Background to this inspection
Updated
1 December 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors. After the inspection an Expert by Experience made phone calls to relatives for feedback on their experience of the service. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Kenilworth Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 also sought feedback from the local authority who works with the service. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. 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. We took this into account in making our judgements in this report.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with eight members of staff including the deputy manager, two nurses and five care workers.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three 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.
After the inspection
We continued to seek clarification from the provider to validate evidence found and we spoke with six relatives.
Updated
1 December 2021
About the service
Kenilworth Nursing Home is a residential care home providing personal and nursing care to people with mental health needs. The care home can accommodate up to 30 people. At the time of the inspection 26 people were using the service.
People’s experience of using this service and what we found
The provider had systems and processes in place to help keep people safe including risk assessments and risk management plans. Medicines were managed safely overall. People and relatives told us they thought people were safe. Safe recruitment procedures were followed.
The provider had systems in place to manage infection prevention and control. Staff generally wore personal protective equipment (PPE) appropriately and visiting was managed safely in line with government guidance. COVID-19 testing, care plans and visitor plans were in place.
Incidents, safeguarding concerns and complaints were appropriately investigated so learning took place and relevant agencies such as the local authority and CQC were notified. Audits were undertaken to monitor and to help make improvements to the service.
The provider worked with external professionals to help ensure people’s health and wellbeing needs were met. People, their relatives and staff indicated the managers were approachable and acted on any concerns.
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 (published 10 September 2020).
Why we inspected
We received a concern in relation to risks about the care provided around people’s health needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. We found no evidence during this inspection that people were at risk of harm from this concern.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kenilworth Nursing Home on our website at www.cqc.org.uk.
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 coronavirus and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service using our monitoring systems which will inform when we next inspect the service.