Kinross Residential Care Home

Updated 10 January 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.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Kinross 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. Kinross Residential Care Home is a care home without 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 not a registered manager in post. A new manager was in post and had begun the registration process.

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 clinical commissioning team who work with the service. This information helps support our inspections. 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 used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the general manager, operations manager, quality manager, home manager, health care assistants, housekeeping and catering staff. We spoke with two nurses and a social worker who had experience of the service. We observed care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 10 January 2023

About the service

Kinross residential care home is a care home without nursing registered to provide care and support to up to 29 people. The service provides support to older people, some of whom live with a dementia. At the time of our inspection there were 25 people using the service. Accommodation was provided across two floors and included communal lounges, dining room and specialist bathrooms with both single and shared rooms. All rooms had en-suite toilet and sink.

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

People told us they felt safe. Staff had completed safeguarding training and understood their role in identifying and reporting concerns of abuse or poor practice. People had their risks assessed, monitored and reviewed. Staff understood their role in mitigating risk whilst respecting people’s rights and freedoms. People had their medicines managed safely. Infection and prevention control measures were robust, however visiting arrangements were not in line with the latest government guidance. The general manager agreed to review the current arrangements to ensure that people’s rights were being upheld.

Pre-admission assessments took place to ensure people’s care needs could be met safely. People were cared for by staff that had completed an induction, on-going training and had the support to carry out their role effectively. Changes to people’s health were responded to appropriately and close working partnerships with clinicians ensured people had positive health outcomes. People had access to community health care such as opticians and hearing specialists. People had their eating and drinking needs met. 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.

People and their families spoke positively about the staff team describing them as kind, friendly and caring. People had their dignity, privacy and independence respected. Staff knew people well and understood what was important to them. People had their communication needs understood and were involved in decisions about their day to day lives.

People had detailed person-centred care plans that reflected their care needs and choices. People had opportunities to enjoy their hobbies and interests and be involved in a range of social activities and events. A complaints process was in place and when used seen as an opportunity to improve practice. People had an opportunity to discuss end of life wishes and preferences. Staff had a good working relationship with community services that supported when end of life care was being provided.

The culture of the home was open and transparent. Quality assurance processes were robust and had been effective at driving improvements. People were clear about their roles and felt they had a voice. Links with professional bodies supported improvement and best practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 2 March 2021 and this is the first inspection. The last rating for the service under the previous provider was requires improvement published on 30 April 2020.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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