Rosemanor 2 is a 24 hour residential care service providing rehabilitation and recovery programmes for up to nine women who are suffering or recovering from mental health problems. At the time of our inspection there were seven people using the service.

Our inspection took place on 17 and 19 January 2017 and was unannounced. At the end of the first day we told the provider we would be returning to continue with our inspection.

The service had 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.

We carried out an unannounced comprehensive inspection of this service on 15 and 16 December 2015. Breaches of legal requirements were found in relation to the management of medicines, safe care and treatment and governance.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach. During this inspection on 17 & 19 January 2017 we checked that they had followed their plan and confirmed that they had made improvements in all areas and now met legal requirements.

People using the service told us they felt safe at Rosemanor 2. They were encouraged to take part in some in-house activities and to continue to be part of their community. People were supported to maintain relationships with family and friends who were important to them.

There were clear procedures in place to recognise and respond to abuse and staff had been trained in how to follow these. Staffing numbers on each shift were sufficient to help make sure people were kept safe. Appropriate recruitment checks took place before staff started work. Staff told us they felt supported by the management team.

There were systems and processes in place to protect people from the risk of harm and improvements had been made to the way incidents and accidents were investigated and acted upon to help reduce the possibility of future events

People were supported to have their health needs met. Staff worked with people to access the GP and other local health services as appropriate to help make sure their individual health needs were met.

Staff received training which gave them the knowledge and skills to support people effectively. Staff had received training in the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). People were asked for their consent to the care and support they received

People told us they received their medicine when they needed to. We saw improvements had been made to people’s medicine records and medicine was now being stored securely and managed safely.

People’s care records focused on their healthcare needs and the risks associated with them. The service had made improvements to how they recorded information on people’s individual needs, history, their likes, dislikes and preferences.

Improvements had been made in how the service kept and monitored its records. Care and support plans were reviewed and updated regularly and regular audits were carried out to ensure records were complete. Internal audits and reporting mechanisms were now in place and so errors and risk could be highlighted and acted upon.

Rosemanor 2 is a 24 hour residential care service providing rehabilitation and recovery programmes for up to nine women who are suffering or recovering from mental health issues. At the time of our inspection there were eight people using the service.

Our inspection took place on 15 and 16 December 2015 and was unannounced. At the end of the first day we told the provider we would be returning the next day to continue with our inspection.

The service had 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 told us they received their medicine when they needed to but some records were not complete and some people’s medicines were not being stored securely and managed safely.

People’s care records focused on their healthcare needs and the risks associated with them. There was very little information on people’s individual needs, history, their likes, dislikes and preferences. This meant that staff may not know people well which could impact on how staff manage and support people when they became upset.

People’s records were not always accessible, complete or reviewed regularly. Internal audits and reporting mechanisms were weak so some errors and risk were not highlighted or acted upon.

There were systems and processes in place to protect people from the risk of harm but sometimes incidents and accidents were not investigated or acted upon to help reduce the possibility of future events.

People using the service told us they felt safe at Rosemanor 2. They were encouraged to take part in activities and to continue to be part of their community. People were supported to maintain relationships with family and friends who were important to them.

There were clear procedures in place to recognise and respond to abuse and staff had been trained in how to follow these. Staffing numbers on each shift were sufficient to help make sure people were kept safe. Appropriate recruitment checks took place before staff started work. Staff told us they felt supported by the management team.

People were supported to have their health needs met. Staff worked with the person to access the GP and other local health services as appropriate to help make sure their individual health needs were met.

Staff received training which gave them the knowledge and skills to support people effectively. Staff had received training in the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). People were asked for their consent to the care and support they received.

The service was in breach of three of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were in relation to the management of medicines, safe care and treatment and governance. You can see what action we told the provider to take at the back of the full version of this report.