CQC report explained · a residential care home
What the CQC found at Rose Lodge Exmouth
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were considered safe, risks were managed while supporting independence, and medicines and the environment were managed safely. Recruitment records initially lacked some employment histories and a reference, but these were obtained by the second inspection day.
- Effective?
- Outstanding
- The dementia-friendly design helped people remain independent and make choices. Staff were highly trained, food was varied and nutritious, and health needs were supported through good partnership working.
- Caring?
- Outstanding
- Inspectors found a strong person-centred culture. Staff were described as kind, compassionate and respectful, while promoting dignity, independence, relationships and inclusion.
- Responsive?
- Outstanding
- Care plans reflected people's histories, wishes, communication needs and changing needs. The extensive Active Living Programme offered many activities, outings and opportunities for people to pursue their interests.
- Well-led?
- Good
- The provider had effective monitoring systems and a clear focus on improving people's experience. The registered manager had left shortly before the inspection, with the deputy manager and provider running the service until a new manager started.
What inspectors found, April 2019
Rose Lodge Exmouth was rated Outstanding overall, with kind and highly personalised care, but some recruitment checks were initially incomplete.
The CQC carried out a comprehensive inspection on 14 and 20 December 2018. The first visit was unannounced and the second was announced. Inspectors spoke with people living there, relatives, staff and health professionals, and reviewed care plans, medicines, recruitment records, accidents, complaints and building safety.
The overall rating was Outstanding. Effective, caring and responsive support were rated Outstanding. Safe and well-led were rated Good. Inspectors found a clean and safe home, enough staff, safe medicines practice and strong support for people living with dementia.
People received individual care that promoted choice, independence and dignity. Inspectors particularly praised the dementia-friendly environment, staff training, partnership with health professionals, food and the wide range of activities.
The report says the home continued to meet the same overall rating as at the previous inspection in April 2016. Some recruitment information was missing when inspectors first looked, but the provider took action during the inspection and completed the missing checks.
Dementia-friendly setting
The building was designed to help people living with dementia move around, make choices and remain independent. Features included clear signs, specialist flooring, suitable lighting and adapted storage.
“The environment was laid out and decorated specifically to make life easier for people living with dementia.” from the report
Kind, respectful care
Staff treated people as individuals and responded calmly to distress or anxiety. Inspectors saw care that protected dignity and encouraged independence.
“There was a strong, visible and person-centred culture and staff had built positive relationships with people.” from the report
Activities and inclusion
People had many meaningful things to do, including music, dancing, gardening, outings, art and caring for animals. Activities were linked to people's interests and past lives.
“There was an extensive 'Active Living Programme' that encouraged activity, sociability and positive relationships between people using the service, families and staff.” from the report
Good health support
Staff worked closely with health and social care professionals and responded to changing health needs. They monitored concerns such as weight loss and sought medical advice.
“We have very good communication with the team here. They are aware of people's changing needs and report any concerns immediately.” from the report
Safe and clean home
Inspectors found safe medicines systems, sufficient staff and a clean environment. Fire safety, equipment and possible hazards were regularly checked.
“The environment was safe and exceptionally clean.” from the report
Recruitment checks
needs fixingThree recent staff files were missing employment histories, and one reference had not been returned when inspectors first checked. The provider acted immediately, and the missing information was obtained by the second day.
“However, we found important information missing from three personnel files for staff recruited over the past three months.” from the report
Medicines records
minorMedicines were administered safely, but audits had found minor recording errors, including staff forgetting to sign medicines records. Extra learning support was put in place.
“For example, where staff had forgotten to sign the medicines records, additional learning support was in place.” from the report
- 01How do you now check that every new staff member has a complete employment history and suitable references before working at the home?
- 02What has been done to prevent staff forgetting to sign medicines records, and how are these records checked?
- 03Who is currently managing the home, following the registered manager's departure before the inspection?
- 04How will you continue the Active Living Programme if staffing levels or short-notice sickness affect activities?
- 05How are families involved in reviewing care plans when a person's health, preferences or communication needs change?
This was a comprehensive inspection covering all five key questions and the overall quality of the service, with the previous ratings reviewed and continued. This explanation was written from the published report of 6 April 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.
Every inspection of Rose Lodge Exmouth
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- April 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Good
- July 2016OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Good
- March 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 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.