Roselands Residential Care home provides accommodation and personal care for up to 18 older people some who were living with dementia. 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 comprises of a terraced three-storey building, which was converted from two private houses into a residential care home. There is passenger lift at the service. At the time of the inspection, 17 people were using the service and one person was in hospital.

At the last inspection, the service was rated Good.

At this inspection, we found the service remained Good.

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 sought people’s consent before providing care. People who were unable to make decisions about their care received the support they required to do so.

People were happy about the care they received at the service. Staff knew how to keep people safe from abuse. Staff understood the provider’s safeguarding policies and procedures to enable them to protect people from the risk of potential abuse. The registered manager assessed and reviewed risks to the safety and well-being of people using the service. Staff had sufficient guidance and followed good practice to provide safe care to people in line with the identified risks. The provider and the registered manager had responded promptly to correct issues identified by local authority and fire service inspections in 2017.

People’s care was provided by staff who underwent an appropriate recruitment process. There were sufficient numbers of staff deployed to meet people’s needs.

People received the support they required to take their medicines. Staff followed the provider’s procedures to manage, administer and store medicines safely. The premises were well maintained and people lived in a clean environment. Staff knew how to minimise the risk of infection.

New staff underwent an appropriate induction and received support to undertake their roles. People were supported by staff who received supervision and appraisal to develop their practice. Staff received training and refresher courses to equip them with the skills required to meet people’s needs. Staff benefited from additional training specific to the needs of people living in the home.

People received sufficient food and drink. People had their nutritional and hydration needs met. Staff supported people to access healthcare services when needed.

People using the service and their relatives were happy with the compassionate and caring manner in which staff provided care. People enjoyed good relationships with the staff who supported them. Staff involved people in planning their care. People were supported to maintain relationships with relatives, friends and others who mattered in their lives. People were treated with respect and staff supported them to maintain their privacy and dignity.

People’s care needs were assessed and reviewed regularly. Staff had sufficient guidance about how to meet people’s needs. People received care that was responsive to their needs. People's need for stimulation and social interaction were met.

People had information about how to make a complaint and were confident about raising concerns at the service. The provider investigated and resolved complaints to the satisfaction of people using the service and their relatives. People’s views and feedback were sought and used to develop the service.

People benefitted from a person centred culture at the service. Staff were valued at the service and teamwork and morale was good.

The registered manager was passionate about providing high standards of care. People’s care was subject to audit and checks. The quality

We visited Roselands Residential Care Home on 28 August 2015. The inspection was unannounced. This was the first inspection of the service with this provider.

The service provides residential care and support for up to 17 adults living with dementia or mental health needs. At the time of our inspection 17 people were using the service.

The service had 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.

People at the service felt safe. Staff understood how to recognise and report abuse. People’s needs were supported with relevant risk assessments. There were sufficient numbers of staff to meet people’s needs. Safe recruitment procedures were followed when employing staff. Medicines were managed and administered safely.

People were supported by staff with the knowledge and skills to meet their needs. Mental capacity assessments were completed to establish each person’s capacity to make decisions about their care and support. Staff were aware of the provisions of the Mental Capacity Act and Deprivation of Liberty Safeguards. People were supported to have a healthy diet and to maintain good health.

People and relatives commented positively about the manager and staff. People and their representatives were supported to express their views and preferences. They were involved in making decisions about care and treatment. Staff respected people’s privacy and dignity.

People received personalised care. Care plans were person centred and covered a range of social and healthcare needs. Care plans reflected people’s needs, goals and preferences. People were encouraged to take part in activities. The service actively sought and learned to feedback.

Staff spoke positively about the manager who had an open door policy if people, visitors of staff wanted to speak with them. The service had systems of audits, reviews and checks to monitor and assess the quality of service they provided.