Rosebank

We assessed 8 quality statements in the safe key question and found areas of good practice. Our rating for this key question is good.

Lessons were learned from safety incidents and shared with staff to help improve practice. Incidents were analysed to help mitigate the risk of recurrence. Policies and practices helped protect people from the risk of abuse and harm.

The provider worked well to help ensure people were transitioned into the service safely.

Risks to people were assessed, mitigated and managed by staff who understood them. The risk assessment process was unique to each person.

The service was kept clean and hygienic. Checks were in place to ensure the environment was safe and well maintained.

Staff were recruited safely. There were enough staff to ensure people received safe, good quality care that met their needs in a timely way.

People’s medicines were managed in a safe way. People’s behaviour was not inappropriately controlled by medicines.

We assessed 6 quality statements in the effective key question and found areas of good practice. Our rating for this key question is good.

People were involved in the assessment of their needs. People’s care was planned with their full involvement. People’s wishes were embraced, and they were treated as partners in their care.

People were supported to maintain their nutrition and hydration needs and had choice over what they ate and drank. This included meal preparation and shopping for ingredients.

Staff worked effectively with both in-house professionals and outside agencies to help meet people’s individual needs and support them to live healthier lives.

People’s care was regularly monitored, reviewed and adapted to help achieve the best possible outcomes for people.

People’s rights around their consent to care and treatment were respected and aligned with the principles of the Mental Capacity Act.

We assessed 5 quality statements in the caring key question and found areas of good practice. Our rating for this key question is good.

People told us and we observed people being treated by staff with care, compassion and in a way which fully considered their emotional well-being. People had their own rooms and lounges which afforded them privacy.

People’s protected characteristics were respected and embraced by staff, and not considered as a barrier to the care and treatment they required.

Staff responded to people's needs in a timely way which helped minimise any discomfort or distress.

We assessed 7 quality statements in the responsive key question and found areas of good practice. Our rating for this key question is good.

People’s care plans demonstrated people were at the centre of their care and support. People were listened to and empowered to make decisions about their care and support and to express their wishes and preferences.

People’s needs were understood and met by staff to help ensure people received continuity of care.

Information was provided to people in a way in which they understood, and in line with the Accessible information standard.

We assessed 8 quality statements in the safe key question and found areas of good practice. Our rating for this key question is good.

The provider promoted a culture of learning and improvement, not only amongst staff but also with people. Best practice guidance was used to help further improve standards in the safety and quality of the care being provided.

Leaders were capable, transparent and compassionate and were well thought of by people and staff alike. Leaders were visible in the service and adopted a hands on approach to people’s care and support.

Roles of responsibility and governance processes were in place to help identify current areas of risk. Any shortfalls in practice were identified and actions put in place to help drive-up improvements in the quality of care and support being delivered.

Policies and practices were in place to ensure the voices of staff and people were heard, helping to ensure input from both was valued and acted on.

The provider worked in collaboration with both in-house and external health care providers to ensure people received the support they required and to help improve the quality of people’s experiences and outcomes.

The provider was aware of potential impact of their activities on the environment and were making a positive contribution to help reduce it. There had been a significant reduction in the use of paper by the introduction of electronic record keeping.