The Care Quality Commission
  • Care Home
  • Care home

Archived: Roy Kinnear House

Overall: Good read more about inspection ratings

289 Waldegrave Road, Twickenham, Middlesex, TW1 4SU (020) 8892 4049

Provided and run by:
The Roy Kinnear Charitable Foundation

Important: The provider of this service changed. See new profile

All Inspections

12/12/2014

During a routine inspection

We Inspected Roy Kinnear House on 12 December 2014. This was an unannounced inspection.

Roy Kinnear House provides accommodation, nursing and personal care for up to eight adults who have severe learning and physical disabilities. There is a qualified nurse on duty at all times. At the time of our inspection there were four people using the service. The home had a manager who was in the process of becoming registered. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

During the inspection we met the four people who lived at the home, spoke to four members of staff and spoke to two relatives.

Staff had appropriate skills and training and were familiar with the needs, likes and dislikes of people using the service. Care and support were provided in a professional, supportive and compassionate way.

The manager was able to demonstrate that the provider had sufficient systems, records and policies in place to ensure the service was safe and well-led. Care records showed us that people had their care and support needs met in an individual and personalised manner and that their health and social care was managed effectively.

The environment was clean and safe and that there were plans for further refurbishment. People had timetables of activities which were personalised and specialist health care needs were met by trained staff.

Feedback from relatives we spoke with was positive. There was the view that the service had improved over the year, particularly with regard to improving staff training and the respect staff showed to people.

24 February 2014

During an inspection in response to concerns

Medicines were being kept and administered safely by appropriately trained staff . We saw that people had individual secure cupboards in their rooms containing all the medicines they needed. Appropriate arrangements were in place in relation to the recording of medicine. We saw that the medication administration records were clear and contained suitable information to support staff to give medicines safely.

We found one issue of minor concern where there were no records of multidisciplinary meetings or decisions relating to medicines being given to people covertly. Following our inspection, the registered manager confirmed that they had contacted the doctor for their agreement around medication administration for two people using the service and updated their records to reflect this.

We saw that a training and development plan was in place for staff working at the home. Recent courses delivered included medication training along with moving and handling training focusing on the safe use of wheelchairs outside of the home environment.

27 November 2013

During an inspection looking at part of the service

We were informed in October 2013 that the Roy Kinnear Foundation had merged with Choice Support by joining its group structure as a wholly owned subsidiary. Necessary changes to the home's registration with CQC were being applied for at the time of this inspection visit. A Regional Director from Choice Support had assumed responsibility for the home and was present during this unannounced inspection.

We spoke with five staff members and three senior staff during our visit. We observed the care being provided to people using the service and looked at records kept about two individuals.

Overall we found that improvements had been made at Roy Kinnear House. Staff were positive about the changes that had been made and said that these were for the better. Individuals told us that communication had improved, the daily routines were more organised and that they felt well supported by the managers. We looked at the support plans for two people using the service and found that these had been fully updated with the files re-organised and new formats put in place. An external professional told us the service was receptive to new suggestions and was moving in the right direction.

The interim manager had registered with the Care Quality Commission (CQC) as required following our visit in April 2013. This meant that the regulated activities carried on at Roy Kinnear House were being managed by an individual who had demonstrated their fitness to do so through registration with CQC.

Notifications were now being made to CQC as required. An untoward incident took place following our inspection visit and this was being looked into by the appropriate Local Authority Safeguarding team. We will closely monitor the outcome of any Safeguarding investigations that take place and undertake further visits to the provider as necessary.

18, 25 April 2013

During an inspection in response to concerns

One Compliance Inspector carried out unannounced visits to Roy Kinnear House on the 18th and 25th April 2013. Meetings were being held by the host Local Authority at the time of our visits to look at serious concerns that had been raised about the service through recent safeguarding alerts and feedback from involved professionals. An action plan had been put in place to address the areas of concern that was being monitored by the Local Authority.

Staff spoken to described the service as 'complex', 'a big challenge' and 'very stressful'. We were informed that three qualified staff who had worked at the service for a prolonged period left the home in the last quarter of 2012 and both staff and professionals spoken to during our visits expressed the view that this had adversely impacted on the service being delivered. One person told us 'when people who knew the residents well left, that's when the problems started' and another individual stated that it had taken a long time for new staff to get used to working in such a complex service. Other key issues raised by both staff and stakeholders included shortfalls around communication and a lack of clarity around the roles and responsibilities of nursing and support staff. One relative or carer commented that the service seemed to 'have had trouble over the last few months' and expressed hope that the service could 'return to the happy safe home it has been'.

17 April 2012

During a routine inspection

The people living at Roy Kinnear House were not able to communicate verbally with us. However, we met everyone living there and they appeared relaxed and comfortable. Staff were kind and respectful towards people and allowed them to express their choices. People took part in a range of activities.

We spoke with the staff on duty. They told us that they were happy working at the home. They said that they were well supported and that they had the training and information they needed to do their job.

The staff had an excellent knowledge about people's individual needs. People living at the home have complex health care and physical needs. There were good systems for recording and sharing information about these to make sure they were being met. The staff work closely with a range of health care specialists who visit the home, assess people's needs and offer guidance and support for staff.

People use a range of equipment to help them move around safely and for their health and wellbeing. We saw that this equipment was well maintained and that staff consulted with other professionals to make sure it met people's needs.

There were good systems for monitoring the quality of the service and for planning developments. These included asking relatives, other professionals and external auditors for their views and suggestions about how to improve the service.

27 April 2011

During a routine inspection

The people who live at the home were not able to tell us about their experiences or how they felt about the home. However, we saw that they appeared relaxed and comfortable and that they were being well cared for.

Some of the relatives and other representatives of people told us that they were happy with the care at the home. They told us that people were treated with respect and that their needs were met. They told us that the staff were kind and caring.