Archived: Keegan's Court Residential Care Home

Keegan’s Court Residential Care Home is a care home providing support with personal care to 2 people at the time of this inspection. The home can accommodate a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds and 2 bungalows, each providing 2 beds.

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

This was a targeted inspection that considered whether or not people were safely supported by enough staff who had sufficient training, information and managerial direction to minimise the potential for harm.

People were at the risk of harm as the provider had failed to provide sufficient staff to safely support them at certain times of the day and night. Staff were not provided with clear instructions on what to do in the event of an emergency.

People were not safeguarded from the risk of abuse as the provider failed to assess the risks to people from a known individual entering the building.

The provider did not have effective oversite to ensure people received safe care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update.

The last rating for this service was inadequate (published 30 March 2023). At our last inspection the provider was in breach of regulations regarding keeping people safe, dignity and respect, safeguarding people from abuse, staffing and the overall management. At this inspection concerns remained regarding the safe provision of care, safeguarding people from abuse and managerial oversite.

Why we inspected

The inspection was prompted due to concerns received about unsafe staffing levels in the home. A decision was made for us to inspect and examine those risks. We found continued breaches regarding keeping people safe, safeguarding people from abuse and governance of the home. Following the inspection site visit the provider told us they had employed the services of a managerial consultancy to support them with restructuring their company.

You can see what action we have asked the provider to take at the end of this full report.

The overall rating for the service has not changed following this targeted inspection and remains inadequate.

CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Enforcement

We have identified continued breaches in keeping people safe, safeguarding people from abuse and how the home was managed.

Please see the action we have told the provider to take at the end of this report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk

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.

Keegan’s Court Residential Care Home is a care home providing support with personal care to 3 people at the time of this inspection. The home can accommodate a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds in the main building and two bungalows, each providing 2 beds.

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

People were not safe from avoidable harm. Despite being aware of the lack of heating fuel, the provider had failed to purchase supplies resulting in the heating failing. This resulted in the physical temperature of the home reducing to an uncomfortable level increasing the risk of harm to people.

People were not protected from the risk of abuse or ill-treatment. The provider failed to act when concerns regarding staff members conduct were identified and passed to them. This put people at the risk of receiving inappropriate or potentially abusive behaviour.

People were not treated with dignity or respect. Confidential information was not secured and was accessible to those without authority. This information contained sensitive financial information and information regarding people’s health and welfare. People’s privacy could not be assured as communal toilet doors did not close or could not be locked.

The provider failed to ensure an effective fire management plan was in place, known, and followed by staff supporting people. This put people at the risk of harm in the event of an emergency. The provider failed to assess potential risks to people putting them at the risk of harm. The provider failed to ensure there were enough suitably qualified staff available to support people at all times.

People did not always receive their medicines safely or as prescribed. The provider failed to safely store medicines and failed to ensure medicines were administered in line with the guidance provided. The provider did not effectively analyse significant incidents to learn from them and to make changes to improve people’s safety. People were not effectively protected from the risk of infection as the provider did not have adequate infection prevention and control measures in place. There was visible dirt in areas of the home and on fixtures. The provider had failed to update or implement the latest infection prevention and control guidance. The provider failed to complete checks on visitors to ensure they did not pose a risk to people.

The provider did not have effective quality monitoring procedures in place to drive improvements in the care they provided. The management team did not have clearly defined roles and responsibilities. The provider failed to have effective contingency plans in place regarding the restructuring of their business.

The provider followed safe recruitment practices.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 19 August 2022).

At that inspection there were breaches of regulation regarding safe care and treatment, safeguarding people from abuse, dignity and how the location was managed.

Why we inspected

The inspection was prompted by concerns about the management of the location and to follow up on breaches identified at the last inspection. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to COVID-19 and other infection outbreaks effectively.

We have found evidence the provider needs to make improvements. Please see the safe, caring and well-led sections of this report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk

We have identified breaches in relation to keeping people safe, safeguarding people from abuse, staffing and overall governance.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service remains in ‘special measures’.

The provider has not made enough improvement and there is still a rating of inadequate for key questions safe and well led. We have commenced action in line with our enforcement procedures. This will mean we will continue with the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions of the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it, and it is no longer rated as inadequate for any of the five key questions, it will no longer be in special measures.

Keegan’s Court Residential Care Home is a care home providing support with personal care to 15 people at the time of this inspection, some of whom were living with dementia. The home can accommodate a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds in the main building and two bungalows, each providing two beds.

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

People were not always treated with dignity or respect. Confidential information was not secured and was accessible to those without authority.

