This inspection took place on 12 March 2018 and was announced. We gave the provider short notice of our inspection due to the nature of the service. This was so the registered manager could be available to assist us with our inspection. We contacted family members and healthcare professionals by telephone on 20 and 22 March 2018.

Rosehill is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Rosehill accommodates up to six people with a learning disability and/or autistic spectrum disorder. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of our inspection there were six people living at the service.

A registered manager was in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We last inspected this service on 3 September 2015 when it was rated 'Good' overall. Without exception previous CQC inspections have found the service to be compliant with our regulations. During this inspection we found the service remained good and met all the fundamental standards we inspected against.

People were cared for by staff who knew them well and understood how to support them and maximise their potential. The service's visions and values promoted people's rights to make choices and live a dignified and fulfilled life. This was reflected in the care and support that people received. Staff understood people's different ways of communicating and how to make people feel valued. They supported people to make decisions for themselves and spoke with people about their wishes and preferences. People were listened to and their voice was heard.

We found staff were committed to delivering a service which improved the lives of the people who use the service in fulfilling and creative ways. We found that the manager had encouraged staff to constantly think about improvements. We found that the management style had led to people who use the service and staff feeling that they were an integral and essential partner in the operation and enhancement of the service.

Staff were devoted to ensuring each individual found their lives were enriched. We found staff empowered people to voice their wants and aspirations for their lives and then supported them to achieve these goals.

Relatives described the care at Rosehill as ‘a brilliant home.’ Relatives told us how the service had made a huge impact on their family members by enabling them to lead full and rewarding lives. Staff did not view the complex needs of the people who used the service as a barrier to them participating in similar activities to those of their peers. People had been supported to explore and engage in an extensive range of activities.

People had made use of the SMART (specific, measurable, achievable, realistic and timely) target system. These targets were a way of setting goals for people to work towards in areas that really mattered to them and which improved their quality of life. Staff also used a wide range of communications techniques such as pictures or the PECs system, Makaton and signs to enable people to discuss their ideas and as indicators that people were not enjoying themselves. The strong focus on person-centred care had an extremely positive impact on people. St

The inspection took place on 6 January 2016. The last inspection of this home was carried out on 4 February 2014. The service met the regulations we inspected against at that time.

Rosehill provides care and support for up to six people who have autism spectrum conditions. At the time of this visit six people were using the service. The accommodation is over three floors and consisted of six bedrooms and two bathrooms. People had access to a communal lounge, kitchen and dining room.

The service is managed by a registered manager who also managed another similar service nearby. They were present on the day of our visit.

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 people who lived at the home had complex needs which limited their communication. Relatives made positive comments about the service. They described the service as safe. Relatives felt their family members were happy at Rosehill.

Medicines were managed in a safe way and records were up to date with no gaps or inaccuracies. The provider made sure only suitable staff were employed. Staff had a good understanding of safeguarding issues, and knew how to report concerns.

Staff knew people’s needs well and how they liked to be supported. Staff received relevant training to support people in the right way. Staff received regular supervisions and appraisals, and told us they felt supported.

People were supported to maintain a healthy diet and active lifestyle. Staff supported people to express their views and make decisions where possible. Staff knew people’s likes and dislikes well. People’s independence was encouraged without unnecessary risk to their safety.

Each person participated in a range of vocational and social activities. Care plans were well written and specific to people’s individual needs. Records were up to date and reviewed regularly.

Relatives and staff felt the service was well managed. Systems were in place to record and monitor accidents, incidents and complaints, which helped the provider monitor the quality of the service. There was an open and positive culture at the service.

We viewed private living spaces and all communal areas in the home and found a safe, inviting, inclusive and friendly atmosphere throughout. There was a large, bright and airy communal lounge and dining room, a conservatory, a large well-kept garden and a refurbished kitchen.

We spoke to two members of staff who spoke positively and without prompt regarding local management, training and working conditions. We observed four members of staff interacting with people and found that they had formed positive and supportive relationships with people. We also spoke to two people who lived there and found that they received individualised care that enhanced their quality of life and enabled them to take part in activities important to them.

We reviewed the comments and complaints file and noted that there were no ongoing complaints.

We found that each person had their own bedroom which was personalised in colours of their choice.

People were out during the day at college or activities. A relative we spoke with told us “he’s out all of the time at discos, rock climbing of the pub”.

A member of staff we spoke with told us “I love working here, the lads are great we go out and do things all of the time”.

One person using the service told us that they were happy living there and that the staff were “lovely”. Other people using the service were unable to communicate with us during our visit.