We last inspected Rosewood Care Home on 31 March and 1 April 2015 and rated the home as Good.

The home provides accommodation and care for up to 35 older people, some of whom were living with dementia. There were 29 people living at Rosewood when we visited. The home is on one level with all the bedrooms having en-suite facilities. Communal areas include a sitting and dining room as well as a new conservatory. There is an outdoor courtyard area for people to enjoy sitting outside if they wish.

The inspection took place on 14 and 20 June 2017 and was unannounced.

There was a registered manager in place. 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 home is run.

People and their friends and relatives spoke extremely highly of the staff, registered manager and provider. Care plans were extremely person centred and were written as a narrative which enabled staff to read and assimilate the care plan easily and were reviewed regularly. This ensured that care plan detail was embedded within staff knowledge and working practice. The service was flexible and responsive to people’s individual needs and preferences, finding creative ways to enable people to live as full a life as possible. The arrangements for social activities were innovative in that they were adapted to different needs and abilities. Staff and volunteers supported people to enjoy activities at a level which met their needs.

Staff had received training in safeguarding and the registered manager knew how and when to use safeguarding procedures appropriately. People’s needs were met by suitable numbers of staff. The registered manager took people’s changing needs into account when deciding the staffing levels. Some people’s needs had increased so staffing levels were increased. Appropriate recruitment procedures were in place when new staff were needed. Risks to people’s wellbeing had been identified and risk assessments were in place to minimise risks. People received their medicines as prescribed by staff who were trained and assessed as competent.

People were supported by staff who had received relevant training to enable them to support people they worked with. New staff completed an induction to the home and all staff were supported with a variety of training, supervision and appraisal. Staff had training in and followed legislation designed to protect people’s rights and ensured they offered people choices and sought consent. People enjoyed their meals and had access to healthcare professionals when necessary.

There was a positive atmosphere within the home and people were very much at the heart of the service. People and their relatives valued their relationships with the staff team. People were supported to express their views and be involved in making daily decisions about their care and support. Staff supported people with their personal care whilst being mindful of their privacy and dignity.

The registered manager had systems in place to monitor the quality of the service provided, including a range of audits. The provider and registered manager sought the views of people living at Rosewood and their friends and relatives and acted upon them to improve the service.

We spoke with three people who used the service and they told us staff asked them before they undertook any personal care or gave them medication. They confirmed staff supported them with their personal care in ways which they preferred and they had the choice when they went to bed and how many baths or showers they had. We spoke with a visitor who told us they had observed staff give choices to people and those choices were respected.

People living in the home commented the staff were, “really lovely, helpful and kind” and “the treatment I get is excellent”. They also said they could rely on the staff “completely” and they always responded quickly when they pressed the call bell. People told us they received their medication when they needed it.

We found staff spoke with people respectfully and gave them choices. People's decisions were accepted and their individual care needs were met. Care plans were detailed and staff were aware of people's assessed needs. Medication procedures were in place which meant people received their medication as prescribed. The provider had a recruitment process in place which ensured the relevant checks were completed before new staff started work. The manager completed regular audits of procedures and practice which ensured the quality of the service provision.

We spoke with three people living in the home and two visitors. People told us that staff always knocked the bedroom door before they entered. They said that staff offered them choices, which were respected. A visitor told us that staff promoted independence but provided care and help when necessary. One person told us that staff respected their choices and wishes with regard to how they supported them with their medication. One person told us the manager was, ‘very nice and helpful’ and that they would feel able to talk to them if they needed anything. Another said they liked the staff. A visitor told us the staff were, ‘lovely’ and that they were not aware of any staffing issues.

We last inspected Rosewood Care Home on 31 March and 1 April 2015 and rated the home as Good.

The home provides accommodation and care for up to 35 older people, some of whom were living with dementia. There were 29 people living at Rosewood when we visited. The home is on one level with all the bedrooms having en-suite facilities. Communal areas include a sitting and dining room as well as a new conservatory. There is an outdoor courtyard area for people to enjoy sitting outside if they wish.

The inspection took place on 14 and 20 June 2017 and was unannounced.

There was a registered manager in place. 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 home is run.

People and their friends and relatives spoke extremely highly of the staff, registered manager and provider. Care plans were extremely person centred and were written as a narrative which enabled staff to read and assimilate the care plan easily and were reviewed regularly. This ensured that care plan detail was embedded within staff knowledge and working practice. The service was flexible and responsive to people’s individual needs and preferences, finding creative ways to enable people to live as full a life as possible. The arrangements for social activities were innovative in that they were adapted to different needs and abilities. Staff and volunteers supported people to enjoy activities at a level which met their needs.

Staff had received training in safeguarding and the registered manager knew how and when to use safeguarding procedures appropriately. People’s needs were met by suitable numbers of staff. The registered manager took people’s changing needs into account when deciding the staffing levels. Some people’s needs had increased so staffing levels were increased. Appropriate recruitment procedures were in place when new staff were needed. Risks to people’s wellbeing had been identified and risk assessments were in place to minimise risks. People received their medicines as prescribed by staff who were trained and assessed as competent.

People were supported by staff who had received relevant training to enable them to support people they worked with. New staff completed an induction to the home and all staff were supported with a variety of training, supervision and appraisal. Staff had training in and followed legislation designed to protect people’s rights and ensured they offered people choices and sought consent. People enjoyed their meals and had access to healthcare professionals when necessary.

There was a positive atmosphere within the home and people were very much at the heart of the service. People and their relatives valued their relationships with the staff team. People were supported to express their views and be involved in making daily decisions about their care and support. Staff supported people with their personal care whilst being mindful of their privacy and dignity.

The registered manager had systems in place to monitor the quality of the service provided, including a range of audits. The provider and registered manager sought the views of people living at Rosewood and their friends and relatives and acted upon them to improve the service.