Rosswood Gardens is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. Rosswood Gardens does not provide nursing care. CQC regulates both the premises and the care provided and both were looked at during this inspection. The service supports up to 16 people with learning disabilities, some of whom had autism and other disabilities. There were nine people using the service at the time of our inspection.

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 our last inspection in May 2016 we rated the service 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 ongoing 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.

There was a registered manager in post at the time of our inspection. 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 protected from abuse by systems in place such as staff training. Staff understood their responsibilities to safeguard people from abuse.

The provider carried out recruitment checks on staff to check they were suitable to support people with learning disabilities. There were enough staff deployed to care for people safely and meaningfully.

People were supported to take positive risks such as using the facilities and accessing the community safely. The provider assessed and managed risks relating to people’s care well.

People’s medicines were managed safely by staff who the provider checked were competent. The provider audited medicines management to check staff followed safe processes.

People lived in premises which were clean and safe. The provider checked the service remained safe and staff followed infection control procedures.

People were supported by staff who were trained and supported in their roles.

People’s care plans were based on their needs and preferences and were reliable for staff to follow. People were involved in their care plans.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People received food of their choice. People were supported to maintain their day to day health and to access the healthcare service they needed.

People liked staff and developed good relationships with them. Staff understood people including the best ways to communicate with them. People were treated with respect and were given the privacy they needed. Staff were supportive of those who were in consenting relationships in the service. People were encouraged to develop their independent living skills. People had individual activity programmes in place and took part in day trips and holidays.

Systems were in place to gather feedback from people and staff. A suitable complaints process was in place.

The service was well-led by a registered manager covering maternity leave. Leadership was visible with a clear hierarchy. Systems were in place to assess and monitor the quality of care people received.

This inspection took place on 17 May 2016 and was unannounced. This is the first comprehensive inspection of the service since the provider changed their legal entity and reregistered with the Care Quality Commission (CQC) in December 2014.

Rosswood Gardens is a care home and short stay respite unit that provides personal care and accommodation for up to 23 adults living with a learning disability, autistic spectrum disorder or Down syndrome. The service is divided into three self-contained units which each have their own lounge, dining area, kitchen, bathroom, toilet and laundry facilities. When we inspected the service there were 12 people living at the home and four people receiving temporary respite care. Respite care can be provided to a maximum of four people at any one time. Approximately 30 people regularly receive respite care at Rosswood Gardens.

The service had a registered manager in post. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People told us they were happy living or receiving respite care at Rosswood Gardens. We saw staff looked after people in a way which was kind and caring. Feedback we received from people using the service, their relatives and community professionals supported this. Staff spoke with people in a warm and respectful way and ensured information they wanted to communicate to people was done in a way that people could understand.

People felt safe living or receiving respite care at the service. Staff knew what action to take to ensure people were protected if they suspected they were at risk of abuse or harm. Risks to people’s health, safety and wellbeing had been assessed and staff knew how to minimise and manage these risks in order to keep people safe. The service managed accidents and incidents appropriately and suitable arrangements were in place to deal with emergencies.

We saw people could move freely around the home. The provider ensured regular maintenance and service checks were carried out at the home to ensure the building was safe.

Staff had built caring and friendly relationships with people. People were aware of who the staff were and we observed people and staff engaging in friendly conversations. There were sufficient staff to meet people’s needs, and staffing levels were flexible to provide people with the support they required. People told us there were always staff around and if they needed any assistance a staff member came to support them promptly. We observed staff spending time with people in communal areas.

People were encouraged to maintain relationships with people who were important to them. There were no restrictions on visiting times and we saw staff made peoples’ guests feel welcome. Staff encouraged people to pursue meaningful social, leisure and educational activities that interested them. People were supported to be as independent as they wanted and could be.

Care plans had been developed for each person using the service, which reflected their specific needs and preferences for how they were cared for and supported. These plans and associated risk assessments were regularly reviewed and kept up to date. This gave staff clear guidance and instructions about how they should care and support people and ensure their needs were met.

Staff supported people to make choices about day-to-day decisions. Consent to care was sought by staff prior to any support being provided. People were involved in making decisions about the level of care and support they needed and how they wanted this to be provided.

Staff were aware of who had the capacity to make decisions and supported people in line with the Mental Capacity Act 2005. Where appropriate, staff liaised wit

We carried out an unannounced comprehensive inspection of this service on 14 October 2015 and breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the safety and suitability of the premises, and assessing and monitoring the quality of the service provided by the care home.

We undertook this focused inspection to check that the provider had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rosswood Gardens on our website at www.cqc.org.uk

We undertook this unannounced focused inspection of Rosswood Gardens on 7 May 2015.

Rosswood Gardens is a care home and short stay respite unit that provides accommodation and personal care for up to 23 people. There were 13 people living in the home and two people staying in the respite unit when we visited. The service specialises in the care and support of younger adults with learning disabilities. The accommodation is split across four adjoining houses that are self-contained each with their own separate entrance, communal lounge, kitchen, toilet and bathroom facilities and laundry room. The respite unit can accommodate a maximum of six people at any one time and is not accessible from the main care home.

The service had a registered manager in post. 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 saw the environment was adequately maintained and people could move around the care home freely. Our discussions with people using the service, staff and the care homes management supported this.

We found there were more effective systems in place to help the care home and the provider monitor the safety and quality of the service people received at Rosswood Gardens.