Rosewood Residential Care Home

Our observation showed people were safe at Rosewood. Staff knew what their responsibilities were in relation to keeping people safe from the risk of abuse. The provider followed safe recruitment practices.

People received the support they needed to stay healthy and to access healthcare services. Each person had an up to date care plan, which set out how their care and support needs should be met by staff. These were reviewed regularly. The GP said, "When I visit, I always find the staff friendly and helpful, and I find them very caring towards the patients. I have not been concerned about safety on my visits."

Medicines were stored and managed safely by staff. There were policies and procedures in place for the safe administration of medicines, which staff followed. Staff training records confirmed staff had been trained in medicine administration.

People continued to receive care from staff who were well supported with induction and training. Staff received one to one supervision and annual appraisals. A member of staff said, "The manager had supported me a lot in the past and they continue to do so."

Staff understood the importance of promoting people's choices and provided the support people required while promoting and maintaining independence. This enabled people to achieve positive outcomes and promoted a good quality of life. One person said, "I am encouraged to look after myself, I am as independent as I can be."

The staff were caring and knew people, their preferences, likes and dislikes well. We received good feedback from people, relatives and healthcare professionals about the quality of care provided by staff.

We observed people's rights, their dignity and privacy were respected. Staff supported people with their lunch at a gentle pace whilst engaging with them. People continued to be supported to maintain a balanced diet and staff monitored their nutritional health.

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. We saw that People participated in activities, pursue their interests and maintained relationships with people that mattered to them.

The service continued to be well led. Effective quality audits continued to be in place and continuous improvement and learning were embedded in the service. One person said, "The manager is very good. She tries to make the place more homely. They do tell us what is going on."