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Kinross Residential Care Home

The provider of this service changed - see old profile

We have not inspected this service yet

Inspection summaries and ratings from previous provider


Overall summary & rating

Requires improvement

Updated 30 April 2020

About the service

Kinross is a residential care home providing personal care for up to 29 people aged 65 and over, including people living with dementia. At the time of the inspection they were supporting 13 people. Accommodation is arranged over two floors connected by stairs and a passenger lift. There is a range of communal areas on the ground floor including a dining room and two lounges.

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

People and their relatives said the service provided safe care and we found improvements had been made since the previous inspection. The provider had introduced tools and systems to promote people’s safety and these were being embedded into the service. The provider acted promptly to address any concerns we found during the inspection. Staff knew about the risks to people and acted to provide safe care. Environmental risks were assessed, monitored and acted on. Safeguarding processes were known and followed to protect people from abuse.

The provider assessed staffing levels to meet people’s needs. We received some mixed feedback about staffing levels, but our observations were that people’s needs were met. Checks were carried out to help ensure only suitable staff were employed. This process was improved during our inspection. We have made a recommendation about the recruitment process to check applicants have the right values and skills to support people safely.

People’s medicines were managed safely, and the service was working with health and social care professionals to review people’s needs and provide effective care.

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. However, the policies and systems in the service did not always support this in practice. The Mental Capacity Act (2005) had not always been consistently applied, in line with legislation and guidance.

People and their relatives spoke positively about the food provided and people’s dietary needs were met. People’s weights and fluids were monitored when a risk was identified, and action taken had resulted in positive outcomes for people.

People, relatives and professionals told us staff were kind and caring and our observations confirmed this. Staff completed training in a range of topics to support them to meet people’s needs effectively. Care plans had been reviewed and the service was continuing to make information person centred so people’s preferences were known.

Improvements had been made in the décor and furnishings of the home and further work was planned. Activities were available and people’s communication needs had been assessed and were met.

A system was in place to monitor the safety and quality of the service people received. This was being embedded into the service and actions arising were monitored and checked for completion. People, staff and relatives were asked for their views and these were being acted on. Staff told us they were well supported by managers and it was evident improvements in the service had been made. This was confirmed by people, staff and other professionals.

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 23 November 2019) and there were multiple breaches of regulation. We varied the conditions of the provider’s registration to require them to submit monthly audits of the service to enable CQC to monitor improvements. 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. However, the provider was still in breach of one regulation

This service has been in Special Measures since January 2019. During this inspection the provider demonstrated that improvements have been made. The service is

Inspection areas

Safe

Requires improvement

Updated 30 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 30 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 30 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 April 2020

The service was not always well-led.

Details are in our well-Led findings below.