This inspection took place on 17 and 19 October 2017 and was unannounced. This meant the registered provider and staff did not know we would be visiting. This was the first inspection since the registered provider took over the service in October 2016.

Roseworth Lodge Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single packages under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Roseworth Lodge Care Home accommodates 48 people across three separate units, each of which have separate adapted facilities. One of the units specialises in providing nursing care, one in providing care to people living with a dementia related condition and the final unit in providing general residential care. At the time of our inspection 42 people were living at 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 and their relatives told us staff at the service kept them safe. Risks to people using the service were assessed and actions taken to reduce the chances of them occurring. The premises and equipment were monitored to ensure they were safe for people to use. The registered manager monitored accidents and incidents. Policies and procedures were in place to safeguard people abuse. Plans were in place to support people in emergency situations. People’s medicines were managed safely. Staffing levels were based on the assessed level of support people needed. The registered provider’s recruitment policy and procedures minimised the risk of unsuitable staff being employed.

People and their relatives all told us they thought staff had the skills and knowledge needed to provide effective support. Staff were supported through regular training, supervisions and appraisals. 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. People were supported to maintain a healthy diet. People were supported to access external healthcare professionals to monitor and promote their health.

People and their relatives described staff at the service as kind and caring and spoke positively about the support they received. We observed examples of kind and caring support being delivered. Staff clearly knew people and their relatives very well. We saw staff treating people with dignity and respect. Staff promoted people’s independence when delivering care and support and encouraged them to do as much as they could for themselves. The service had received a number of written compliments from relatives of people who used the service. People were supported to access advocacy services where needed.

People received personalised support that met their needs and preferences. Care plans were regularly reviewed to ensure they reflected people’s current support needs and preferences. People were supported to access activities they enjoyed. The registered provider had policies and procedures in place to investigate and respond to complaints.

Staff spoke positively about the culture and values of the service. Staff said they were supported by the registered manager and spoke positively about the leadership of the registered manager and registered provider. The registered manager and registered provider were visible presences around the service. The registered manager had worked to create and improve links with a number of community bodies to help enhance the quality of life of people using the service. The registered manager carr