Rose Lodge Exmouth

This was a comprehensive inspection carried out on 14 and 20 December 2018. It was unannounced on the first day and announced on the second. At the last inspection in April 2016 the service was rated as 'Outstanding' in effective, caring and responsive. At this inspection we found the evidence continued to support the rating of Outstanding.

There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Outstanding

The service was outstanding in providing effective support. The internal and external environment was designed using best practice guidance for dementia care. This enabled people to maintain their independence and help them make choices. People were supported by exceptionally well-trained staff, whose approach had been influenced by best practice trends and policies. Excellent partnership working had been developed with other professionals, who repeatedly expressed their confidence in the service. Varied and nutritious meals were provided and all feedback about the food was very positive. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service was outstanding in providing caring support. Staff promoted a person-centred culture and provided sensitive, compassionate care. They responded very promptly to people's needs and requests with empathy and a friendly approach. They understood each individual person's diverse requirements and ensured they were met. There was an emphasis on promoting independence and inclusion.

The service was outstanding in providing responsive support. There was an exceptional 'Active Living Programme' meaning people were well occupied and stimulated. People were supported to pursue their hobbies and explore new experiences. Music, singing and dancing featured as part of people's daily life. People made choices about all aspects of their daily lives. Staff took account of people's previous lifestyles and wishes when planning and delivering care.

People continued to feel safe. The provider had taken action during the inspection to ensure recruitment was robust. Staffing levels ensure people's individual health, emotional and social needs were met. People

were encouraged and involved to manage their risk taking wherever possible to ensure they were in control of their lives. Staff were knowledgeable about how to identify and respond to safeguarding concerns if they arose. Medicines were managed and administered safely by trained staff. The environment was safe and exceptionally clean.

The service was well-led. It had been developed and designed in line with good practice for dementia care. The provider was keen to introduce innovative models of care to improve people's 'lived experience'. Effective monitoring of the service ensured continued improvements and that the service provided was safe.

Further information is in the detailed findings below.

The five questions we ask about services and what we found