This is the first comprehensive inspection we have carried out since the service registered with the Care Quality Commission (CQC) under a new provider in January 2016. The inspection was unannounced.

La Rosa 2 provides accommodation and personal care for up to six people with mental health needs. At the time of our inspection, four people were using the service.

A registered manager was in post at the time of the inspection. 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.

People were safe from avoidable harm. Staff had detailed guidance about how to manage identified risks to people’s health and well-being. People received safe care from a sufficient number of staff deployed at the service. Staff knew how to identify and report any concerns and potential abuse to keep people safe.

Appropriate selection and recruitment procedures followed at the service ensured only suitable staff delivered care to people. People received support to take and manage their medicines safely in line with best practice.

People received effective care provided by competent and skilled staff. Staff attended training and refresher courses and had their practice monitored to ensure they maintained their effectiveness to provide care.

Staff upheld people’s right to make choices about care and treatment and respected their freedom in line with the Mental Capacity Act 2005.

People received the support they required to maintain a healthy diet. Staff supported people to access a range of health and social care professionals when needed.

People received care and support from staff who were kind and compassionate. Staff encouraged and supported people to maintain relationships that mattered to them. People made decisions about how staff delivered care and support. Staff upheld people’s rights to have their care delivered with respect and to have their dignity and privacy maintained.

People’s needs were assessed and appropriate plans were in place to ensure the care provided met their individual needs. Staff adapted care delivered to people in line with each person’s changing needs.

People enjoyed taking part in a wide range of activities of their choosing for social interaction and stimulation. The provider actively sought people’s views about the service and ensured they acted on feedback received.

People knew the registered manager well and were happy about the management of the service. Staff were valued at the service and felt confident to share ideas about how to improve the service. Effective quality assurance systems ensured a continuous improvement of the service and the care people received. The provider enjoyed close working relationships with external organisations. This enabled the service to deliver care in accordance with best practice guidelines and current legislation.