CQC report explained · a residential care home
What the CQC found at Keychange Charity Rose Lawn Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found strong systems for identifying and managing risks while supporting independence. They found enough staff, safe medicines systems, good infection control and staff who understood safeguarding.
- Effective?
- Good
- People's health needs were monitored and staff worked with health professionals. Training, care planning, nutrition and support with decision-making were all found to produce good outcomes.
- Caring?
- Outstanding
- Staff treated people with exceptional kindness, compassion and respect. People and relatives were involved in care decisions, and staff understood people's histories, preferences and ways of communicating.
- Responsive?
- Outstanding
- Care was tailored to people's individual wishes and routines. The home offered varied activities, support to maintain relationships, flexible communication and sensitive support during bereavement and end of life.
- Well-led?
- Outstanding
- Inspectors found an open and positive culture where people and staff were encouraged to speak up and help shape the service. Leaders supported learning, improvement and person-centred care.
What inspectors found, October 2019
Keychange Charity Rose Lawn Care Home was rated Outstanding; inspectors found exceptional care, personalisation and leadership, with Safe and Effective rated Good.
This was an unannounced inspection on 05 and 13 August 2019. One inspector and an expert by experience spoke with people, relatives, staff and a health professional. They observed care and checked care plans, medicines records, staff files, training and management records.
People told inspectors they felt safe and well cared for. Staff were kind, patient and respectful. The home supported people to remain independent, take part in activities, keep relationships and receive individual end of life care. There were enough staff and medicines were managed safely.
The overall rating was Outstanding. Caring, Responsive and Well-led were Outstanding. Safe and Effective were Good. The previous overall rating was also Outstanding, while Caring improved from Good to Outstanding.
Kind and respectful care
Staff took time to talk with people and treated them with warmth, dignity and compassion. Inspectors saw natural, respectful relationships between staff and people.
“Staff treated people with exceptional kindness and compassion and gave time to each person to meet their needs or simply to have a chat.” from the report
Personal choice and independence
People were supported to make choices, stay independent and take positive risks. Their rooms, routines, meals and activities were adapted to their preferences.
“People and their relatives were involved in planning their care and assessing their needs.” from the report
Safe staffing and risk support
There were enough staff to meet people's needs promptly. Risk assessments supported safety while allowing people to remain as independent as possible.
“There were sufficient staff on at all times to ensure people's needs were met safely and in a timely way.” from the report
Activities and community links
People could choose from many activities, outings and community connections. Staff also supported people who preferred individual time rather than group activities.
“There was a wide selection of activities that people could choose to access or not including at least four outings each month.” from the report
Food and nutrition
People had varied food, drinks and snacks, with support adapted for nutrition, frailty, visual impairment and different eating speeds.
“The nutritional provision and management was excellent. People were given a wide choice of food, drinks and snacks of a high standard” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's specific risks while still allowing them to remain independent?
- 02Which activities, outings and one-to-one options would be suitable for my relative, including if they do not want group activities?
- 03How would you record and share my relative's preferences, routines, communication needs and life history with all staff?
- 04How would you support my relative's eating, drinking and nutrition if they became frail or needed a modified diet?
- 05How would you involve us in planning and reviewing end of life care and bereavement support?
This was a planned but unannounced inspection covering all five questions, including the premises and the care provided; the previous ratings were also considered. This explanation was written from the published report of 31 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk. The report was longer than we could read in one go; the later sections may not be reflected.
What inspectors found, February 2017
Keychange Charity Rose Lawn Care Home was rated Outstanding overall, with kind care, excellent activities and very strong leadership.
This was a comprehensive, unannounced inspection on 23 November 2016. Inspectors spoke with people living in the home, staff, a relative and health professionals. They also checked care records, medicine records, staff files, policies and quality checks.
Inspectors found the home safe, effective and caring, with all three areas rated Good. There were enough suitable staff, medicines were managed safely, and people received support from trained staff. People were treated with kindness, dignity and respect, and were involved in decisions about their care.
Responsive care and leadership were rated Outstanding. Inspectors found a wide range of activities matched to people's interests, including trips, music, exercise, art and discussion groups. The home involved people, relatives and staff in improving how it was run.
The overall Outstanding rating means inspectors judged the service to be exceptionally good overall at the time of this inspection. The previous inspection in May 2014 found the service compliant with all the standards inspected.
Wide choice of activities
People could join activities and events throughout the day and evening, or continue their own hobbies. Activities were adapted to people's interests and skills.
“There was an excellent programme of activities and social events for people to choose from, meaning people were well occupied and stimulated if this was their choice.” from the report
Personalised care
Staff knew people well and used their histories, preferences and changing needs to plan support. People and relatives were involved in care plans.
“People's lives were enriched through the quality and quantity of activities and opportunities which were tailored to their preferences and interests.” from the report
Kind and respectful staff
Inspectors saw staff spending time with people, responding promptly and protecting privacy and dignity.
“People were treated with kindness and compassion in their day-to-day care.” from the report
Strong leadership and improvement
The home involved people, relatives and staff in decisions. Its systems included audits, resident meetings and a card system to help staff respond to issues promptly.
“The service had a positive culture that was person-centred, open, inclusive and empowering.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Recruitment checks, medicine records and medicine administration were described as safe.
“There were sufficient numbers of suitable staff to keep people safe and promote their physical, emotional and social needs.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are on duty now during the day and at night, and how do you change staffing when people's needs change?
- 02What activities and trips are available now, and how do you make sure they reflect each person's interests and choices?
- 03What happened after the planned electronic care record system was introduced in December 2016?
- 04How do you assess whether someone may need a Deprivation of Liberty Safeguards application?
- 05How quickly are call bells answered now, and how do you check this?
This was a comprehensive, unannounced inspection covering all five questions and the overall quality of the home. This explanation was written from the published report of 22 February 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Keychange Charity Rose Lawn Care Home
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- October 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Keychange Charity Rose Lawn Care Home →
- February 2017OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Keychange Charity Rose Lawn Care Home →
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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17 live-in carers within about an hour of Devon
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Most charge £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.
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