Mary Rose Manor

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service was run by a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. . At this inspection we found the service remained Good.

Processes, systems and practices were in place to protect people from the risk of abuse. The registered manager ensured staff learning took place following incidents. Risks to people had been assessed and their safety was monitored. Processes were in place to ensure people's medicines were managed safely. People were protected from the risk of acquiring an infection.

There were sufficient suitable staff to meet people's needs. Staff pre-employment checks had been completed and the registered manager took swift action to ensure five staff without a full employment history as legally required, provided this information.

People's care was delivered in accordance with current legislation, standards and evidence-based guidance to achieve effective outcomes. Staff were appropriately supported in their role through training, supervision and professional development. People were supported by staff to eat and drink sufficient for their needs. Staff worked together to deliver people's care and ensured they were supported to access healthcare. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff treated people with kindness, respect and compassion and provided any emotional support they needed. People were supported to express their views and to be actively involved in decisions about their care where possible. Staff ensured people's privacy, dignity and independence were promoted.

People received individualised and responsive care that met their often complex needs. Staff provided

people with sufficient opportunities for stimulation and support to pursue their interests. People were supported appropriately at the end of their life.

People's care was underpinned by a positive person-centred culture. Staff understood their roles and responsibilities and regulatory requirements were understood and met. People's views on the service had been sought and acted upon. Processes were in place to ensure continuous learning took place and areas of practice that could be improved for people were identified and addressed.

Further information is in the detailed findings below.

The five questions we ask about services and what we found