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Keychange Charity Rose Lawn Care Home Outstanding

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Inspection report

Date of Inspection: 23, 27 May 2014
Date of Publication: 21 June 2014
Inspection Report published 21 June 2014 PDF

Overview

Inspection carried out on 23, 27 May 2014

During a routine inspection

We considered our inspection findings to answer questions we always ask;

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well led?

This is a summary of what we found.

This inspection was undertaken to follow up that required improvements had been made in relation to care and welfare, infection control and medicines management following our previous inspection in October 2013. Following the inspection the provider sent an action plan to us detailing the improvements being made

On the day of our inspection there were 27 people living at Roselawn with one person currently away from the home.

We spoke with nine people using the service, the deputy manager and nine staff supporting them. In addition we spoke to a registered manager from one of the provider�s other homes, the provider�s operations manager and an agency care worker working at the home.

We also spoke to a visitor and three district nurses who visits the home to support people living there.

Is the service safe?

The deputy manager ensured there were staff on duty with the appropriate qualifications, skills and experience required to ensure people�s needs were met.

The deputy manager understood their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty safeguards (DoLs). The deputy manager told us that there had been no reason to restrict or deprive people using the service of their liberty, in line with Deprivation of Liberty Safeguards legislation.

The home had suitable arrangements in place to reduce the risks of people receiving inadequate nutrition or becoming dehydrated.

The home was clean and had processes in place to maintain a clean environment. A person living at the home and a visitor told us �they keep it nice and clean here� and �it is lovely here they keep it beautifully clean�.

Is the service effective?

People�s health and care needs were assessed and their care plans and assessments were reviewed monthly. Specialist dietary, mobility and equipment needs had been identified in care plans where required. This showed that people were having care delivered effectively or in accordance with their assessed needs.

It was clear from our observations and from speaking to people and staff that they had a good understanding of people�s care and support needs and that they knew them well.

Visiting district nurses told us that they had seen improvements at the home. They told us they were working with the home and felt staff would benefit from additional training in catheter care and tissue viability.

Is the service caring?

People were supported by staff who were understanding and sensitive to their needs. We saw that staff showed patience and gave reassurance and encouragement when supporting people.

People at the home told us they were happy at the home. Comments included, �I am very comfortable here� and �We are very well cared for�.

Is the service responsive?

The home had appropriate systems in place for gathering, recording and evaluating information about the quality and safety of the overall service. Systems were in place to make sure the deputy manager and provider learnt from events such as accidents and incidents. This reduced the risks to people and helped the service to continually improve.

People told us they knew how to make a complaint if they were unhappy. A complaint received since our last inspection had been acted upon promptly and in line with the homes complaints policy and procedure. People can therefore be assured that the home acts upon complaints, they are investigated and action is taken as necessary.

Is the service well-led?

The home do not currently have a registered manager in post. The provider Keychange Charity had put in place support for the homes deputy manager in the absence of a registered manager. The provider�s operation manager and registered manager from one of the provider�s other homes visited a minimum of weekly. This meant that the provider had ensured the home was managed by a person supported by competent managers in the absence of a registered manager at the home.

Staff were confident in the deputy manager, they told us since she had taken charge there was a positive atmosphere amongst the staff. Comments included �X has done really well� and �X has done a great job, we are now working as a team�.

The provider�s representative undertook a monthly compliance visit. This showed that they worked with the deputy manager and the staff to ensure the standards that people expected at the home were maintained.

There had been communication difficulties between the local district nurse team and the home. Systems were being put into place to remedy this to make sure people received their care in a joined up way.