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Kevindale Residential Care Home Good

Reports


Inspection carried out on 7 August 2019

During a routine inspection

Kevindale is a residential home providing personal care and support for up to 18 people over the age of 65. At the time of inspection there were 18 people living in the home. The building was purpose built with accommodation on the ground floor, several bedrooms had patio style doors out to a small terrace.

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

People told us they felt safe and staff had enough time to support them. Safeguarding policies and procedures continued to protect people from the risk of abuse and avoidable harm. Risk assessments supported people to manage risks in their daily lives in ways which upheld their rights.

Assessments had identified the support people needed. Not everyone, who may have needed it, had their capacity to consent to receive care assessed. This meant there was a risk people could have been deprived of their liberty without authorisation. People were supported by experienced and skilled staff. Staff had received training and induction; one staff said they had mainly learned by shadowing others. People told us staff were helpful and knew how to support them. People told us they enjoyed the food, which was freshly made and high quality.

Staff were caring and committed to supporting people in ways which upheld their dignity. People told us they felt comfortable when staff supported them with their personal care. Staff communicated well with people and respected their decisions. People's information was stored securely which protected their privacy.

Person-centred care was provided by staff who understood people's needs and preferences. Staff were responsive to any changes in people's needs and wishes. People were invited to participate in their reviews. The service had a complaints policy;, people were aware of this and felt able to raise concerns. Some people felt there were not enough activities, this was in part due to staff vacancies which were being recruited to at the time of inspection.

The management and staff team were committed to providing high-quality care. The management ensured the quality of the service was maintained by regular checks and monitoring. People were encouraged to provide feedback about the service, and the service had responded. The management planned to re-engage with local forums to improve the quality of the service.

Rating at the last inspection

The last rating for this service was good (published March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 13 January 2017

During a routine inspection

This was an unannounced inspection carried out on the 13 January 2017.

Kevindale Residential Care home is registered to provide accommodation and personal care for up to 18 people. At the time of the inspection, there were 12 people living at the home.

There was a registered manager in post who was present throughout the inspection visit. 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.

Confidential personal information about people living at the home and their medicines was not always stored securely. We observed a large amount of paper work in the conservatory next to the dining room. Personal information should be kept secure at all times and only accessed by people who are authorised. A delivery of people’s medicines had been left unsecured overnight in the manager’s office. The door was open and the medicines were available to anyone passing the room.

Staff understood the importance of ensuring that people were safe and were able to explain their responsibilities for reporting any accidents or concerns. Where risks were identified, action plans were in place to minimise the risk and keep people safe.

We found there were sufficient numbers of staff on duty during our inspection to support people who used the service. People told us there were enough staff on to meet their needs.

People were protected from the risk of harm and abuse by staff who knew how to recognise and respond appropriately to any concerns that they had.

People received support with their medicines from staff who were assessed as competent and followed safe practice with medicines.

Staff had the skills and knowledge needed to meet people’s individual care needs. They received effective induction, training and on going support from the registered manager. The registered manager understood and protected people’s rights under the Mental Capacity Act 2005.

People had their nutritional needs assessed and were supported to have the right amount of food and drink to maintain good health.

Staff supported people in a caring, respectful and dignified way, and were able to demonstrate a good understanding of the people they supported.

People and relatives told us they were involved in making decisions about their care and were listened to by the registered manager. They told us they had been involved in determining the care they needed and had been consulted and involved when changes were needed. People and staff felt able to express their views and felt their opinions mattered.

There was a positive and inclusive culture in the home where the staff worked together as a team to ensure people's needs and wishes were met. The registered manager had checks in place to monitor the quality of the service delivery. There were systems in place to encourage people to share their experiences and concerns.

Inspection carried out on 20 November 2015

During a routine inspection

This inspection took place on 20 November 2015 and was unannounced.

Kevindale is registered to provide accommodation with personal care to 18 older people. When we carried out our inspection 14 people were living at the home.

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 provider needed to make improvements with their recruitment of care staff. The provider could not make assurances that staff employed were fit and proper to work with people.

People were treated with respect, kindness and compassion. People were involved in the planning of their care and support and reviews took place appropriately. They were supported by staff that were knowledgeable of their individual needs and preferences. There were sufficient staff on duty to keep people as safe as possible.

People had access to other healthcare services when needed and a record was maintained of when healthcare professionals had visited.

People’s medicines were stored securely and available at times when they needed these. Staff had the knowledge to support people with taking their medicines. Checks were in place so that people could be assured of receiving their medicines as prescribed.

People had time and space to see their friends and relatives when they wanted. People were encouraged to maintain contact with those that mattered to them. Information technology was provided to assist long distance relationships.

People were involved in the delivery of the service. They were confident that any complaints concerns or suggestions would be taken seriously and if needed action taken.

The registered manager was approachable and supportive. Quality checks were regularly completed by the provider to ensure people received safe and effective care and treatment.