9 Rosslyn Crescent

Updated 12 January 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 30 November 2017 and was unannounced.

The inspection was carried out by one inspector.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at information that we had received about the service and any formal notifications that the service had sent to the Care Quality Commission (CQC)

We spoke with the registered manager, deputy manager and two care workers. People who used the service were not able to verbally communicate with us; we observed interactions between people and staff throughout our inspection. We spoke with one relative and contacted external health care professionals for feedback.

We looked at three care plans and care records, four staff employment and training records and other documented information related to the management of the service.

Updated 12 January 2018

9 Rosslyn Crescent 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. 9 Rosslyn Crescent is a care home for four women with a learning disability located in the London Borough of Brent. The home is part of a national provider Voyage and a manager is registered with the Care Quality Commission.

At our last inspection on 26 November 2015 we rated the service Good.

At this inspection we found the service Good.

Staff demonstrated a good understanding of how to recognise and how to report any allegations of abuse. They told us that the registered manager would take any allegations of abuse seriously and deal with immediately. Risks to people in relation to their treatment or care, environment and equipment had been assessed and appropriate management plans were in place to mitigate such risks. Sufficient staff were deployed to ensure people’s needs were met. The registered provider followed safe recruitment procedures to ensure staff employed was suitable to work with vulnerable people. Medicines were managed and administered safely. Appropriate infection control procedures ensured people were protected from the spreading of infections. Accidents and incidents were monitored and discussed during staff meetings to ensure lessons were learned.

Appropriate assessments of need ensured care or treatment were provided with people’s requests, wishes and requirements in mind. Staff had the skills and knowledge to support people who used the service and were given the appropriate support to meet people’s needs. People who used the service had access to a well-balanced and healthy diet. Where people required input from a medical practitioner this had been sought and people received the required support to eat and drink. If required, additional healthcare support was sought to improve people’s health and wellbeing. People lived in a well maintained and nicely decorated homely environment. 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.

Relatives told us that people were treated with kindness and respect. Care staff we spoke with were observed to care for people by respecting their privacy, dignity and maintaining their independence. We observed people being asked to take part in activities and staff was able to read people’s gestures and sounds to ensure people were heard and their view about taking part and making that decision was heard.

People’s care was planned with people’s individuality in mind and this was responsive to people’s needs. People took part in a range of personalised and individual activities as well as in groups. People and relatives were encouraged to raise concerns, which were addressed and responded to appropriately by the registered manager. The home did not provide end of life care, but wishes in regards to serious illness and funeral arrangements were discussed with people and their representatives.

Care staff understood the vision of the registered provider and told us that the registered manager was supportive and approachable. Appropriate and effective quality assurance systems ensured the quality of care was monitored and improvement was made where required. People who used the service, relatives and stakeholders were encouraged to comment on the quality of care provided and any suggestions were followed up and actioned by the registered manager. The service worked well in partnership with external stakeholders such as the local learning disability team and local commissioners.

Further information is in the detailed findings below.