Rotherlea

At the last inspection undertaken on 14 November 2019, we found the provider had not ensured that there was sufficient staff to meet people's assessed levels of need.

At this assessment, improvements had been made and the provider. There was improved oversight on the management and deployment of staff at the home. Staff continued to receive training to allow them to support people safely and effectively. Medicines were safely managed and administered. People’s concerns were listened to and acted upon. Risks to people’s health and support were assessed and managed well by staff. Staff were trained in safeguarding and understood how to protect people from the risk of abuse. The environment of the home was safe, clean and met people's needs.

Staff’s wellbeing was supported by the provider and management team to enable them to effectively provide person centred care to people. Systems and processes were in place to support people’s professional development, their health and for them to provide opportunities to feedback about their roles.

At the last inspection, we made a recommendation that the provider continued to seek advice from a reputable source to ensure they were complying with Accessible information Standards (AIS) and that information was consistently provided to people in a way that meets their needs. At this assessment, further improvements had been made. People were able to get information and advice that was provided in a way that they could understand, and which met their communication needs.

At the last inspection, we found the provider in breach of Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulation Activities) Regulations 2014. The provider had not always assessed, monitored or improved the quality and safety of the service provided.

At this assessment, improvements had been made and the provider was no longer in breach of regulation 17. Improvements had been made in the ensuring staffing levels were appropriate and continuously reviewed to reflect people’s needs. The registered manager had worked to promote an inclusive service, improved the culture of the home and improved oversight of care through consistent and robust quality assurance systems. People and staff spoke positively about the registered manager’s approach.