Rosehill House Residential Home

At the previous inspection we found the management of medicines was not always safe. We previously found that records were accessible but not always up to date. Audits had not picked up that medicine's records were not always accurate. Medicines administration records (MAR) were now stored securely, records were now maintained, and no gaps were found in MAR. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

The environment was safe and there was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place.

People told us they were happy with the care they received, and people said they felt safe living there. Comment from one person was, "Yes I am safe here." People looked relaxed, happy and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service. A relative told us, "If they are happy- then I'm happy." While a professional commented, "It's a well- respected care home within the GP practice" while another professional said, "I can honestly say that this is one of the best."

The service used a computerised care planning system that enabled the staff to add information straight away via handheld devices. Records were accessible and up to date. The management and staff knew people well and worked together to help ensure people received a good service.

Staff were recruited safely in sufficient numbers to ensure people's needs were met. There was time for people to have social interaction. There was not a designated activities staff member currently, however the registered manager hoped to recruit one soon. Currently staff planned and carried out activities. Staff knew how to keep people safe from harm.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately. One visiting professional said, "The registered manager and the staff will also contact us in a timely manner."

Records of people's care were individualised and reflected each person's needs and preferences. Risks were identified, and staff had guidance to help them support people to reduce the risk of avoidable harm. People's communication needs were identified, and where they wanted, people had end of life wishes explored and recorded.

Staff told us the registered manager was available and assisted them. They went onto say how they were approachable and listened when any concerns or ideas were raised. A staff member said, "Very happy working here."