Roseberry House is a residential care home in Barnsley providing care for up to six people over the age of 18 who are living with mental health needs. Six people were living at the service at the time of the inspection. The home is made up of two terraced houses with three people in each and there is a shared back garden.

At the last inspection, the service was rated good.

At this inspection we found the service remained good.

Mrs Janet Barlow is registered as an individual. The individual is the ‘registered person’. 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 knew how to keep people safe, with knowledge of the safeguarding procedures and individual risk assessments to support people’s safety.

Staffing levels were supportive of people’s needs whilst promoting their independence. The service did not have staff present during the evening and overnight, although there was a responsive on-call system to contact staff at any time.

Staff were confident in their knowledge of individual people and the support they needed. People were supported to have maximum 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.

Food and drink was based upon people’s individual needs and people’s independence was promoted well. People enjoyed mealtimes and shared responsibility for preparing meals and eating together.

People were respected and staff were respectful of their privacy and dignity. Staff involved people fully in all discussions about their care and support. Interactions with people were kind and supporting, with evidence of good relationships in a happy and relaxed homely environment.

There was clear evidence of person-centred care. People’s routines and preferences were respected and there were close links between people's families where appropriate and the service. Care records contained individual detail about people’s needs and this matched what staff told us.

The registered person was visible in the service and communication was open, honest and transparent. Staff fully understood their roles and responsibilities. Systems and processes for ensuring the quality of the service were effectively in place.

Further information is in the detailed findings below.

This inspection was announced and took place on 7 October 2014.

Rosebery House comprises of two terraced domestic properties and can accommodate up to six people with mental health needs. Each property can accommodate three people and each house has three single bedrooms. The houses are in a cul-de-sac within walking distance of Barnsley town centre. Elements of the service provision are designed to ensure that people living in the home are supported to be independent.

There was a registered manager employed at the service. 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 were safe and well cared for in this home. People we spoke with said they felt ‘safe’ living at Rosebery House. During our inspection there was a relaxed friendly atmosphere at the home and we witnessed a lot of shared laughter between staff and people at the home.

The five external professionals we contacted before the inspection said they had no concerns about the safety of people or care and support people received at Rosebery House.

A robust recruitment process was used when new staff were employed. All new staff had completed induction training before working in the home. The staff employed at Rosebery House were aware of their responsibility to protect people from harm or abuse. They knew the action to take if they were concerned about the safety or welfare of an individual.

People were supported to maintain their independence and control over their lives. People were supported and encouraged to participate in activities in the community. People participated in a range of daily activities which were meaningful and promoted their independence in and outside the service.

The service followed the requirements of the Mental Capacity Act 2005 Code of practice and Deprivation of Liberty Safeguards. This helped to protect the rights of people who were not able to make important decisions themselves.

We found the service had appropriate arrangements in place to manage medicines so people were protected from the risks associated with medicines.

During our inspection we observed the number of staff on duty relative to people’s needs and looked at how quickly people were able to summon assistance. We saw that there were enough staff to keep people safe and saw staff spending time talking to people and assisting them with daily activities. During out of hours there were on call staff available to deal with any untoward events. People said they knew how to contact staff at all times of the day.

People were referred to appropriate other professionals in order to maintain good health and receive suitable healthcare support. For example, people were referred to GPs, opticians, Community Psychiatric Nurses, and diabetic nurses. People told us they had access to healthcare services when they needed them.

We found the staff employed in the home were well trained and competent to carry out their duties.

People said they felt involved and included in how the home was run and how it could be improved to respond to their needs. There was a clear complaints system in place and we saw any matters were recorded and responded to. People we spoke with told us they knew how to make a complaint if they wished to.

Staff, people and professionals spoke highly of the registered manager and management team of Rosebery House.

People told us that they were happy living at the home and satisfied with the care and support they were receiving. Their comments included, "staff really care for us ", "It’s really nice here, I feel very safe” and "the staff are very reliable, very good." There was a relaxed and happy atmosphere in the home with staff and people enjoying the sunshine and a ‘brunch’ together in the garden.

Records checked showed that before people received any care, support or treatment they were asked for their consent and the staff acted in accordance with their wishes.

We found that people's needs were identified in care plans. Records showed that people had been involved in the care planning process. People told us that they had regular access to healthcare professionals.

We saw that medication was recorded at the time it was administered. Medication records checked were up to date and regular audits of medication systems were undertaken.

The provider had an effective recruitment and selection procedure in place to ensure that staff were appropriately employed.

We found that a complaints policy and procedure was in place. People had been provided with information on how to make a complaint. People we spoke with said they had no complaints or concerns about the home.

Six people were living at the home at the time of this inspection. We spoke to five people individually and had more in-depth discussions with three of these people. Everyone spoke very highly about the service and the staff working there. One person said "I’m as right as rain here, the staff are very reliable, and they are nice.” Another person said “The staff are very good, I’m happy here.”

We contacted Barnsley Metropolitan Borough Council, social services contracts and safeguarding departments. They said that they have had no recent reports of concerns or dissatisfaction with the way the service was being run.