CQC report explained · a residential care home
What the CQC found at Lawrence House Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable recruitment checks, risk assessments and good infection control. However, there had been a high number of medicine errors and an action plan was being used to reduce them.
- Effective?
- Good
- Staff were trained and supported, and understood people's needs. People received suitable meals and had good links with healthcare professionals.
- Caring?
- Outstanding
- Staff showed exceptional skill in understanding people's communication, moods and wishes. They supported people with warmth, patience, dignity and compassion.
- Responsive?
- Good
- Care plans were detailed and person centred. People were supported to follow their interests, take part in activities and outings, communicate their views and keep in touch with family and friends.
- Well-led?
- Good
- The home had clear values, gathered views from people and families, worked with other professionals and used audits to monitor quality. The deputy manager was expected to register as manager in the future.
What inspectors found, August 2018
Lawrence House Residential Care Home was rated Good overall, with Outstanding care, but inspectors found a high number of medicine errors.
This was an unannounced comprehensive inspection on 14 June 2018. Inspectors spoke with people, relatives, staff and healthcare professionals. They also observed care and checked care plans, risk records, medicines records, recruitment files and quality records.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding. Inspectors found kind, highly personalised care, enough staff, good training, planned support and activities suited to people's interests.
There was a high number of medicine errors, although medicines records were accurate and an action plan had been created. The overall rating was unchanged from the comprehensive inspection in June 2016.
Exceptional kindness
Staff went beyond usual expectations to support people, including helping with hospital visits, outings and end-of-life care.
“The service ensures that staff in all roles are highly motivated and offer care and support that is exceptionally compassionate and kind.” from the report
Communication and choice
Staff understood people's individual ways of communicating and gave them time, space and different tools to express their wishes.
“Staff were skilled in understanding people's unique ways of communicating.” from the report
Personalised activities
Activities, outings and daily routines reflected people's hobbies, interests and abilities. Staff also supported people to regain skills and independence.
“People were offered a variety of activities and outings both in groups and as individuals.” from the report
Quality monitoring
The home used audits, surveys, meetings and discussions with people, relatives, staff and professionals to monitor and improve the service.
“Quality assurance processes and audits helped to ensure that the quality of care and support as well as the environment was closely monitored.” from the report
Medicine errors
seriousInspectors found a high number of medicine errors. The home had created an action plan involving further staff training and steps to reduce the errors.
“There was a high number of medicine errors. An action place had been developed to ensure staff had further training and to reduce the number of errors.” from the report
Management change planned
minorThe provider and registered manager were stepping back, with the deputy manager intending to register as manager. Families may want to check how this change was managed.
“The provider/registered manager was taking a step back and it was their intention for the deputy to register as the manager in the near future.” from the report
- 01How many medicine errors have occurred since the inspection, what caused them and what action was taken?
- 02How was the action plan on medicine training and error reduction checked for success?
- 03Has the deputy manager become the registered manager, and how has the management change affected the home?
- 04How are people's individual communication methods recorded and shared with new or temporary staff?
- 05How are activities and outings planned around each person's interests, abilities and support needs?
This was an unannounced comprehensive inspection covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 17 August 2018 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 Lawrence House Residential Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- August 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
Read what inspectors found at Lawrence House Residential Care Home →
- February 2016GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 14 December 2010.
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
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.
“She is such a warm and gentle person while being professional and competent at the same time.”
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.