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Keychange Charity Rose Lawn Care Home Outstanding

All reports

Inspection report

Date of Inspection: 19 February 2013
Date of Publication: 4 April 2013
Inspection Report published 4 April 2013 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 19 February 2013, 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 and talked with staff.

Our judgement

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

Reasons for our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs. We looked at the staff rota for the last four weeks and spoke to the registered manager and staff about staffing levels. Staff told us that they were now confident that there were enough staff to meet people’s needs at Rose Lawn. We saw that there had been a change in staff shift patterns and roles to ensure that there was time to meet people’s needs especially at peak periods such as mealtimes and assisting people to get up. We were told that in the mornings the home were about to trial having one care worker each morning start at 7am to start breakfasts. This was to ensure people had their breakfasts on time and when they wanted them. The registered manager also told us that they now started shifts at an earlier time. The morning shift now started at 7.45am to allow time for handover. In the mornings there were five care workers and a senior care worker on duty as well as the manager and Head of Care. In the afternoon there were five care workers and the Head of Care and manager (the latter two until late afternoon. There was now an additional “twilight” shift for one care worker from 6pm until 10pm four days a week and they were planning to provide this for a further three days each week. This meant there would be extra support for people late evening each day so they could go to bed when they wished. There was one staff member on long term sick leave but otherwise the home had a full complement of staff.

This meant that over the two floors there were enough staff to meet people’s needs. People had been encouraged to use their own en-suites with additional support, if they agreed, to free up the assisted bath and one person had taken up this offer. People we spoke to did not have any issues with the staffing levels or care given, especially relating to assisted baths, which had been a problem during the last inspection.