Background to this inspection
Updated
1 April 2020
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 carried out by one inspector.
Service and service type
Kenilworth 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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. 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 with four members of staff including the registered manager and the provider’s operations manager. 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. This included three people’s care records and medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records. We spoke to or received feedback from three relatives about their experience of the care provided. We also received feedback from one healthcare professional.
Updated
1 April 2020
About the service
Kenilworth is a care home providing accommodation and personal care for up to six people with a learning disability or autism. At the time of our inspection six people were living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Records within the service were not always contemporaneous. We found people’s activities had not been recorded robustly, a person’s needs had not been reflected in their support plan and some staff rotas were blank. We have issued a recommendation to the registered provider in this respect.
People lived in an environment which was in need of redecoration and we observed poor moving and handling practices. The registered provider responded to our feedback in relation to these identified concerns.
People received the medicines they were prescribed and staff supported people to access healthcare professional support and treatment when needed. People’s rooms were individualised and suitable for their needs and people could have privacy when they wanted it.
People had food and drink sufficient for their needs and staff adhered to any specific guidance in place for people with regard to their diet. People were encouraged to be independent and carry out daily living tasks. Staff treated people with respect and care.
People attended activities of their liking and were encouraged to maintain relationships important to them. Relatives were happy with the care their family member received at Kenilworth. People were cared for by staff who underwent training and felt supported in their role.
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.
The service worked with eternal agencies to meet the changing needs of people and staff and relatives felt involved in the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (report published 5 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.