Kenroyal Nursing Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

The governance and oversight of the quality and safety within the home was not sufficient nor effective. Audits and management checks had failed to identify and mitigate risks that were identified on the assessment. The provider relied on external agencies to provide guidance and identify areas for improvements. The manager and staff were not alert to any safety risks that may affect the quality of people’s care and have a detrimental impact on staff. Policies, procedures and best practice guidance had not been reviewed or fully implemented. The provider has been told to make improvements in this area. The provider ensured all staff were treated equally, taking into account their cultural needs and diversity. The service has a registered manager. They were knowledgeable about clinical care and worked in partnership with the local authority and health care professionals. Health care professionals told us the manager was organised and staff knew people well. Staff said the manager was supportive, open and approachable and they were confident to raise their concerns.

This service scored 61 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff spoke very highly of the manager and other staff; they spoke of a family feel to the home.

The manager and staff culture was caring and organised, leading to safe clinical care. However, the provider did not have sufficient oversight of the safety and upkeep of the environment to share with staff to ensure they had the skills or processes to monitor and improve the environment.

Staff described the manager as caring, knowledgeable and approachable.

The provider and manager required more knowledge and processes to ensure all the environmental aspects of the home were maintained safely. The managerial oversight of staff was caring and compassionate.

Staff felt confident in raising concerns with the manager, who acted upon these. A staff member told us, “I get opportunity to discuss my concerns or any issues with my manager and she is a good listener and supportive.”

The manager listened to staff and acted upon concerns. The provider had systems in place to ask for feedback and act upon it.

Staff told us there were no concerns regarding workforce equality, diversity and inclusion. The provider and manager believed they looked after their workforce very well, which was reflected in their retention of staff.

The provider’s recruitment policy did not reflect current employment law and best practices. Following our feedback, the provider sought external advice to update their policies.

The manager had audits they completed, but the audits did not identify the issues identified by this inspection, or other visiting professionals.

The provider oversight and audits did not identify issues such as lack of environmental safety; they relied on outside sources to identify these. The provider did not have sufficient systems to assess, monitor and improve the quality and safety within the service. The provider has been told to make improvements in this area.

The manager had systems and process in place to oversee the clinical safety of the service.

People were supported to access health and social care professionals which enabled them to have their treatment in a timely way.

Additional staff were allocated on the days of the GP visits to ensure the GP had the support and information they required.

Visiting health professionals told us they enjoyed coming to the home as it was well organised and staff knew people well. The local authority’s latest monitoring visit was positive. The commissioners had written to the provider to tell them how much they appreciated way the manager had organised the care planning and staff team. One wrote, “When completing care plans, a staff member is assigned to me to ensure that the correct information is provided.”

There was an effective system to identify where people required health professionals and referral made in a timely way. There were clear lines of communication between the visiting professionals and staff, enabling people to be accurately assessed.

The manager and provider did not communicate clearly with staff about the changes required to improve the environment or implement the systems required to maintain monitoring.

The provider did not have an effective system to monitor, identify and improve the service themselves. They relied on outside visiting professionals to be invited in and identify failing environmental safety. The provider did not respond in a timely way to feedback provided during the assessment as they failed to update policies, inform staff of changes or carry out all actions to improve all aspects of environmental safety.