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Kettlewell House Nursing Home Requires improvement

The provider of this service changed - see old profile


Inspection carried out on 15 July 2019

During a routine inspection

About the service

Kettlewell House Nursing Home is a care home providing personal and nursing care for up to 37 people, many of whom may be living with dementia or a mental health condition. People can live in the main nursing home or more independently in one of the suites or flats that are on the same site. At the time of our inspection, 36 people were living at the service.

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

People were cared for by a sufficient number of staff. However deployment of staff needed to be thought through to ensure that those people who required more monitoring received this but not to the detriment of other people’s care. People may be at risk of harm due to the complex needs of some people living at the service. Although one to one care was provided, this was not consistent throughout the day. Where people had accidents and incidents, there was a lack of recording all of the incidents relating in particular to one person which meant the registered manager may not have full oversight of these to check for themes and trends.

People lived in an environment that was not suitably adapted for them, particularly if they were living with dementia. There was also a lack of robust infection control processes in place.

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

Although activities did take place, further work was required to ensure these were available more often and were person-centred and meaningful to people. People’s records did not always reflect sufficient information for staff to know how best to care for people and people’s end of life wishes were not always recorded.

Although quality assurance audits were completed by both the registered manager and registered provider, actions were not always taken when shortfalls were identified.

People received the medicines they required and were cared for by staff who were recruited through a robust process. People had access to health care professionals when they needed it and access to a choice of foods and sufficient drinks. People told us they enjoyed the food and they were encouraged in their independence as adapted cutlery and crockery was available.

Professionals said staff were competent and that they knew people’s needs and worked well with them and people in a collaborative way.

People were cared for by staff who were kind to them. Staff respected people and spoke to them in a polite and courteous manner. People were cared for by staff who felt supported and who had undergone an induction and relevant training. People, relatives and staff all spoke highly of the registered manager and where feedback form staff or people was received, the registered manager used this to develop an action plan on how to improve the service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection (and update)

The last rating for this service was Good (published January 2017). Since that rating, the registered provider of the service has changed.

Why we inspected

This was a planned inspection based on our methodology for inspecting services when the registered provider changes. The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the registered provider needs to make improvements. Please see the Safe, Effective, Responsive and Well-Led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for 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 moni