Background to this inspection
Updated
20 July 2022
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 Care Act 2014.
This was a targeted inspection to check whether the provider had met the requirements of the Warning Notice in relation to Regulation 12 ( Safe care and treatment), Regulation 17 (Governance) and Regulation 19: (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Inspection team
This inspection was completed by one inspector.
Service and service type
Kevindale Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection
Registered manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and healthwatch. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
During the inspection
We spoke with two people who used the service. We spoke with four staff members including one carer, the maintenance person, manager and registered manager. We looked at two peoples care and support plans and several documents relating to the monitoring of the location and health and safety checks. We checked the recruitment of two staff members.
Updated
20 July 2022
About the service
Kevindale Residential Care Home is a care home providing support with personal care needs to 13 people at the time of this inspection, some of whom were living with dementia. The home can accommodate a maximum of 14 older people in one adapted building.
People’s experience of using this service and what we found
The provider had made improvements since our last inspection but needed to embed the changes they had made.
The provider had made improvements to the physical environment increasing people’s safety. However, some improvements, regarding staff practices, were still required.
Checks of the emergency equipment were being completed and escape routes were clear.
People had individual assessments of risks associated with their care.
Medicines were stored safely.
Staff followed effective infection prevention and control practices.
The provider followed safe recruitment practices.
The new manager had implemented regular checks to the physical environment.
The provider had delegated oversight of the building to the maintenance manager who reviewed existing systems and introduced procedures for the safe operation of equipment and utilities.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 25 February 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 12 ( Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 17 (Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 19: Fit and proper persons employed, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.
The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.