Background to this inspection
Updated
27 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
Day one of the inspection was conducted by two adult social care inspectors and an expert by experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service. Day two of the inspection was conducted by one adult social care inspector.
Service and service type:
Kyffin Taylor is a care home. People in care homes receive accommodation and nursing or personal care. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
Day one of the inspection was unannounced and day two was announced.
What we did:
Prior to the inspection we reviewed the information we held in relation to Kyffin Taylor. This included the statutory notifications sent to us by the registered provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. The provider did not complete the required Provider Information Return (PIR) for this inspection as they were not requested to. They had completed a PIR for the last inspection in April 2018. The PIR is information providers must send us to give us key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report.
We also contacted the local authority to get their opinions of the service. We also considered any information received from the public and professionals. We used this information to plan our inspection.
During the inspection we spoke with the registered manager, three care staff, the cook, one domestic staff, five people who lived at Kyffin Taylor, and five visiting relatives.
We looked at three people's care files, three staff recruitment files, medicine administration processes, incident records and other records relevant to the quality monitoring of the service.
We undertook general observations of the home over the course of the inspection, including the general environment, décor and furnishings, bedrooms of some people who lived at Kyffin Taylor, bathrooms and lounge and dining areas.
Updated
27 March 2019
About the service:
Kyffin Taylor is a residential care home that was providing personal care and accommodation to 26 people aged 65 and over at the time of the inspection.
People’s experience of using this service:
Following the last inspection, we met with the provider to confirm what they would do and by when to improve the key questions Safe and Well Led to at least good. We asked the provider to take action to make improvements to monitoring people’s weight, and this action has now been completed.
We received positive feedback about the quality of care people received and the overall management of the service.
People told us that they felt safe living at the service. Care records provided detailed information around people's individual risks in order for staff to keep them safe from avoidable harm. Person centred care was delivered, giving people choice over their daily routines in line with their preferences.
Staffing levels were appropriately managed and people received care from consistent, regular staff. Enough staff were employed each day to meet people's needs and keep them safe. People and their relatives told us that care was provided in a safe and timely manner.
Recruitment processes were robust. The necessary pre-employment checks were completed and people received care from staff who were suitable to work in adult social care environments.
Processes and systems were in place to ensure people received their medicines on time from trained and competent staff.
People's overall health and well-being was effectively assessed and managed. Referrals were made to external healthcare professionals accordingly.
People received their medicines when they needed them from trained staff.
People made positive comments about the quality and standard of food they received. Menus offered a variety of home-made and fresh meals each day. People received support to eat their meals when required.
People were supported in a kind, caring and compassionate manner. Staff were familiar with the support needs of the people they were supporting.
The registered provider had a complaints policy in place. People and relatives knew how to make a complaint if they needed to. A recent complaint had been investigated in line with the provider’s procedures.
People were encouraged to participate in a programme of activities. Some people received support to attend church regularly.
The home was clean and hygienic. Health and safety measures were in place to ensure people lived in a safe, well-maintained environment.
More information is in Detailed Findings below
Rating at last inspection:
Requires Improvement (Report published 12 May 2018). At this inspection we found the overall rating had improved.
Why we inspected:
This was a planned comprehensive inspection based on the ratings at the last inspection. It is CQC methodology to re-inspect Requires Improvement providers within a 12 month timescale.
At the last inspection on 9 April 2018 we asked the provider to take action to make improvements for monitoring people’s weight loss and this action has been completed.
Follow up:
No concerns were raised within this inspection. We will therefore aim to re-inspect this service within 30 months. We will continue to monitor the service through the information we receive. If any concerning information is received we may inspect sooner.