This inspection took place on 26 September 2018 and was unannounced. At our last inspection in January 2016 we rated the service Good. At this inspection we found evidence continued to support the rating of Good.

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.

Roland Residential Care Homes – 6 Old Park Ridings is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This home is registered to provide care for up to ten people who have a mental health diagnosis. There were nine people living in the home at the time of this inspection.

People felt safe living at the service and risks were managed effectively to keep them safe and protect their rights. The provider had effective systems in place to protect people from abuse and had responded appropriately to safeguarding risks.

The provider ran other similar care homes locally which provided a support network for staff and the registered manager and social opportunities for people living in this home. The service supported people to follow their interests in the community and at home.There were positive relationships between people and members of staff.

People were supported to have maximum choice and control of their lives and the service supported them in the least restrictive way possible; the policies and systems in the service supported this practice.People had choice around what they ate, whether they cooked their own meals or had their meals cooked by staff, how they spent their time and could come and go when they wished to.

The service provided support to people to maintain good health and with managing health conditions.People had good support to maintain their independence and their right to privacy was respected. The service helped people with maintaining relationships with their families.

People were involved in planning their care. The service ensured care plans were person centred and updated as and when people's care needs changed.

Effective systems were in place to manage complaints. People told us they were happy with the service. Staff treated them with respect.

The service maintained clear records of care provided, people's health and wellbeing.The provider was continually improving the service and worked in partnership with health and social care professionals to ensure people's health and social care needs were met.

This inspection took place over one day on 29 January 2016 and was unannounced. At our last inspection on 29, 30 December 2014 we made a recommendation around a fire risk assessment specific to people who were using sedatives. The decoration of the home was poor in places. At this inspection we found that the provider had addressed the issues identified.

Roland Residential Care Homes, 6 Old Park Ridings, is registered to provide accommodation and personal care for a maximum of ten adults with mental health needs. On the day of inspection there were nine people using the service.

There was a registered manager in place who was present during our 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 told us that they felt safe within the home and well supported by staff. Procedures relating to safeguarding people from harm were in place and staff understood what to do and who to report it to if people were at risk of harm.

We saw positive and friendly interactions between staff and people.

Staff understood people’s individual needs in relation to their care. People were treated with dignity and respect.

Staff had an understanding of the systems in place to protect people who could not make decisions and were aware of the legal requirements outlined in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). When people were not able to have input in to decisions affecting their care, there were records of mental capacity assessments and best interests meetings.

Care plans were person centred and reflected individual’s preferences. There were regular recorded key working sessions. People were involved in writing their care plans and risk assessments and were able to express their care needs.

People were supported to maintain a healthy lifestyle and had healthcare appointments that met their needs. Medicines were administered safely and on time.

People’s views on how the service was run were listened to. There were regular residents meetings that allowed people to have their views and opinions heard.

Staff training was updated regularly and monitored by the manager. Staff had regular supervision and annual appraisals that helped identify training needs and improve the quality of care.

People were supported to have enough to eat and drink. People were encouraged and supported to cook and plan their meals.

There was a complaints procedure as well as an accident and incident reporting. Where the need for improvements was identified, the manager used this as an opportunity for learning and to improve care practices where necessary.

There were regular health and safety audits and monthly medicines audits. These allowed the provider to ensure that issues were identified and addressed.

There were systems in place to identify maintenance issues. Staff were aware of how to report and follow up maintenance.

There was an open and transparent culture in which good practice was identified and encouraged.

The people we spoke with told us that they had regular meetings with their key worker where they reviewed together all aspects of their personal care plan and planned activities and goals for the next period. One person said, “I can discuss anything that I want with my key worker.”

One person we spoke with told us that the staff did not understand their specific needs. They told us that they would like to be more independent, but they needed help with all their personal care and daily living needs. When we checked this person’s care plan it contained full details of all their needs and how staff should support the person to meet their needs and to become more independent. This person also told us that the support they received at 6 Old Park Ridings was a lot better than they received at the home they lived at previously.

Each person completed their own record of the food they ate at each meal, so that they took some responsibility for monitoring their diets. One person told us that they had seen a dietician who said that they should eat two creamy dessert supplements a day, and they made sure that they followed this advice.

