Rosedale Care Home Limited is a ‘care home’ for people with learning disabilities. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Rosedale Care Home accommodates up to seven people in one adapted residential house in a residential area. At the time of the inspection there were seven people living there. The service provided was not initially developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. However, people were given choices and their independence and participation within the local community encouraged.

This inspection took place on the 9 October 2018 and was unannounced. We had previously inspected this service in April 2016, at that inspection the service was rated ‘Good’. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on- going monitoring that demonstrated serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The provider was the registered manager. 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.

The service had a positive ethos and an open culture. The provider was approachable, understood the needs of the people in the home, and listened to staff and relatives. There were effective systems in place to monitor the quality of the service and drive improvements. However, the provider needed to ensure that they remained up to date with national strategies around the care and development of services for people with learning disabilities.

People were consistently protected from the risk of harm and received their prescribed medicines safely. Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.

The care that people received continued to be effective. Staff had access to the support, supervision and training that they required to work effectively in their roles. People were supported to maintain good health and nutrition and live fulfilled lives.

People developed positive relationships with the staff. The staff were friendly, passionate about their work and caring; they treated people with respect, kindness, dignity and compassion. People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.

Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty. People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support.

People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received. Information was available in various formats to meet the communication needs of the individuals.

We carried out our inspection on 26 November 2015. The inspection was unannounced.

The service provides accommodation for up to seven people living with a learning disability and similar disabilities. There were seven people using the service at the time of our inspection.

The service has an outstanding query to confirm that it has a registered manager. The manager is also the owner of the Rosedale Care Home, and has managed the service since it commenced. 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 felt safe at Rosedale Care Home. This was because staff understood and applied the provider’s policies and procedures to guide them on their responsibilities to keep people safe and how to report any concerns on people’s safety.

People received their medicines as prescribed by their doctor. The provider had effective protocols for the safe management of medicines.

Staff were supported to meet the standards expected from them through training and regular supervision.

People were not deprived of their liberty. Staff sought people’s consent before they provided care and treatment. People were supported in accordance with the Mental Capacity Act 2005.

People were supported to have a healthy and balanced diet. People had access to a choice of meals.

Staff supported people to have access to healthcare services when they needed them.

People spoke fondly of the caring attitudes of the staff that support them. They told us that staff treated them with dignity and respect.

The provider supported people using the service and their relatives to be involved in making decisions about their care and support.

Staff were knowledgeable about the individual needs of the people using the service. We saw evidence that they provided support that met people’s needs.

The provider had effective procedures for monitoring and assessing the quality of service. This promoted people’s safety and continuous improvement of the service.

We spoke with two people who use the service they told us of very different experiences in the service.

One person told us that they were never allowed to go out unaccompanied however during the morning we saw that this person actually returned from town on their own. We looked at their support plan and it indicated that they had been supported initially to access town but once they knew the bus route they were enabled to go into town on their own.

The other person told us that staff ask them what they liked and disliked and felt involved in their support plan.

"They listen to my likes and dislikes."

On this occassion we did not talk to people who use the service as we felt it may cause distress

We carried out this inspection following receiving information of concern regarding the care and support people using the service received.

We were unable to speak with all the people using the service due to their different communication needs however we spoke with two people and observed care staff working with people during the inspection.

We asked people if they were happy living at the home and did staff treat them well, they told us they liked living there and that staff were kind and treated them with respect. We looked at records and saw that people received the care and support outlined in their support plans.

We had been told that people did not receive enough food to eat. We asked people about the food and they told us that the meals were good and that they had plenty to eat. We looked at records and saw that people's meals were recorded and weight charts showed that people had not lost any weight again indicating people's dietary needs were being met.

We looked at other records in regard to people's care and welfare and found that these were up to date and well maintained, we saw that the minibus used to transport people using the service to and from the care home had a full MOT and maintenance record.

People told us that they went on holiday to Turkey and enjoyed this opportunity. "I have a great time when I am there, I had my hair dyed there I really like it."