Rosebuds Supported Living Limited received a Good rating across all five key questions at its first CQC inspection in January 2024, demonstrating safe, person-centred care for 8 people with learning disabilities and autism. Minor improvements were identified in PRN medication recording, staff recruitment file verification, and end-of-life care planning, with the registered manager taking prompt corrective action post-inspection.
Concerns (4)
moderate
Medication management
: “We found where a person was prescribed medicines when required (PRN), they did not always have an individual PRN protocol in place.”
minorMedication management: “We found a person had been administered PRN medication, but staff had not recorded the rationale for the administration.”
minorEnd-of-life care: “There was limited information in the support plans we reviewed relating to people's wishes for the end of their life.”
minorRecord keeping: “Minor improvements were needed to staff recruitment files. For example, references received had not been verified.”
Strengths
· Staff were safely recruited with DBS checks and extensive induction and shadowing opportunities.
· Sufficient staffing levels with staff demonstrating strong knowledge of people's complex needs.
· Personalised, person-centred care and support plans reflecting people's likes, dislikes, health needs and communication preferences.
· Strong staff training programme including MCA, safeguarding, STOMP, positive behaviour support and communication tools.
· Effective incident management with lessons learned shared at team meetings and via staff newsletters.