Rosedale House

Right Support: The model of care and setting did not consistently maximise people's choice, control and independence. People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.

The manager and staff team were aware of people's strengths and had considered possible goals for people, but they needed to involve the person more in the planning, identifying and developing the steps they needed to take to achieve them and work towards leading as independent life as they could.

People were supported to take part in activities and interests in the local area. Some inhouse opportunities had been developed with a summer house for arts and crafts and involvement in the decisions for the imminent redecoration of some of the home.

Right Care: There was a permanent staff group who worked consistently with people, so they knew them well, which helped ensure they received the care they needed, which was person centred and promoted people's dignity and privacy.

Staff had been given training in signing to help ensure they had the skills to be able to communicate, which needed embedding into the support provided.

Right Culture: The manager's responsibilities were too great as they covered other homes and had a lack of support due to vacancies in senior staff. This had impacted on the quality assurance and governance processes and had led to a lack of oversight and gaps in monitoring, involving families and other professionals in reviews of care plans, as appropriate. However, this had been identified by the provider and there were plans in place

to improve the situation.

People received support from trained specialists where necessary, who helped staff understand people's needs and encouraged consistent support.

Staff and the management team at the service spoke positively about people within the service and wanted people to live their best lives.

There were plans in place to redecorate and upgrade the accommodation, which was needed. Health & safety checks and servicing of facilities were carried out.