Kenmore - Care Home with Nursing Physical Disabilities

Updated 15 March 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 inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kenmore - Care Home with Nursing Physical Disabilities 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. Kenmore - Care Home with Nursing Physical Disabilities 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). 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 used all this information to plan our inspection.

During the inspection

We spoke with 9 people who lived at the home, 2 relatives or representatives, the registered manager, the regional operations manager and 7 member of care staff. We observed care in communal areas, including mealtimes. We reviewed a range of records. These included people’s care records, multiple medicine records, staff rotas, and documentation to support how the service is run.

Updated 15 March 2023

About the service

Kenmore - Care Home with Nursing Physical Disabilities is a residential care home providing personal and nursing care to 20 people at the time of the inspection. The service can support up to 26 people. The building is a converted older house with two ground floor extensions built around a courtyard.

People’s experience of using this service and what we found

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. However, concerns around people being encouraged to go to bed before night staff arrived was identified during the inspection.

Improvements had been made in the oversight of the service, although the recording of capacity and consent required strengthening to ensure records accurately reflected people’s needs. Communication between staff around people’s physical rehabilitation required strengthening.

People and their representatives said the care provided was safe and people were protected from harm. Risk was monitored and addressed, however this was not consistent. Pressure mattress settings were not set correctly which placed people at risk. However, there was no evidence to show people had come to harm as a result of this.

We have made a recommendation about systems of oversight in gaining user voice, checking pressure mattress settings and MCA systems and processes.

Safe recruitment practices were being followed. There were sufficient numbers of day time staff to meet people’s needs. Following our inspection, night time staffing levels were reviewed by the provider and increased to provide additional support.

Improvements were seen in the safe management of people’s medicines. Infection prevention and control standards were being followed and the premises was found to be clean.

People were supported to access healthcare services when they needed this support. People received enough to eat and drink from a staff team who understood associated risks. Staff received formal support through training and supervision sessions.

People and their representatives were given opportunities to feedback about the running of the home. The provider notified us of events which are reportable to the Care Quality Commission. The service worked in partnership with healthcare and other professionals to meet their needs.

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 3 December 2019) 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. We made recommendations about the safe management of medicines and systems used to oversee delivery of care to people. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

The service remains rated requires improvement. This service has been rated requires improvement for the last 3 consecutive inspections.

Why we inspected

We received concerns in relation to safeguarding people from abuse, meeting personal care needs and professional boundaries between staff and people. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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 that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has remained required improvement based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kenmore - Care Home with Nursing Physical Disabilities on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.