Kanmore House

Updated 30 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of 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. The expert by experience's area of expertise was older people and dementia care.

Service and service type:

Kanmore House is a domiciliary care service. It provides personal care to people living in their own homes in the community.

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:

We gave the service three days’ notice of the inspection visit because it is small, and we needed to be sure that someone would be present.

What we did:

Before the inspection, we reviewed all the information we held about the service, including notifications. We also reviewed a provider information return (PIR) which the registered manager had sent us. A PIR provides information about the service and changes they had made since the last inspection.

An expert by experience carried out telephone calls on the 8 and 9 May 2019. They spoke with four people who used the service, and four relatives, to ask about their experience of the care provided. The inspection site visit activity took place on 9 May 2019 to see the provider, registered manager, care coordinator and office assistant; and to review care records, staff files and quality assurance information. We received feedback to questionnaires from four care staff.

Updated 30 May 2019

About the service: Kanmore House is a domiciliary care agency registered to provide personal care and support to people in their own homes. At the time of our inspection, 10 people were using the service.

People’s experience of using this service:

People felt safe and were protected from the risk of harm. Risks to people had been identified and managed appropriately. Staff had received safeguarding training and were aware of the action they should take if they suspected abuse.

Safe recruitment practices were in place and there were enough staff to meet the needs of people. People received care from a consistent team of staff.

Where required, people were supported with their medicines by trained staff, however some improvements were required to ensure the safe management of medicines. We have made a recommendation about the safe management of medicines.

Staff received appropriate training, supervision and support to enable them to fulfil their role and responsibilities.

People were supported to have maximum choice and control of their lives. People were consulted over their care and support needs and were actively encouraged to make decisions for themselves.

People were happy with the support they received from staff. Staff were kind and caring and treated people with dignity and respect. People's independence was promoted and, where possible, they were encouraged to do as much as they could for themselves.

Care plans were person centred and contained information on people’s preferences and how they wished to be cared for. Care plans were regularly reviewed to ensure they reflected people’s up to date care needs.

Systems were in place to check the safety and monitor the quality of the service and drive continuous improvement.

Rating at last inspection: Requires Improvement (report published 11 June 2018).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk