About the service: The Rowans Care Home is a residential care home that was providing personal care to 46 older people, including people who were living with dementia, at the time of the inspection.

People’s experience of using this service: 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.

People and their relatives told us they were happy with the service provided. Staff understood the importance of providing person-centred care and had developed positive relationships with people.

People received support where this was required but staff encouraged their independence to live fulfilled lives free from unnecessary restriction.

Staff had received training and clear guidance was followed to keep people safe from avoidable abuse. Where people had been assessed as at risk from any activity, support plans provided guidance for staff to provide safe care and support.

Medicines were managed and administered safely. Records confirmed people had received their medicines as prescribed.

People's records were detailed, person centred and evaluated consistently. The provider was working to improve records further to ensure information was always accessible and current for staff to follow.

Records confirmed people’s input and where they were unable to consent the provider followed appropriate legislation to make sure any decisions were in the persons best interest. Staff were working hard to ensure any decisions made in people’s best interests were robustly recorded with the required input.

Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.

The registered manager and their deputy were responsive to any concerns we raised during the inspection; implementing corrective actions immediately where this was apparent and discussing plans where further improvements were required.

Staff were friendly and polite. Staff took time to get to know people. They had a clear understanding of, and how to support, people’s individual and diverse needs.

People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.

People knew the registered manager and told us they trusted them. Staff told us the registered manager was supportive and approachable.

The provider completed oversight of the service to ensure quality assurance remained a priority and was effective in maintaining standards and driving improvements.

Rating at last inspection: At the last inspection the service was rated as Good (report published May 2017).

Why we inspected: This inspection was a planned inspection based on previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.