CQC report explained · a residential care home
What the CQC found at Rawlyn House
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, July 2019
Rated Outstanding overall; inspectors found exceptionally effective, caring and well-led support, with Safe and Responsive rated Good.
This was an unannounced inspection on 16 and 17 May 2019. Inspectors reviewed information held about the home, spoke with a person, relatives, staff and health professionals, observed care, and checked care records and medicines records.
The home was rated Outstanding overall. Effective, Caring and Well-led were rated Outstanding. Safe and Responsive were rated Good. Inspectors found that people were treated as individuals, supported to make choices, and helped to live more independently.
The home was registered for 16 people and all places were in use. It is larger than current best practice guidance, but inspectors found that dividing it into two buildings helped reduce any negative impact. The overall rating stayed Outstanding, while Responsive fell from Outstanding at the previous inspection to Good.
Kind and respectful care
Inspectors saw patient, respectful and kind interactions. Staff protected people's privacy and dignity during personal care and other sensitive situations.
“All interactions we saw were respectful, patient and kind.” from the report
Strong knowledge of people
Staff understood people's health, communication and personal needs in detail. This helped them provide safe, individual support.
“Staff knowledge of each individual is outstanding both from clinical and personal information.” from the report
Promoting independence
The home used technology, adapted equipment and its environment to help people make choices and do more for themselves.
“People lived in an environment designed to promote their communication and independence and enhance their quality of life.” from the report
Effective staff training
Training was tailored to the complex needs of the people living there and was informed by research and best practice.
“The provider understood that training was key to ensuring they provided the best and most effective care.” from the report
Open leadership
Managers were visible and approachable. Quality checks and feedback were used to identify risks, learn from incidents and improve care.
“The management team promoted a culture of openness and transparency.” from the report
End of life plans not complete for everyone
needs fixingSome people had end of life plans, but the home was still speaking with relatives about recording what people and their loved ones wanted. Families should check how this is now handled.
“End of life plans were in place for some people.” from the report
Larger than current best practice guidance
minorThe home supported 16 people, which inspectors said was larger than current best practice guidance. They found that the two-building layout helped reduce any negative impact.
“This is larger than current best practice guidance.” from the report
- 01How is the move to the new computer-based care planning system progressing, and how do you make sure staff can still access all important information?
- 02What is the current position on documenting each person's end of life wishes?
- 03How does dividing the home into two buildings affect daily life, staffing and the choice of people a resident spends time with?
- 04How would you support my relative to communicate their choices if they cannot speak or use their hands?
- 05What activities and community opportunities would be suitable for my relative's interests and abilities?
This was a planned, unannounced inspection that assessed all five key questions, including the care provided and the premises. This explanation was written from the published report of 23 July 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.
What inspectors found, November 2016
Rated Outstanding; inspectors found exceptionally caring, personalised support, with minor medicines recording issues corrected during the inspection.
This was an unannounced inspection on 12 and 13 May 2016. Inspectors met 14 people, observed care and activities, spoke with relatives, professionals and staff, and checked care, medicines and management records.
The home supported people with learning disabilities and complex needs. Inspectors found kind and skilled staff, enough staff on duty, personalised care plans, good support with health and nutrition, and a wide range of meaningful activities. People were helped to communicate, make choices and stay involved in their communities.
The overall rating was Outstanding. Caring and Responsive were Outstanding, while Safe, Effective and Well-led were Good. Inspectors found some medicines records were incomplete or inaccurate, but these issues were dealt with on the day.
Kind and personal care
Staff knew people well and supported them in ways that matched their communication, preferences and routines. People appeared relaxed, happy and engaged with staff.
“The service provided outstanding care and support to people enabling them to live fulfilled and meaningful lives.” from the report
Support with communication
The home used individual communication aids, pictures, technology and other tools. These helped people make choices, reduce anxiety and have more control over daily life.
“Communication aids were specific to people's needs and were detailed as part of their support plan.” from the report
Active lives
People were supported to enjoy activities inside and outside the home, including community groups, trips, holidays and entertainment. Activities reflected people's interests.
“People were supported to lead a full and active lifestyle.” from the report
Strong leadership
Inspectors found a positive culture, accessible managers and good communication. Staff said they felt supported and able to raise concerns.
“There was an extremely positive culture within the service, the management team provided strong leadership and led by example.” from the report
Medicines records
needs fixingSome medicines administration records were not signed or did not contain the correct information. One medicine was not in stock, and the medicines audit had not found these issues. The records and procedures were corrected during the inspection.
“Not all medicines administration records (MAR) had been signed and updated with the correct information.” from the report
Some authorisations were pending
minorSome applications under the Deprivation of Liberty Safeguards had not yet been authorised by the local authority. The report says the home was continuing to review people and make applications where needed.
“However, the registered managers confirmed some applications made to the local authority had not yet been authorised by them.” from the report
- 01What checks are now used to make sure every medicines administration record is signed and accurate?
- 02How do you make sure medicines are always in stock when a person's needs change?
- 03Which Deprivation of Liberty Safeguards applications are still pending, and how are people supported while decisions are awaited?
- 04How will you involve my relative in care reviews using their preferred communication method?
- 05How do you make sure staffing levels remain sufficient when a person's needs change or they go out into the community?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the service. This explanation was written from the published report of 29 November 2016 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.
Every inspection of Rawlyn House
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- July 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding
- November 2016OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- January 2014
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 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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21 live-in carers within about an hour of Torbay
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 £980 to £1,400 a week. 17 can care for a couple. 12 years' experience on average.
“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.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.