You are here

Keychange Charity Rose Lawn Care Home Outstanding

All reports

Inspection report

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

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 23 May 2014 and 27 May 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

At the time of our inspection there were 27 people living at Roselawn with one person currently away from the home. People were supported by the deputy manager and care staff. There were also ancillary staff which included an activity coordinator, head of support services, a cook, a kitchen assistant, a laundry assistant, housekeepers, a maintenance man and an administrator. The staff rota showed that during the night two care staff were on duty, supported by a twilight shift until 9pm.

The deputy manager told us people living at the home had varying dependency needs with a few living with a degree of dementia and memory loss. The home did not use a dependency tool to assess the level of needs of people living at the home. The supporting manager from the provider’s other home told us staffing was assessed by the deputy manager who was in day to day control. The deputy manager would assess staffing requirements considering people’s needs and the amount of people living at the home.

The deputy manager told us they had increased the staffing levels at the home since our last visit. Staff told us “We are at last getting the right amount of staff” and “It is so much better when the right amount of staff are on duty, we are able to give people the time they deserve”.

We looked at staffing rotas for four consecutive weeks. They showed skill mixes had been judged with each day shift having at least one senior carer on duty who was suitably qualified with experienced care staff working the night shifts. The deputy manager told us there was always an allocated senior member of staff that staff could contact out of office hours. Staff told us they could always contact the deputy manager for support if required.

The deputy manager told us in the event of staff sickness senior staff would try to cover with the homes own staff. If they were unable to cover the deputy manager would contact a local care agency. We saw on the first day of our visit an agency care worker on duty. This meant that the home had systems in place to effectively maintain staffing levels.

People living at the home told us staff were not rushed and had time to meet their needs. Comments included “they are all lovely, nothing is too much trouble”.

We observed that staff had time to talk and interact with people. For example we saw during the afternoon tea round the member of staff engaged in conversation with each person as they offered them refreshments.

We saw a call bell audit carried out by the deputy manager from 16th May 2014 to 21st May 2014 displayed in the carer’s office. The results showed the majority of bells were answered within five minutes. The deputy manager told us the call bell response time had improved since the increase in staffing but they were working for further improvement. One person told us “they (staff) don’t take long to respond to the bell”.