People were not safe as the provider failed to ensure the physical environment was safely maintained and systems and processes were not effectively followed. Including, but not limited to, ineffective fire safety systems, unsafe storage of chemicals and lack of identification of risks with associated with windows and the pond area.

People were not always protected from the risks of abuse. People did not always receive their medicines safely or as prescribed.

The provider did not effectively analyse significant incidents to learn from them and to make changes to improve people’s safety. The providers infection prevention and control procedures were not effectively followed.

The provider did not have effective quality monitoring procedures in place to drive improvements in the care they provided. The management team did not have clearly defined roles and responsibilities.

People were not always supported to have maximum choice and control of their lives. Staff did not always support them in the least restrictive way possible or in their best interests; the application of policies and systems in the service did not always support best practice.

The provider followed safe recruitment practices.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 February 2022).

At that inspection there were breaches of regulation regarding safe care and treatment and how the location was managed. Following that inspection, the provider was issued with warning notices.

We undertook a targeted inspection on 12 April 2022 to check they had complied with the warning notice. We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. Following the targeted inspection, we confirmed the provider was meeting the legal requirements and the conditions of the warning notice.

Why we inspected

The inspection was prompted by concerns about the management of the location. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to COVID-19 and other infection outbreaks effectively.

We have found evidence the provider needs to make improvements. Please see the safe, effective, caring and well-led sections of this report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to keeping people safe, dignity and overall governance.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Keegan’s Court Residential Care Home is a care home providing support with personal care needs to 16 people at the time of this inspection, some of whom were living with dementia. The home can accommodate a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds and two bungalows in the grounds.

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

People were safe as the infection prevention and control procedures had been revised by the provider and effectively implemented.

The provider had undertaken work to correct potential hazards to people.

The provider had introduced quality monitoring systems in order to drive good care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 February 2022).

Why we inspected

We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 12 ( Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 (Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to COVID-19 and other infection outbreaks effectively.

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.

Keegan’s Court Residential Care Home is a care home providing support with personal care needs to 12 people at the time of this inspection, some of whom were living with dementia. The home can accommodate a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds and two bungalows in the grounds, each providing two beds.

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

People were not always safe as the infection prevention and control procedures were not effectively implemented.

The provider did not have effective systems in place to identify environmental issues which could put people at the risk of harm. The provider did not have effective quality monitoring procedures to drive good care.

People received their medicines as prescribed. Staff understood how to protect people from the risk of abuse and knew what to do if they suspected something was wrong. The provider followed safe recruitment practices.

The provider had kept us informed about key events and had good working relationships with others involved in peoples care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Requires Improvement (published 10 September 2021).

At that inspection the provider needed to embed improvements required from the last inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the management of the location. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

You can see what action we have asked the provider to take at the end of this full report.

Following our inspection site visit the provider took action to mitigate the immediate risks to people including conformation of the vaccination status of staff members.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to keeping people safe and the providers monitoring of the provision of care at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Keegan’s Court Residential Care Home is a care home providing support with personal care needs to seven people at the time of this inspection. The home can accommodate a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds and two bungalows in the grounds, each providing two beds.

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

Systems to assess, monitor and mitigate risks to people’s safety and well-being had improved. Further time is needed to ensure improvements are embedded and can be sustained over time. People were protected by the provider’s staff recruitment procedures. Staff received the support and training they needed to meet people’s needs. People received their medicines when they needed them from staff who were trained and competent to carry out the task. Infection, prevention, control procedures had improved and helped to protect people from the risk of infection.

People received a service which took into account their needs and preferences. However, further improvements were needed to ensure people’s religious preferences and wishes for care at the end of their life and following death were understood and met by staff.

Improvements had been made to ensure the service was effectively managed. Systems had been introduced to monitor the quality and safety of the service provided. The provider worked in partnership with others to achieve good outcomes for people. These included health and social care professionals and stakeholders.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update). The last rating for this service was inadequate (published 26 February 2021) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, fit and proper persons employed, staffing, person-centred care and good governance.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since February 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions; safe, responsive and well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk.

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.

Keegan’s Court Residential Care Home is a care home providing support with personal care needs to a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds and two bungalows in the grounds, each providing two beds. At the time of the inspection, 14 people were using the service.

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

Risks to people’s safety and well-being were not always considered and plans to mitigate risks were not in place or had not been reviewed.

Action had not been taken to reduce the risk of scalding from hot water outlets. Information about how people should be safely evacuated in the event of an emergency was not available for each person who lived at the home.

