2 March 2023
During an inspection looking at part of the service
Kentwood House is a care home providing accommodation with personal and nursing care to up to 32 people. The service provides support for people with complex nursing needs including people living with dementia. At the time of our inspection there were 11 people using the service. The accommodation is arranged across two floors with lift access.
People’s experience of using this service and what we found
There had been improvements in the recording of risk to people and assessments which reflected people's choices since our last inspection. The provider still needed to improve the detail on people's mental capacity assessments. More detailed guidance would be beneficial on specific health needs such as diabetes or anxiety and depression to enable staff to have detailed information to be able to support people in the most effective way.
Risks to people had been identified and staff were able to demonstrate knowledge of people's needs. They understood and demonstrated that people's wishes and preferences in how they wished to be supported were respected.
People were supported to minimise the risk of infection. Staff wore appropriate Personal Protective Equipment such as gloves, masks and aprons when completing people's care and the service was clean.
Staff demonstrated knowledge of the different types of abuse people may be at risk of and told us what action they would take if they suspected someone was a victim of abuse or neglect.
The numbers of safely recruited staff met the needs of people in the service and we observed caring, respectful and kind interactions between staff and people using the service.
Medicines were managed safely, and medicines administration records were completed. Stocks of medicines were correct and stored safely.
People told us that staff were kind, attentive and friendly. We observed positive culture between staff and people using the service and people all knew who the provider was and that they were approachable. Staff were responsive to people’s changes in need and supported them the way they wished to be supported.
The provider was open and honest during inspection. They were receptive to suggestions made during the inspection and will update the CQC with progress of these regularly.
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.
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 19 January 2023) 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.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 05 October 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, governance and person-centred care .
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kentwood House on our website at www.cqc.org.uk.
Enforcement
We have identified a continuing breach of regulation in relation to records within the service at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.