Background to this inspection
Updated
15 January 2020
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.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. 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
The Kensington is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 inspection
Before visiting the service, we looked at information sent to the CQC. We sought feedback from the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three visitors about their experience of the care provided. We spoke with the registered manager and provider, and five staff. We reviewed a range of records. This included three people's care records and medication records. We looked at three staff files in relation to recruitment and staff supervision, and a variety of records relating to the management of the service.
After the inspection
Following the inspection, we reviewed additional information supplied by the provider which included quality assurance records.
Updated
15 January 2020
About the service
The Kensington is a residential care home providing personal care for 21 older people at the time of our inspection, some of whom may be living with dementia. The service can support up to 35 people. The accommodation is a combination of old and new single storey buildings. The home is situated in the centre of Immingham close to local amenities.
People’s experience of using this service and what we found
A range of audits and checks were carried out to monitor the quality and safety of the service. However, these checks had not identified that the provider was failing to meeting the legal requirement to display their Care Quality Commission (CQC) rating in the service, and on their website.
People were supported by staff who kept them safe from harm. One person said, “I am well looked after here. I feel very safe.” A visitor told us, “My relative is so much better since coming here, has a much better quality of life.”
Staff understood how to safeguard people at risk and how to report any concerns they may have. Care plans had been developed to assist staff to meet people's needs.
People were supported by appropriately recruited and trained staff. Medication was managed by staff who had received training to do so.
The registered manager demonstrated a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. 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.
People told us they enjoyed the food, and that they had choice. Referrals to other health professionals were made when required. The environment was well maintained and suitable for the needs of the people who lived there.
People were supported to take part in social activities. The registered manager and provider responded to complaints received in a timely manner.
Staff had a good understanding of people's preferences of care and worked to promote people's independence. People were supported by kind and caring staff, who enjoyed their jobs and treated people with dignity and respect. End of life care was managed with compassion, taking into consideration people's views.
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 27 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
At this inspection we recognised that the provider had failed to display their last inspection ratings. This was a breach of regulation and we issued a fixed penalty notice. The provider accepted a fixed penalty and paid this in full.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.