People were not protected by the procedures for the management and administration of medicines.

Infection, prevention and control procedures did not protect people from the risk of infection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection. The last rating for this service was inadequate (report published February 2021)

Why we inspected

We undertook this targeted inspection to check whether the provider had taken action to address the more serious concerns in relation to Regulation 12 (safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The overall rating for the service has not changed following this targeted inspection and remains inadequate.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified continued breaches in relation to safe care and treatment. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or varying the conditions their registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Keegan’s Court Residential Care Home is a care home providing support with personal care needs to a maximum of 19 older people. Accommodation is provided in an adapted building providing 15 beds and two bungalows in the grounds, each providing two beds. At the time of the inspection, 16 people were using the service.

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

Risks to people’s safety and well-being were not always considered and plans to mitigate risks were not in place or had not been reviewed.

People were not protected by the provider’s staff recruitment procedures. The provider failed to ensure staff received the required support to meet people’s needs safely.

Infection, prevention, control procedures did not protect people from the risk of infection.

People were at risk of not receiving a service which met their needs and preferences.

The service was not effectively managed and there were no systems in place to monitor the quality and safety of the service provided. The provider had failed to act on the breaches of regulations identified at our last inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update). The last two ratings for this service was requires improvement. (Report published February 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

Ratings from the previous comprehensive inspection for those key questions we did not look at were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to inadequate. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment, person-centred care and good governance at this inspection. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

People’s experience of using this service:

• People told us they felt safe living at the home and with the staff that supported them. However, risks to people were not always monitored or mitigated. People received their medicines when they needed them however, the arrangements for recording medicines could place people at risk. Free standing wardrobes had not been secured which meant they posed a potential hazard to people.

• People were supported by adequate numbers of staff who were safe and competent to work with them.

• People were protected from the risks associated with the control and spread of infection.

• Staff understood the importance of ensuring people’s rights were understood and protected.

• People’s health care and nutritional needs were monitored and understood by staff.

• People told us staff understood their needs and were kind, caring and compassionate.

• People had opportunities for social stimulation and were able to maintain links with the local community.

Rating at last inspection: This was the first inspection of the service since it registered with the Commission in November 2017.

Why we inspected: This was a scheduled inspection to provide the service with a rating.

Enforcement / Improvement action we have told the provider to take: Please see the ‘action we have told provider to take’ section towards the end of the report.

Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

Follow up: We will request an action plan from the provider detailing how and when they will address the shortfalls found at this inspection. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

More information is in Detailed Findings below.

Keegan’s Court Residential Care Home accommodates up to 19 older people who require support with their personal care needs. Some of whom are living with dementia. At the time of this 14 people were living there.

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

The providers quality monitoring procedures were effective in identifying the improvements which were needed to drive good care and support.

People were not always safe as the systems and procedures at Keegan’s Court Residential Care Home were ineffective in identifying improvements needed to keep people safe. Risks associated with people’s care were not always accurately identified. People were not safe from infectious illnesses as the infection prevention and control measures at Keegan’s Court Residential Care Home were not always effective. People's 'As required' medicine protocols were incomplete and in some instances missing.

People were not always supported to have maximum choice and control of their lives and they were not always supported in the least restrictive way possible or in their best interests; the policies and systems in the service did not always support good practice. People were not always treated with dignity and respect and information personal and confidential, to them, was not always kept secure.

People did not always have personalised care and support plans which reflected their individual preferences. People were not consistently provided with information in a way they could easily access or understand as their communication styles had not been effectively assessed.

People did not always receive effective support with their eating and drinking as there was no oversight of records detailing people’s intake.

People were protected from harm and abuse as the staff team had been trained to recognise potential signs of abuse and understood what to do.

People had access to additional healthcare services when required.

People received help and support from a kind and compassionate staff team with whom they had developed positive relationships. The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.

Rating at last inspection

The last rating for this service was 'Requires Improvement' (published 27 February 2019). At that inspection we identified breaches in the law regarding the notification of incidents, safe care and treatment and quality assurance systems.

Why we inspected

This was a planned inspection based on the previous rating.

The overall rating for the service has remained the same, requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement in all key questions inspected. Please see the Safe, Effective, Caring, Responsive and Well-led sections of this full report.

Enforcement:

We have identified breaches in relation to the safe care and treatment of people, person-centred care planning and how the location is managed.

You can see what action we have asked the provider to take at the end of this full report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

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

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Keegan’s Court Residential Care Home on our website at www.cqc.org.uk