Updated 26 July 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This consisted of two inspectors and a nurse specialist professional advisor.
Service and service type
Loveday Kensington is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Loveday Kensington is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. The provider knew we would be returning on the second day of the inspection.
What we did before the inspection
We reviewed information we had received about the service since their registration. This included any significant incidents that occurred at the service. We used the information the provider sent us in the provider information return (PIR) in February 2023. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We contacted the local authority commissioning and safeguarding teams to support our planning. We used all of this information to plan our inspection.
During the inspection
We met and had introductions with people who used the service and spoke with 6 of them in more detail. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We observed the care and support provided to people across different parts of the day, including mealtimes. We also spoke with 6 relatives who were visiting during the inspection.
We spoke with 21 staff members. This included the registered manager, the head of care and quality, the deputy manager, the club manager, 2 nurses, a care coordinator, 4 care assistants, the physiotherapist, 2 head chefs, the head of learning and development, the maintenance person, an activities coordinator, 2 food and beverage assistants and the head of housekeeping. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included 14 people’s care and medicines records and 10 staff records in relation to recruitment, training and supervision. We also reviewed records related to the management of the service, which included incident reports, complaints, quality assurance records and minutes of clinical and management meetings.
We sat in and observed a staff reflective practice group session on the first day of the inspection. We carried out further observations throughout the inspection in relation to staff engagement and medicines management to understand staff awareness of best prac