Keychange Charity Rose Lawn Care Home

The home is a large well maintained detached house close to the town centre of Sidmouth. All bedrooms are for single occupancy, although some are large enough for couples or friends/family if requested. The website states, "The care provision is based on a strong Christian ethos, while carers are trained to take a holistic approach and in achieving best practice."

Staff interacted with people at their pace, unrushed, and joked and laughed with each other. Staff in all roles were empowered to sit and chat to people and developed relationships that helped people feel confident to speak up. Relatives told us the service was, "Fantastic." and "The best home ever." People and their relatives were supported in a variety of ways to speak up and have a say in how the service was run. Many people, relatives and staff used the word 'family' when describing the service.

People told us of many examples of where staff had altered activities and care approaches to support individual preferences, including bucket lists, finding people's passions to help them engage and using detailed 'Who am I?' folders. Staff were creative in how they engaged people and prevented people feeling isolated.

People and their relatives were supported with end of life care in a sensitive and individual way. There was a strong spiritual element and a home group to enable people to talk about their wishes, as well as be supported through bereavements and celebrating people's lives.

People who wanted to be, were supported to have roles in the care home which they were very proud of and boosted their sense of self-worth.

People and their relatives experienced a positive and inclusive approach to care and conducted audits to give their feedback to help improve the service. The staff worked with outside professionals and communities to improve people's health and social wellbeing, including local churches and businesses.

The registered manager and staff team all had an excellent understanding of their roles and were empowered to make suggestions to keep improving the care, including sharing their knowledge through various 'champion' roles. These were meaningful with learning always shared and put into practice.

People told us they felt safe and secure and well cared for. People were safe because the service had excellent systems for monitoring risk whilst promoting independence and positive risk taking. Staff had excellent understanding of people's needs and how to keep them safe with a team approach.

People were able to live full lives supported by sufficient staff on duty to meet their needs and they did not need to wait when they called for support.

People were supported to take their medicines safely whilst being cared for in a way that enabled them to take minimal medication.

People told us the food was lovely and they had plenty of choice. In particular, staff ensured that people not only received food they enjoyed with opportunities to try new things but that their meal experience and environment was suitable for them using individualised 'Dining with Dignity' and 'Early Bird' schemes. The chef had been empowered to use their knowledge of catering and care combined, and was passionate in providing creative, highly person centred nutrition for people as the home's nutrition and hydration champion.

People and their relatives were involved in planning their care and assessing their needs. People could choose the décor and personalise their rooms. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff focus was on people's wellbeing and maintaining people's independence or providing discreet support in a respectful way.