Rodwell House

Rodwell House also provides personal care for people living in their own homes, within the same accommodation. These people have a tenancy agreement and a separate agreement for their care provision. There were 34 people receiving personal care in their 'own homes'. People receiving personal care can choose to have their care provided by another care provider. However, everyone living in Rodwell House had their care provided by staff employed by the service and we included these people within the inspection. We are working closely with the provider to reduce the number of people with tenancies to enable the whole service to be available for people who require accommodation with nursing or personal care.

Improvements had also been made to the menu and food choices and menus were now on display. Changes were based on feedback from people and relatives. Despite the improvements, some people told us their meals were not hot when they received them. People's care plans were person centred and detailed their preferences. However, some of these preferences were not always adhered to.

People told us they felt safe living in Rodwell House, and staff checked up on them regularly. Relatives told us staff put things in place to help keep their loved one safe, for example, mats beside the bed. There were enough staff deployed in the service and the staff knew the needs of the people they were supporting. Medicines were managed safely; accidents and incidents were monitored, and lessons were learned and shared if something went wrong.

People were assessed before they moved in to Rodwell House to ensure the staff had the necessary skills to meet their needs. Assessments were used to formulate the care plan. Care plans and risk assessments were reviewed regularly. People and their relatives told us the service was kept very clean and tidy.

Since our last inspection the service had made improvements to make the environment more suitable for people living with dementia. Staff had received training and a new practice development team worked alongside care workers to champion best practice. People were supported to see a doctor or other health

professional when needed.

People and relatives told us staff were kind and caring and treated people with dignity and respect. One relative said, "The staff are very nice and friendly, and they always take the time to say hello and chat." People received care which promoted independence and relatives told us they were updated regularly. Another relative told us, "It is clean, it is welcoming, and staff always make themselves available, I am totally involved in all aspects of the care."

Effective quality assurance processes were in place to monitor the service and regular audits were undertaken. A new registered manager had been appointed since our last inspection and staff told us they found them approachable and supportive with an open-door policy. People and relatives spoke highly of the new registered manager.

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.