• Care Home
  • Care home

Roy Kinnear House

Overall: Requires improvement read more about inspection ratings

289 Waldegrave Road, Twickenham, Middlesex, TW1 4SU (020) 7261 4100

Provided and run by:
Choice Support

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

Assessment report published 12 August 2025

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Caring

Good

23 July 2025

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.
This is the first assessment for this newly registered service. This key question has been rated Good.

This meant people were supported and treated with dignity and respect; and involved as partners in their care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Kindness, compassion and dignity

Score: 3

The provider always treated people with kindness, empathy and compassion and respected their privacy and dignity.

Staff were observed interacting with people in a warm and respectful manner. People appeared relaxed in the company of staff, and we saw several positive exchanges. One family member said, "Staff are so kind, and they always keep me informed." People were addressed by their preferred names, and staff made efforts to respond to emotional cues, including reassuring someone who appeared unsettled.

People were well-presented and their personal grooming reflected a respectful and caring environment. Staff knew people well and spoke about them with affection and insight.

Treating people as individuals

Score: 3

The provider treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences. They took account of people’s strengths, abilities, aspirations, culture and unique backgrounds and protected characteristics.

Staff showed a good understanding of people’s individual needs, including routines, communication styles, and cultural preferences. Records showed efforts to celebrate birthdays and other significant events such as easter celebrations. Where possible, people were supported to take part in activities they enjoyed, such as shopping trips, arts and crafts, or community engagement. People were supported in ways that respected their individual identities, beliefs, and preferences. Staff made arrangements for people who wished to attend church services. Staff told us how they regularly support a certain person to go across the road to the university to interact with university students because the person enjoyed it.

Independence, choice and control

Score: 3

The provider promoted people’s independence, so people knew their rights and had choice and control over their own care, treatment and wellbeing.

People were supported to maintain a sense of independence and autonomy in their day-to-day lives. Each person had access to their own bus pass, and staff supported them to use public transport where appropriate. This enabled people to engage with the wider community and maintain routines that were meaningful to them.

Staff supported people to attend local church services, which reflected their spiritual preferences. Music sessions and yoga activities were also offered within the home, tailored to individuals’ interests and abilities. One family member commented positively on how activities were being organised around their relative’s likes and routines. They said, “The variety of activities such as music, yoga, church and aromatherapy take place regularly and are greatly enjoyed. I’m also fortunate enough to be able to take my daughter to hydrotherapy with the support of a member of staff.”

People were also involved in decisions about their care and environment. For example, one person was observed being involved in the arrangement of their bedroom.

Responding to people’s immediate needs

Score: 3

The provider listened to and understood people’s needs, views and wishes. Staff responded to people’s needs in the moment and acted to minimise any discomfort, concern or distress.

Staff we spoke with were able to describe how they identified signs of distress or need in people who were non-verbal, using gestures, facial expressions, vocalisations, and behavioural cues. During the inspection, we observed staff responding to people in a calm and timely manner, offering support and engagement when needed.

For example, staff recognised that a person’s vocalisation indicated they wanted to use their iPad to listen to a specific programme. Staff responded promptly by retrieving the device and ensuring the correct programme was playing. The person appeared visibly settled and engaged once their request was met.

We saw that staff maintained a consistent presence in communal areas, which helped ensure people were not left alone for extended periods.

Workforce wellbeing and enablement

Score: 3

The provider cared about and promoted the wellbeing of their staff and supported and enabled staff to always deliver person-centred care. Staff expressed that they were passionate about their roles and took pride in supporting people well. There was a strong sense of team commitment. Several staff told us they enjoyed working at the service and felt closely connected to the people they supported. One person said, “It’s a good team… we really care.”