Rosewood House

The service is adapted to meet the needs of people with physical disabilities. It is on a site outside of the local village, along with three further residential care homes run by the same provider. There is a swimming pool and restaurant on the same site.

People did not have the same level of contact with their local community as any other citizen.

People received their medicines as prescribed, but medicines were not always managed safely.

People were not supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service were in line with the Mental Capacity Act.

People's care and support was provided in a safe, clean, well equipped, well-furnished, and well-maintained environment. A new kitchen had been installed which increased people's opportunities to participate in choosing and preparing some meals. People had a choice about their living environment and could personalise their rooms.

Relatives and staff told us people were safe living at Rosewood House. People could access specialist health and social care support in the community and were supported by staff who understood how and when to highlight concerns they had about people's health.

Right Care: People's care plans were not holistic and did not consistently promote people's wellbeing and enjoyment of life. The support people received did not always focus on their quality of life or enable them to undertake activities or interests that were tailored to them.

Opportunities to increase people's skills and independence were not always used.

People had access to good quality nutritious food but were not as involved as possible in planning their menu, buying food or cooking.

People were able to communicate with staff who understood peoples' communication needs.

People were protected from abuse. Staff understood how to raise any concerns and said they were listened to.

New staff were recruited safely and completed an induction.

Right Culture: The provider had not ensured best practices for people with a learning disability had been embedded in the way the service operated.

Staff knew people well but there was a lack of guidance to enable staff to support people to achieve their aspirations and to live a quality life of their choosing.

The service's governance arrangements had not identified all the areas for improvement highlighted during the inspection.

Staff received regular updates to their training. They told us they also attended team meetings and one to one supervision.

Relatives gave positive feedback about the service.

Staff turnover was low, which meant people received care from staff who knew them well.