatory system on 21 April 2008 and also carried out an Annual Service Review on 23 April 2009

At the last site visit people told us they were involved in their care, were given choices and were treated with dignity and respect.

One person told us, “The staff are very kind and look after me very well”.

At our last visit a relative told us, “The staff are lovely they look after people very well, I am very happy with the care my relative receives”.