Livability Kenway Court

Updated 4 April 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:

This unannounced inspection took place on 5 March 2019. The inspection team consisted of one inspector and an assistant inspector.

Registered manager:

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

What we did:

As part of the inspection, we reviewed a range of information about the service. This included safeguarding alerts and statutory notifications, which related to the service. Statutory notifications include information about important events, which the provider is required to send us by law. Safeguarding alerts are information we received when there are concerns about a person’s safety.

The registered manager had submitted a Provider Information Return (PIR). This return provides information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We focused on speaking with people who lived at the service and observing how people were cared for. Where people at the service had complex needs, and were not able verbally to talk with us, or chose not to, we used observation to gather evidence of people's experiences of the service. We spoke with three family members for their views on the service which their relative received.

We spoke with the registered manager, the deputy manager, the nurse, lifestyle coordinator and three care staff. We reviewed three care records. We also looked at a range of documents relating to the management of the service, including quality audits.

Updated 4 April 2019

About the service:

Kenway Court is nursing home for up to 24 people with a range of disabilities and complex needs. At the time of our inspection there were 20 people living at the service, including young adults and people who were older. The purpose-built accommodation was set over two floors. People had access to communal living and dining areas and each en-suite room had a small kitchen area.

People’s experience of using this service:

The service was effectively managed by an established manager who promoted an open person-centred culture. A number of changes in the service had put pressure on the time of the registered manager, however there were measures in place to resolve this. A new deputy had been appointed and additional nursing and care staff were being recruited. The registered manager and provider carried out audits on the quality of the service and the additional staffing would support senior staff to carry out more robust and regular checks.

Staff supported people to remain safe, while respecting their rights to independence and choice. Risk assessments were detailed and gave staff the necessary guidance about the help people needed. Staff knew what to do if they were concerned about a person’s safety. The registered manager carried out thorough investigations into concerns and learnt from mistakes, using the information to make the service safer.

There were enough staff to keep people safe. We received feedback from people that staff were sometimes stretched, which would be addressed by the arrangements to increase nursing and care staffing. Medicine administration was carried out in a personalised manner by nurses who knew people well. Their attention to detail helped keep people safe.

Staff had the necessary skills to support people. Staff worked well together and with external professionals to promote people’s health and physical wellbeing. People had the choice of preparing their own food and drink or have their meals prepared by a chef. Care plans provided the necessary guidance to staff to ensure they could meet people’s complex needs and monitor their wellbeing.

The purpose-built property enabled people to maximise their independence. The registered manager met legal requirements when people did not have capacity. There was a focus in the service on supporting people to make their own decisions and to minimise restrictions on their freedom.

Support was flexible and reviewed regularly so it continued to meet people’s changing needs. The provider had invested in resources to ensure people’s lives were stimulating and meaningful. When people required end of life care, there were measures in place to ensure support was compassionate and personalised. People felt able to raise concerns about their care and be confident they would be dealt with promptly.

People were treated with dignity and respect. We discussed with the registered manager improvements in the way personal data was stored and kept confidential. Staff across the service communicated in a skilled and consistent way which promoted people’s rights to make decisions about their care.

Rating at last inspection: Good. The last report was published on 7 September 2016.

Why we inspected: This was a planned inspection to check that this service remained Good

Follow up: We will continue to monitor this service to ensure people receive care which meets their needs.

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