Rosekeys

People and most relatives spoken with said they felt the home was safe.

“People and most relatives we spoke with felt the care provided was safe.” from the report

The report says staff recruitment checks were completed, including Disclosure and Barring Service checks.

“Staff were recruited safely. Staff had relevant Disclosure and Barring Service (DBS) checks in place.” from the report

Some bedrooms were personalised, and some areas included decorations or features people could interact with.

“People's rooms were personalised and areas of the service had decorations people could interact with.” from the report

There was evidence that at least one person was supported to complete a qualification that could help with future employment.

“There was some evidence of people achieving positive outcomes.” from the report

Medical advice was not always followed, risks were not properly assessed, and some environmental hazards were not dealt with. Inspectors said this left people at risk of serious or avoidable harm.

“This left people at risk of serious harm.” from the report

Some incidents involving restraint, possible psychological ill treatment and injuries were not reported promptly to the local safeguarding authority. People were therefore not always protected or independently reviewed.

“People were not protected from the risk of abuse. This was a breach of regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

Staffing did not always match people's assessed support needs. Some staff also used unsafe moving and handling techniques or did not have up-to-date training for people's health conditions.

“The provider failed to ensure sufficient numbers of staff were deployed.” from the report

Medicines were not always given as prescribed, and records and storage checks were incomplete. Advice about choking, weight loss and other health needs was not always followed.

“Medicines were not always given as prescribed.” from the report

The environment and some care practices did not protect people's privacy or dignity. Examples included exposed personal items, unsuitable bedroom arrangements and incomplete privacy screening.

“The provider failed to ensure people were treated with dignity and respect.” from the report

The provider's checks did not identify or fix important risks, including problems with incidents, infection control, medicines, care plans and the condition of the building.

“The provider's systems and processes failed to assess, monitor, and improve the quality and safety of the service provided.” from the report