Updated 23 October 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. 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.
Inspection team
The inspection was completed by one inspector.
Service and service type
Kenwith is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This service also provides care [and support] to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care [and support] service.
Notice of inspection
We gave 24 hours’ notice to the extra care housing aspect of this service, so we could ensure staff and people would be available to speak with. No notice was given to the care home, this part of the 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection-
We spoke to two people and one relative of a person using the extra care housing. We also spoke with one member of staff from this team. We spoke with 10 people who lived at the care home plus one person who was there for a short break. We also spoke with two relatives, and a visiting healthcare professional. We spoke with 10 staff including the registered manager, deputy manager, care workers, housekeeping and catering staff.
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 reviewed a range of records including six people’s care plans and daily notes plus their medication records. We looked at three staff files in relation to recruitment, staff supervision and training. We also viewed a variety of records relating to the management of the service, audits and checks to ensure the environment was safe and well maintained.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We sought feedback from with two professionals who regularly visit the service.