La Rosa Residential Care Home

In addition, the care home had been without a suitably competent person in day-to-day charge since April 2021. We discussed this ongoing management issue with the owner at the time of our inspection. They agreed they would appoint a competent manager and ensure they applied to be registered with us by April 2022. Progress made by the provider to achieve this stated aim will be closely monitored by the Care Quality Commission (CQC).

The service was not always effective at achieving good outcomes for people. This was because the provider had failed to assess and do all that was reasonably practicable to minimise the risks of people with mobility needs safely accessing the rear garden. The provider needs to make accessing the rear garden safe for all.

The service was not always responsive to meeting peoples needs. This was people did not always have sufficient opportunities to choose to participate in meaningful leisure and recreational activities that reflected their social interests and wishes. We have made a recommendation about improving activities that people living in the care home can choose to engage in, both within the care home and the wider community.

People were protected against abuse and neglect. The service was adequately staffed by people whose suitability and fitness to work in an adult social care setting had been properly assessed. Medicines systems were well-organised, and people received their prescribed medicines as and when they should.

People were well cared for by staff who had the right levels of training and support to deliver it. 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. People were supported to access food and drink that met their dietary needs and wishes. People were supported to stay healthy and access community-based mental

health and social care professionals as and when required.

People were treated equally and had their human rights and diversity respected. Staff treated people with respect and dignity and upheld their right to privacy. People were supported to maintain and develop their independent living skills. People were encouraged to make decisions about the care and support they received and had their choices respected.

Up to date, person centred, electronic care plans were in place for everyone who lived at the care home, which helped staff to meet their personal, emotional, health and social care needs. Staff ensured they communicated and shared information with people in a way people could easily understand. People were supported to maintain relationships with family and friends. People's concerns and complaints were listened to and investigated by the provider. Plans were in place to help people nearing the end of their life receive compassionate palliative care in accordance with their needs and wishes.

The provider promoted an open and inclusive culture which sought the views of people living in the care home, their relatives, community-based health and social care professionals and staff working there. The provider worked in close partnership with various external health and social care professionals and agencies to plan and deliver people's packages of care and support.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection This service has a new legal entity and was reregistered with us on 30 June 2020. This is their first inspection since reregistering with us. The last rating for the service under the previous provider was good (published 21 May 2018).

At this inspection we found multiple breaches of regulations and the need for this provider to make improvements. Based on the findings at this inspection the overall rating for the service is requires improvement.