Keneydon House

Updated 1 March 2022

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Keneydon House 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 used information gathered as part of monitoring activity that took place on 10 November 2021 to help plan the inspection and inform our judgements. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with two people who receive the service and five staff. These included a care worker, a senior care worker, a laundry assistant, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also received feedback from the local authority and a healthcare professional.

We reviewed a range of records. These included sampling three people's care records and two staff files in relation to recruitment checks. We also looked at a variety of records relating to the management of the service, including audits and quality assurance reports.

After the inspection

We continued to seek clarification from the registered manager to validate the evidence we found.

Updated 1 March 2022

About the service

Keneydon House is a care home, providing personal care and accommodation for up to 21 older people, some of whom live with dementia. At the time of the inspection, 17 people were living at the service.

The service is in one adapted building. People shared communal areas such as lounges, dining room and a garden.

People’s experience of using this service and what we found

The provider had systems in place to help ensure the service met people's needs and kept them safe. However, we identified shortfalls in relation to guidance for staff giving medicines prescribed to be given ‘when required’, and records relating to the administration of prescribed creams. The registered manager took immediate action to reduce the risk of harm occurring.

People felt safe and were protected from avoidable harm by a staff team trained and confident to recognise and report any concerns. The provider had assessed risks and taken action to reduce risk where possible. Staff had the time to ensure they met people's needs safely, and in a way that suited them. The home was clean, and staff had access to sufficient personal protective equipment (PPE).

We received positive feedback about the service people received and the way it was managed. The registered manager was approachable, supportive, and sought people’s views about the service. People made positive comments about the staff. During our inspection we saw friendly interactions between staff and the people using the service. This included laughter and banter where appropriate. Staff supported people to maintain contact with people important to them via visits, video calls, and telephone calls.

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 requires improvement (published 30 December 2020)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.