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We are carrying out a review of quality at Karenza Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 10 November 2015

This inspection took place on 22 July 2015 and was unannounced. The inspection was carried out by one inspector. We last inspected this home on 8 July 2013. There were no breaches of legal requirements at that inspection.

Karenza care home provides care and accommodation for up to eight people under the age of 65 and specialises in the care of people who may have dementia.

There was a registered manager. 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.

People told us that they felt safe in the home and families told us they felt confident that their relatives were cared for by people who knew how to keep them safe. Staff were able to tell us how they kept people safe, identified any risks to people and what actions they had taken to keep them safe.

People living at the home, their relatives and staff alike, all felt there were enough staff in place to keep them safe and meet their needs. The registered manager had recently changed her hours of working and the provider had made arrangements for management cover to accommodate this.

Medication was stored and secured appropriately and audits had identified some errors which had been rectified. Where people were prescribed medication that had to be administered, ‘as and when required’ there was little information available to advise staff as to in what circumstances the medication should be given which could result in this medication being administered inconsistently.

People and their families spoke warmly of the staff group and the care and support they received. They felt the staff group were well trained to do their job and knew them well enough to meet their all of their needs.

Staff obtained consent from people before they provided care and support. The registered manager and staff all had an understanding of the Mental Capacity Act (2005) and what this meant for people living in the home.

People were supported to eat and drink enough to keep them healthy and were supported to make their own drinks and meals where appropriate. People were supported to access a variety of healthcare professionals to ensure their healthcare needs were met and were assisted to see their GP as and when required.

People living at the home told us that staff were caring and kind and knew them well. People were supported to maintain their independence where possible.

Staff were aware of the activities people enjoyed and what was of interest to them. People were supported to take part in activities both in the home and in the community. Activities were planned on a weekly basis and people were encouraged to tell staff what they would like to do and efforts were made to accommodate these requests.

People told us that they had no concerns or complaints about the home but knew how to complain and who to. They were confident that if they did complain, they would be listened to and their concerns acted upon.

People living at the home, their relatives and staff all thought that the home was well led. Visitors to the home felt welcomed and included.

Staff enjoyed their work and felt supported and listened to. They spoke positively about the provider and the registered manager and understood the vision the provider had for the home.

Regular meetings took place with people living at the home. Their views were sought and taken on board. The provider had introduced a number of quality audits in order to monitor care provided and where accidents or incidents had taken place, lessons were learnt.

Inspection areas

Safe

Requires improvement

Updated 10 November 2015

The service was not consistently safe.

People told us they felt safe and that they were supported by staff who knew how to keep people safe from abuse and harm.

Systems were in place to ensure people were supported by sufficient numbers of staff to keep them safe.

Staffing levels were regularly reviewed in line with dependency levels of people who lived at the home.

Medication was stored securely but there was little information available to staff with regard to the administration of ‘as and when required’ medication.

Effective

Good

Updated 10 November 2015

The service was effective.

Staff were trained and supported to ensure they had the skills and knowledge to support people appropriately and safely.

People were supported to have enough food and drink and staff understood people’s nutritional needs.

People’s human rights were supported because staff understood the principles of the Mental Capacity Act 2005 (MCA)

Caring

Good

Updated 10 November 2015

The service was caring.

People told us staff were caring and kind and knew them well.

People were treated with dignity and respect and supported to maintain their independence where possible.

Responsive

Good

Updated 10 November 2015

The service was responsive.

People were cared for by staff who knew their needs, likes and dislikes.

People were supported to take part in activities that they were interested in either in groups or individually.

There was a system in place to receive and handle complaints or concerns raised.

Well-led

Good

Updated 10 November 2015

The service was well led.

People told us they thought the service was well led and spoke positively about the provider, registered manager and staff.

Staff enjoyed their work and felt supported and listened to.