10 January 2023
During an inspection looking at part of 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.