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Congratulations Rose House Farm!

The Outstanding Society would like to congratulate Cristian and his team on their recent Outstanding Rating. Going from Good to Outstanding, especially following the last two years is something to be so proud of!

Rose Farm House is a residential care home providing personal care to five people with learning disabilities and autism at the time of the inspection. It is a specialist service for people that have anxious or emotional behaviour that has limited their quality of life and experiences. The service can support five people. The accommodation is spread over one main building which contains two bedrooms and one flat and two annex’s each of which contained a one person flat.

People’s experience of using this service and what we found

People had been exceptionally well supported to reach goals that had been previously deemed unattainable. People could display high levels of behaviour of distress, which had previously impacted on every part of their life, however no longer did. People had been supported to reduce the frequency and severity of their behaviour of distress through staff adapting their approach and learning lessons on how to support people more effectively. As a result, the volume and frequency of physical intervention that needed to be used had decreased for everyone living at the service. Staff told us this was important to keep people as safe and distress free as possible.

People had been supported to review and reduce medicines they were taking. Some people had taken medicines for long periods of time, to support them to reduce behaviours of distress. Staff had worked with healthcare professionals to reduce and remove these medicines with no adverse effect on the person, and no increase in distress. People were supported by a core staff team who knew them well and had developed their approach to support people in the most positive way. People were at the centre of everything within Rose Farm House, including the recruitment of new staff.

Staff and the registered manager demonstrated a positive culture within the service which supported people to achieve their goals. For example, one person was supported to be baptised. Staff worked with external agencies to provide the best outcomes for people. Health escalation plans were put in place to anticipate people’s needs and make getting support fast and effective. People were listened to, and their aspirations championed by staff. Relatives told us they were kept informed about every part of their relatives’ care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• Model of care and setting maximises people’s choice, control and independence. People had been supported to gain new skills and take more control of their life for example with finances.

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights. Staff demonstrated a person-centred approach and supported people to uphold their human rights, for example contesting their DoLS.

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. There was a clear culture of striving for excellence and supporting people to lead the best life.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was Good (published 3 September 2018).

Why we inspected

The inspection was prompted in part due to concerns received about restrictions on people and concerns of a closed culture. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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