Staff we spoke with confirmed that the training they received provided them with the skills and knowledge they required to carry out their role. They told us that they had received training in mental health awareness so that they understood the needs of people with mental health concerns.

We visited the service on 9th January 2012. We looked at the care and treatment records held by the provider and observed how people were being cared for in this setting. We talked with people who use the service as well as with carers and/or family members. We also talked with staff and stakeholders.

People who use the service told us that they were able to personalise their own rooms and had choices about what they could wear on a daily basis. Family members told us that they could not speak highly enough of the staff group and that they were impressed by the sensitivity and caring attitude of the staff at the home. People also told us that the home had always kept them informed and encouraged them to be involved in the care of their relative. We found that people were generally very happy with the care being provided and made positive comments to this effect.

People using the service told us about the opportunities available to them to make choices. People confirmed that they were treated with respect and their dignity and their privacy was respected.

We asked people who use services about the care provided. People told us that they received the support they needed.

People told us they got on well with staff. They knew who their key worker was and said that they met with them to discuss their support plan. People also said they had a copy of this plan.

People who used the service told us that they felt safe in the home. People said they knew who to speak to if they had concerns. A person said, ‘’I would say it face to face. I would come out with it.’’

We asked people their views on the staff supporting them. People said the staff could meet their needs. One person said, ‘the staff are beautiful to me’. Another said, ‘staff are kind’.

We asked people using the service whether they were satisfied with the service provided. People said the choice and quality of the food provided was good. We were also told they were happy with the range of activities taking place.

This inspection took place on 29 & 30 December 2014 and was unannounced. The provider met all the standards we inspected against at our last inspection on 31 December 2013.

Roland Residential Care Homes - 6 Old Park Ridings provides care and accommodation for a maximum of 10 people with mental health needs. At this inspection there were 10 people living in the home.

The home has 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 and associated Regulations about how the service is run.

On both days of the inspection staff were welcoming and people in the home appeared relaxed and well cared for. People told us that staff treated them well and they were satisfied with the care provided. Three social and healthcare professionals who provided us with feedback stated that their clients were well cared for and they were happy with the management of the home.

We saw staff going about their duties in a calm and orderly manner. They interacted well and in a friendly manner with people. Staff checked to ensure that people were safe and their needs were met. Staff respected people’s privacy and knocked on bedroom doors to ask for permission before they went in.

People had been carefully assessed and detailed care plans were prepared with the involvement of people and their representatives. Their physical and mental health needs were closely monitored. There were regular reviews of people’s health and the home responded appropriately to changes in people’s needs. People were assisted to attend appointments with health and social care professionals to ensure they received treatment and support for their specific needs.

People told us that they had been given their medicines as prescribed. There were arrangements for the recording of medicines received into the home and for their storage, administration and disposal of medicines in the home. We however, noted that a certain type of medicine had not been stored appropriately in the home even when this had been prescribed for some people in the past. This was because the provider did not have suitable storage arrangement for this. The provider addressed this when we pointed it out to them.

Staff had been carefully recruited and provided with the training to enable them to care effectively for people. They demonstrated a good understanding of the needs of people. People and a relative told us that staff were able to meet the needs of people and they were satisfied with the management of the home.

The home had a safeguarding policy. Staff had received training and knew how to recognise and report any concerns or allegation of abuse. People informed us that they felt safe in the home.

Staff had assessed people’s preferences prior to their admission and arrangements were in place to ensure that these were responded to. The home had residents meetings and one to one discussions to ensure that people could express their views about the service and their suggestions were addressed. The home carried out annual satisfaction surveys to obtain feedback from people.

The CQC monitors the operation of the DoLS (Deprivation of Liberty Safeguards) which applies to care homes. The manager was knowledgeable regarding the Mental Capacity Act 2005 (MCA) and the DoLS. The home had policies and guidance on MCA and DoLS and the registered manager was aware of the procedure to follow if people’s freedom needed to be restricted to ensure their safety.

We found the premises were clean and tidy. The home had an Infection control policy and measures were in place for infection control. There was a record of essential inspections and maintenance carried out. Some areas of the home were however in need of minor repairs and redecoration.