The Care Quality Commission
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Archived: Key West Residential Home

Overall: Good read more about inspection ratings

203 Tamworth Road, Long Eaton, Nottingham, Nottinghamshire, NG10 1DH (0115) 973 2031

Provided and run by:
Mr & Mrs L J Majtas

All Inspections

22 December 2015

During a routine inspection

This inspection was unannounced and took place on 22 December 2015. The service was registered to provide accommodation for nine people. People who used the service had physical health needs and/or were living with dementia. At the time of our inspection nine people were using the service. Our last inspection took place in June 2013.and at that time we found the provider was meeting the regulations.

There was a registered manager in post. 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 2008 and associated Regulations about how the service is run. The service was also registering another manager with us to support the service. The registered manager is also the provider for this service. Another manager had been recruited and they were in the process of registering with us, so they could jointly manage the service.

The provider and manager were not clear on their understanding and responsibilities in complying with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). We observed some people lacked capacity in certain areas; appropriate assessments had not been completed to show how people were supported to make those decisions.

The provider determined the staffing levels on the number of people living in the home and the level of support they required. Staff had been trained to support people’s needs and on-going training was provided often directed by the staff through their supervision. People felt safe within the service and staff understood their role in ensuring people were protected from abuse or poor practice.

Staff knew people well, many of the staff had been working at the service for a long time so people received consistent care and support. People were responded to in a kind and friendly manner and respected for their decisions. Risk assessments were in place to ensure people’s safety was maintained.

Medicines were managed safely and in accordance with good practice. People received food and drink that met their nutritional needs and had a choice of the foods they wished to eat. Staff had made referrals to healthcare professionals in a timely manner to maintain people’s health and wellbeing.

Staff were caring in their approach and they created a warm homely environment which people told us they liked and enjoyed. People felt confident they could raise any concerns with the provider and manager. There were processes in place for people to express their views and opinions about the home.

The provider and manager had systems in place to monitor the quality of the service. This was an area they were planning to expand on to support the service. People and their relatives had provided feedback on the service to drive improvements and personalised support. The provider had a ‘hands on’ approach in quality assurance to ensure good practice was maintained. Staff felt supported and respected by the provider.

You can see what action we told the provider to take at the back of the full version of the report.

During a check to make sure that the improvements required had been made

At out last inspection visit in June 2013 we identified that improvements needed to be made regarding how controlled drugs were stored, this was to ensure the service complied with the law about how controlled drugs must be stored in care homes.

The provider has sent us evidence to demonstrate that a controlled drugs cabinet has been purchased and it has been confirmed that this has been fitted in the room where medications are stored. This means that the provider is now meeting the legal requirements of the Misuse of Drugs (safe custody) Regulations 1973 as amended.

At out last inspection visit in June 2013 we identified that improvements needed to be made to the recruitment practices, as two staff files seen did not include full employment histories. This means that not all of the appropriate checks were undertaken before staff began work, to ensure that they were suitable to work with people using the service.

The provider has sent us evidence to demonstrate that these two staff files now include a full employment history. This means that the provider had assured themselves that the staff employed, were considered safe to work with the people using the service.

13 June 2013

During a routine inspection

There were eight people using the service at the time of our visit. The majority were able to give us their opinion of the care and support provided to them. Where people were unable to talk with us because of their level of confusion, our observations throughout the day indicated that they were comfortable with the support provided to them.

People talked about the staff team in a very positive way. They told us, 'the staff are absolutely marvellous, very caring.'

We observed very positive interactions between staff and people using the service, throughout the inspection visit. People spoken with viewed Key West as their home and were clearly relaxed and comfortable in this homely environment with friendly and approachable staff to support them.

We spoke with two visitors who told us, 'we are always made to feel welcome here, it's a lovely home, very friendly and because it's only small we have got to know everyone very well. We enjoy coming here.'

People confirmed that they liked the food and told us that alternative options were available to meet their preferences.

We identified that improvements need to be made to the recruitment practices as staff files seen did not include full employment histories.

We identified that improvements need to be made regarding how controlled drugs are stored, this is to ensure the service comply with the law about how controlled drugs must be stored in care homes.

During an inspection looking at part of the service

This follow up review was to check if the compliance action made following our previous visit in May 2012 had been addressed.

We did not visit the service for this review. People that we spoke with at our visit in May 2012 confirmed that they were happy with the support and services provided to them.

8 May 2012

During a routine inspection

We spoke with all of the people that were using the service and the majority of people were able to give us their opinion of the care and support provided to them. For people that were unable to talk with us because of their level of confusion, our observations through out the day indicated that they were comfortable with the support provided to them.

People were very complimentary about the support and care they received. One person told us, 'It's like a first class hotel here' another person said 'I think it's absolutely fantastic, we are very well looked after, it's a smashing place to live.'

People confirmed that activities were available for them to join in with, such as baking cakes, shopping in the local community and playing games on the wii. External activity people also visited the service to provide exercise classes, singing and accordion playing, hand massages and dance and movement.

One person went out independently on a regular basis to meet up with friends and go dancing.

People talked about the staff team in a very positive way. They told us, 'there's always staff around and they are all lovely' and 'we all get on very well, we have a laugh and joke together'.