Roslyn House

The service was not registered as a specialist service for people with a learning disability or autistic people. We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability or autistic people. We considered this guidance as there were people using the service who have a learning disability or who are autistic.

People were now respected and consistently treated with dignity by their support staff. Disrespectful language had been removed from care planning documentation and the importance of use of respectful language had been discussed with all staff. People were now able to withdraw their consent to planned care and monitoring tasks and these decisions were respected by staff and managers.

People were comfortable approaching staff for support and during the inspection chose to spend time chatting with their staff.

Staff had been provided with guidance on how to protect people from identified risks and had provided people with appropriate reminders on road safety when leaving the service independently. We have made a recommendation in relation to how the service supported people to identify and understand risks associated with developing their independence.

The provider now recognised the need for additional staff training on how to support people when upset or anxious. However, this training had not yet been arranged. Where staff had not completed necessary training this had been raised as an issue during supervision meetings. People received their medicines as prescribed and medicine storage areas were tidy and well organised.

The provider's recruitment practices had been reviewed and updated to ensure all necessary pre- employment check were completed. No additional staff had been recruited since the last inspection.

People were now regularly supported to access the community and had been offered opportunities to

attend religious services. On the day of the inspection both people went to the pub for lunch with staff support and people told us they had particularly enjoyed an event in a local community centre which they hoped to attend again in future.

Complaints and informal concerns had been appropriately investigated by the provider and action taken to resolve these issues. We have made a recommendation in relation to how information is fed back to people to help them understand the actions taken in response to concern raised.

The provider had taken action in response to the issued raised in our previous report and had worked closely with health and social care professionals to improve performance.

The provider's quality assurance systems had been updated but required further development. Gaps in care monitoring records had not been prevented and action had not yet been taken to address issues in relation to staff skills.

The deputy manager provided effective leadership to the staff team who were complimentary of the support they had received since the last inspection.