Rosebank lodge 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. The service provides accommodation and personal care for up to 13 people and was at full occupancy when we visited.

A registered manager was in post who was present on both days 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.

This was a planned inspection based on the rating at the last inspection in July 2016 when we rated the service Good overall. At this inspection we found the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated any 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 care service was operated in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People were protected from avoidable harm, discrimination and abuse. Risks associated with people’s needs were assessed, planned for and monitored for any changes. There were sufficient staff to meet people’s needs and safe staff recruitment procedures were used.

People received their prescribed medicines safely and these were managed in line with good practice guidance.

Staff received the training and support they required including specialist training to meet people’s individual needs. People were supported with their nutritional needs. Staff identified when people required further support with eating and drinking and took appropriate action. The staff worked well with external health care professionals and helped people access health services as required.

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. The principles of the Mental Capacity Act (MCA) were followed.

People received care from staff who treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported. They understood how people communicated, their preferences, and what was important to them. Staff knew how to respond to people when they were distressed, working positively with external health and social care professionals when required.

People’s needs were assessed and planned for. Support plans were detailed, up to date and staff knew and understood people’s needs well. People were being offered improved opportunities to pursue their interests and hobbies with a renewed focus on quality of life. There was a complaints procedure and action was taken to learn and improve where this was possible.

The registered manager was committed to providing high quality person centred care and support. This ethos was central to how the service operated. There was an open and transparent and person-centred culture with good leadership evident. A newly appointed deputy manager had recently strengthened the management team

Further information is in the detailed findings below

This inspection took place on 6 July 2016 and was unannounced. The last Care Quality Commission (CQC) comprehensive inspection of the home was carried out on 18 December 2014 when we rated the service as ‘Requires Improvement’. We also imposed a requirement notice that we checked during a focused inspection on 5 November 2015. We found the provider was meeting the regulations we looked at, but we did not amend our rating as we wanted to see consistent improvements at the service.

Rosebank Lodge is a care home that provides accommodation and personal care for up to 13 people who have physical disabilities, some of whom also have learning disabilities. At the time of our visit there were 13 people living at Rosebank Lodge. The service provides a range of accommodation for people including studio type accommodation. Historically this has resulted in a range of people being admitted to the service, some people were independent in meeting their needs, whilst others require one to one support. The registered manager told us there was a longer term strategy to support those people who were more independent to move onto other services.

The service had a registered manager in post. 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 we spoke with were generally positive about the service, although we did receive some comments from people who felt it could have been better. We also completed an observation during lunchtime and noted staff could have been more caring when supporting people. We raised this with the registered manager who agreed there were shortfalls and agreed to review what had happened over lunchtime. Our observations of the evening meal showed a much calmer and congenial atmosphere.

Staff we spoke with were knowledgeable about what they needed to do if they suspected someone was at risk of harm. The provider had recruitment systems in place to make sure only suitable people were employed by the service.

Staff were well informed about people’s individual preferences. People were encouraged to make choices about how care was provided and to be as independent as possible. The provider trained staff so they could support people in line with their needs and best practice. Staff also received on-going support through team and one to one meetings so information was readily shared in the interests of people who used the service.

We saw the home provided care that met people’s diverse needs. People were able to choose a range of activities either in the community or within the home. Staffing levels were sufficient to meet people’s needs. People were encouraged to maintain links with their relatives.

Staff had a knowledge and understanding of the Mental Capacity Act 2005. The Act helps to ensure that people who were unable to make decisions for themselves are legally protected. The provider had trained staff so they had the knowledge to work within the remit of the Act. People were asked for their consent prior to care being provided.

People were supported to access appropriate healthcare services as and when they needed them. They were encouraged to eat and drink sufficient amounts to meet their needs. People received their medicines as they had been prescribed.

The provider had a clear process for recording and monitoring accidents and incidents. They ensured these were analysed and where patterns were identified action taken to minimise future incidents. Information in people’s care records was up to date and regularly reviewed.

People told us the registered manager was open and transparent. People were given a variety of ways to comment on the service which included anonymous questionnaires or making formal complaints. They t

We carried out an unannounced comprehensive inspection of this service on 18 December 2015 and a breach of legal requirements was found. This was because the service did not provide support to staff in the form of one to one supervision sessions to consider their practice and professional development. The service also did not hold staff team meetings on a regular basis. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach.

We undertook a focused inspection on the 5 November 2015 to check that they had followed their action plan and to confirm that they now met legal requirements. This inspection was unannounced.

This report only covers our findings in relation to this requirement. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rosebank Lodge on our website at www.cqc.org.uk

Rosebank Lodge is a care home that provides accommodation and personal care for up to 13 people who have physical disabilities, some of whom also have learning disabilities. At the time of our visit there were 11 people living at Rosebank Lodge. The service provides a range of accommodation for people including studio type accommodation. Historically this has resulted in a range of people being admitted to the service. Some people are independent whilst others require one to one support.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

During our focused inspection we found that the provider had followed their action plan. We saw legal requirements had been met by the provider because they provided support to their workforce through regular team meetings and one to one supervision meetings. The registered manager was new to the home and had not been in post at the time of the previous inspection. Staff told us the new registered manager was approachable regarding professional and personal issues.

This unannounced inspection took place on 18 December 2014. Although Rosebank Lodge had previously been inspected by the Care Quality Commission (CQC) the home was taken over by a new provider. This was the first inspection of the home since the new provider Aitch Care Homes had taken over.

Rosebank Lodge is a care home that provides accommodation and personal care for up to 13 people who have physical disabilities, some of whom also have a learning disabilities. At the time of our visit there were 11 people living at Rosebank Lodge. The service provides a range of accommodation for people including studio type accommodation. Historically this has resulted in a range of people being admitted to the service. Some people are independent whilst others require one to one support.

The service did not have a registered manager in post. A new person had been appointed to the post and was due to start in early January 2015. 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.

The service had policies and procedures in place to make sure people were kept safe. Staff were knowledgeable about the actions they should take if they suspected abuse. Staff were appropriately recruited. There were enough staff on duty to make sure people’s needs were met.

The provider had ensured that staff had sufficient skills to do their jobs. There was an induction programme in place for new staff. There was also on going training for other staff to make sure they had the knowledge to undertake their roles competently. Although staff felt supported by managers, there were not always the formal one to one meetings between staff and managers or regular team meetings. Staff therefore did not have the opportunity to consider their professional development. You can see what action we told the provider to take at the back of the full version of the report.

Staff in general maintained people’s privacy and dignity. Although we did observe an interaction between a staff member and someone using the service that did not ensure the person was treated with respect.

People’s needs were assessed and plans put into place so their needs could be met. This included people’s health needs and making sure they stayed well. People were involved in writing their own plans and reviewing them so they were getting the care they wanted and the information was always kept up to date.

People were encouraged to be as independent as possible. There was a range of activities for people to participate in, if they wanted to. People we spoke with knew how to make a complaint if they were not happy with the service they or their relative was receiving. The provider was regularly auditing the service this included at night to make sure everyone received good quality care at all times. The provider worked well with external professionals.