Background to this inspection
Updated
19 December 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. 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 team consisted of an inspector, assistant 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
Kenrick Centre 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 they 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 sought feedback from the local authority and professionals who work with the service. 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 18 people who used the service and four relatives about their experience of the care provided. We spoke with 11 members of staff including the provider, registered managers, senior care workers and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included five people’s care records and four medication records. A variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
19 December 2019
About the service
Kenrick Centre is a care home that provides personal care for up to 64 people. At the time of the inspection 45 people lived at the home. The accommodation was established over two floors. On the ground floor there was a residential unit where 22 people lived, and on the first floor there was an enablement service where 23 people stayed at the time of our inspection visits.
People’s experience of using this service and what we found
Improvements had been made since the last inspection in March 2019 when Kenrick Centre was rated Inadequate. Systems had been put in place to keep people safe. However, further improvements were needed to meet the legal requirements and the provider needed to be assured the improvements made so far will be sustained, remain embedding and further improved.
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Systems in place to manage risks to people were not always robust. How staff had consulted with people about their care and the outcome of these discussions had not always been recorded. To show people had been involved in agreeing their care and treatment.
People were supported to receive their medication as prescribed. Staff demonstrated a good knowledge of types and signs of abuse and how to report concerns of abuse. People were supported to access healthcare professionals when required.
Staff felt supported and told us that the service was well managed, and many improvements had been made since our last inspection. Improvements had been made to the training and support staff received so they had the skills and knowledge to meet people’s needs.
The registered provider had a system in place to ensure any complaints received would be recorded, investigated and responded to and any learning used to improve the service provided.
People's dietary needs were met, and people had access to healthcare services where required so they were supported to stay well.People were supported by staff who were caring. People were involved in decisions around their day to day care and were treated with dignity.
The registered provider had systems in place to identify and support people's protected characteristics from potential discrimination. Protected characteristics are the nine groups protected under the Equality Act 2010. They include, age, disability, race, religion or belief etc.
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 Inadequate (published May 2019) and there were multiple breaches of the regulations. The registered provider completed an action plan after the last inspection to show what they would do and by when to improve.
During this inspection the registered provider demonstrated that improvements have been made. The service is no longer rated as Inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures. However, the provider was still in breach of regulations and further improvements were needed to ensure the regulations are met.
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified continued breaches in relation to regulation 12 safe care and treatment and regulation 17 Good Governance.
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.