Kenwyn

Updated 2 July 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

This inspection was carried out by two inspectors.

Service and service type

Kenwyn 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 new manager in post who had not yet registered with the Care Quality Commission. The provider is 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.

During the inspection-

We spoke with the new manager, the previous registered manager, the nominated individual, the training manager, the quality assurance manager, the wellbeing co-ordinator and two members of staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with three people who lived in the home and two relatives.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider and manager to validate evidence found. We looked at training data and quality assurance records. We spoke with six staff and two relatives on the telephone. We also contacted five professionals who regularly visited the service.

Updated 2 July 2021

About the service

Kenwyn is a residential care home providing personal and care and support to 19 people aged 65 and over at the time of the inspection. The service can support up to 25 people.

Kenwyn is an adapted building with bedrooms and communal areas over two floors. There is a passenger lift to access the first floor.

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

People living in the home and their relatives told us they were happy and well looked after. People were safe. Since the last inspection the provider had made improvements to many aspects of the care and the accommodation. A relative told us they were, "Very happy, especially with how they've been about COVID. I've really felt like I didn't have to worry about mum. They took all the precautions they needed to". The home was clean, well maintained, and comfortable. The home was following government guidance to reduce the risk related to COVID-19

Safe systems were followed to ensure people’s medicines were stored, administered and recorded correctly.

Sufficient staff were employed to provide the care and services people needed. New staff were carefully checked before employment to ensure they were suitable for the job.

People received effective care. The staff demonstrated a sense of pride in the home and their jobs. There was a strong sense of teamwork and a happy atmosphere. A member of staff told us, “I’m loving my job”. Care plans provided good information on each person’s health and personal care needs. People received care that was responsive to their changing needs. Care plans were reviewed and updated regularly Records showed staff had provided the care and support people required. There was a strong emphasis on supporting people’s well-being and happiness. Staff knew people well, understood the things that people were interested in, and supported people to participate in a range of group and one-to-one activities. People received personalised and sensitive care at the end of their lives.

The level of training for staff had improved since the last inspection. The provider supported staff to gain relevant qualifications.

Staff worked closely with local health professionals to ensure people received treatment and advice promptly when needed. Risks associated with people’s health were monitored closely, for example weight loss, skin damage and falls.

People had been consulted to ensure menus reflected their choices and nutritional needs. A range of healthy and appetising snacks were also offered.

The service was well-led. The provider had systems in place to monitor all aspects of the care and services and ensure the home was running well. The provider employed a team including training manager, quality assurance and a director of operations who supported and monitored the home through visits, telephone and video calls. The provider had sought the views of people living there, relatives and staff to ensure the quality of the service was constantly reviewed and improved.

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 21 November 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating. We carried out an unannounced comprehensive inspection of this service on 9, 11 and 13 September 2019. 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 the safe care and treatment, staffing and governance of the home.

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, Effective, Responsive and Well-led.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kenwyn on our website at www.cqc.org.uk