Kenroyal Nursing Home

Updated 24 October 2025

Date of Assessment: 30 and 31 October 2025.

Kenroyal Nursing Home is a care home which provides personal and nursing care for up to 64 older people living with dementia. At the time of the inspection there were 57 people in residence.

This assessment was carried out to ensure compliance with previous enforcement action taken against the service for breaches of regulation in relation to safe care and treatment and the governance and oversight of the service. This was a focussed assessment, and we assessed the key questions: Safe and Well led, which contain the breach. We found the provider was no longer in breach of regulation.

During this assessment we spoke with people, their relatives or advocates, and visiting professionals. We spoke with over 20 staff including the provider, the registered manager, nurses, care staff, the chef, the activity staff, house-keeping, and laundry staff. We looked at people’s care records and used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at staff records and records relating to the management of the service.

The registered manager and staff demonstrated a strong commitment to safeguard people from abuse. The provider and registered manager were working within the principles of the Mental Capacity Act. Systems in place ensured accidents and incidents were monitored and if any lessons could be learnt to keep people safe and improve practice.

Risks to people had been assessed, managed, and monitored. Care plans were personalised and contained good quality information and instructions that enabled staff to support people safely. The registered manager and staff worked collaboratively with health care professionals to ensure people received effective support. Medicines were stored securely and administered by staff trained and competent to do so. Improvements were found in relation to record keeping.

The provider had made improvements to the premises, fire and water safety, and infection prevention practices. Staff were observed using personal protective equipment and maintaining hygiene. The premises and equipment were well maintained, and all areas were clean and hygienic. The provider had a business continuity plan in place to manage unplanned events and emergencies.

Staff were recruited safely and were trained for their role. There were enough staff to meet people’s needs. Staff were supervised, received feedback on their performance and were confident if they spoke up, they would be listened to.

Staff were happy and enjoyed their work and caring for people. Staff told us they felt supported and listen to by management. Staff comments included, “We work as a team, everyone is respected and respectful of each other” and “We have really good teamwork and team approach.” The registered manager, nurses and staff ensured people had equal opportunities and did not face discrimination whilst being supported.

There was a positive culture and responsive approach to learning from significant events and concerns. There was clear evidence of improved governance systems and processes to monitor all aspects of the service.

The registered manager, nurses and staff worked closely with external professionals to help ensure they provided the most appropriate care to people. Feedback we received from professionals was consistently positive about the quality of care provided, staff and leadership.

Updated 24 October 2025

People told us they felt safe, and staff looked after them well. A relative told us, “[Person name] are shown absolute kindness and they are safe and well cared for.” People and their relatives spoke positively about staff and the care and support they received. People’s health was monitored and where needed health care professionals were involved to help manage and improve this. A relative told us when their family member moved to the care home, they had pressure sores, but through the care and support staff provided and working with health professionals the wounds had healed, and their family member’s health improved. People received their medicines as prescribed. Relatives told us they had no concerns about the support their family member received with their medicines. A relative said, “Staff always speak with [Person name] before administering any care. When they are having medication, it is explained each and every day what medication is for.” We observed people enjoyed taking part in a range of activities both group activities and activities adapted for people cared for in bed. A relative said, “Staff encouraged [Person name] to take part in activities although their condition was deteriorating, staff included them in activities.” People told us staff were visible and responded quickly when they needed assistance. They told us staff always gained their consent. A relative said, “There always seemed to be enough staff around.” People said they were happy living at the service. They told us staff were kind, caring and attentive to their needs. A relative told us, “We think this place is perfect for [Person name]. The manager knows [Person name] and us, and there's plenty of staff around; all are very good.” People told us staff treated them with kindness, and respected their independence, privacy and dignity. Relatives were equally happy with the care that their family member received, and they praised both the staff and the registered manager for their attitude, approach and kindness. People lived in a safe, clean, and well-maintained environment. People had personalised their bedrooms and told us staff made sure their room was kept clean and tidy. People and their relatives told us they felt the service was well managed. They all knew who the registered manager was and were confident to raise concerns if they had any. A relative told us, “Someone’s always there to greet you and the manager is always out and about and available if you need to speak with her.”