We carried out a review of the data available to us about Kemsing Road Respite Service on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kemsing Road Respite Service, you can give feedback on this service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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.
At the last inspection on 25 January 2016, the service was rated Good.
At this inspection we found the service remained Good.
People's health and social care needs had been appropriately assessed. Care plans were person-centred, and specific to each person and their needs. Care preferences were documented and staff we spoke with were aware of people's likes and dislikes. Care plans were regularly reviewed and were updated when people's needs changed.
Systems and processes were in place to help protect people from the risk of harm. Staff had received training in safeguarding adults and knew how to recognise and report any concerns or allegations of abuse. Risks to people were identified and managed so that people were safe.
Systems were in place to make sure people received their medicines safely. However records did not clearly reflect when people’s stay had ended resulting in gaps in medicines records. The registered manager promptly addressed this issue during the inspection so there were no unexplained gaps.
Staff had been carefully recruited and provided with induction and training to enable them to support people effectively. They had the necessary support, supervision and appraisals from the management team.
Staff we spoke with had an understanding of the principles of the Mental Capacity Act 2005 (MCA). Mental capacity assessments had been conducted and best interests decisions made where people lacked capacity to make specific decisions for themselves, in line with the MCA.
People were supported with their nutritional and hydration needs. Staff were aware of people’s dietary requirements and the support they needed with their food and drink.
Procedures were in place for receiving, handling and responding to comments and complaints. We saw evidence that complaints had been dealt with appropriately and in a timely manner.
Staff told us that they received up to date information about the service and had an opportunity to share good practice and any concerns they had at team meetings. Staff spoke positively about working for the service.
The quality of the service was regularly monitored and regular audits and checks had been carried out by management. There were systems in place to make necessary improvements when needed.
The service had 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 and associated Regulations about how the service is run.
People using the service said they felt safe and that staff treated them well. Appropriate recruitment checks took place before staff started work. Safeguarding adult’s procedures were robust and staff understood how to safeguard the people they supported from abuse. There was a whistle-blowing procedure available and staff said they would use it if they needed to. People’s medicines were managed appropriately and people received their medicines as prescribed by health care professionals.
Staff had completed training specific to the needs of people using the service and they received regular supervision. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS). They worked closely with the local authority to make sure they complied with the MCA and DoLS. People were provided with sufficient amounts of nutritional food and drink to meet their needs. People had access to a GP and other health care professionals when needed.
The service responded well to meeting people’s diverse care and support needs. Their independence was respected and they were encouraged to become involved in the running of the service. People were able to maintain their normal routines and activities whilst staying at the service. The service also arranged activities with people for the things they wanted to do. Assessments were undertaken to identify people’s support needs before they started using the service and they and their relatives had been consulted about their care and support needs. Care plans and risk assessments provided clear information and guidance for staff on how to support people to meet their needs. People were aware of the complaints procedure and said they were confident their complaints would be fully investigated and action taken if necessary.
The provider sought the views of people using the service through feedback forms. They recognised the importance of regularly monitoring the quality of the service provided to people. Staff said they enjoyed working at the service and they received good support from the manager. There was an out of hours on call system in operation that ensured management support and advice was always available when they needed it.