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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

The home now had effective systems to regularly assess and monitor the quality of service that people received. For example, there was a clear pre-assessment process to ensure that the staff could meet people’s needs before they were admitted, including after a hospital admission. We saw that communication was effective between the manager and staff. Staff we spoke to knew what their roles were and how to meet particular people’s needs when asked. This was supported by the new care plan system which had been put in to place that was effective and involved the whole staff team.

We looked at the accident book and saw that appropriate and immediate action was taken at the time of the accident. There was a regular audit to ensure that accidents/falls were minimised and we saw that action plans were drawn up to ensure that people remained as safe as possible. We saw these actions being carried out.

Staff were able to show knowledge about Care Quality Commission (CQC) essential standards and the home had made a folder of relevant information and included discussions about standards in to staff meeting agendas. This enabled staff to know what standards they should be meeting.

The home now had a clear system to ensure that they had the right amount of staff to meet people’s assessed needs in the form of a dependency tool that was meaningful. We discussed examples of how this had been used with the manager in a way that directly affected care and the outcomes for people in a positive way.

People living at the home and their relatives told us that they felt involved in the general running of the home. We saw regular entries in care plans that detailed when staff had updated relatives, family visits and discussions about life histories. Staff told us that they now took the care plans in to people’s rooms and had a one to one chat. There were also resident’s meetings which was good practice and allowed people using the service to air their views. People living at the home and their relatives that we spoke to told us that they had no worries at all about being able to raise issues with the registered manager or any staff member and felt confident that their views would be listened to and acted upon.

There was a comprehensive fire safety system and a fire risk assessment done by an external company had shown low risk in this area.