Background to this inspection
Updated
7 October 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
16 Kenilworth Gardens is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home had 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'. They and the registered provider have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was not available during our inspection and we were supported by an interim manager and the director of the provider organisation.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed the information we already held about the service. This included notifications we received. A notification is information about important events, which the provider is required to tell us about by law. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
During the inspection, we spoke with three people who lived at the home, the interim manager, the director and two support staff. We reviewed documents and records that related to people’s care and the management of the service. We reviewed three care plans, which included risk assessments. We looked at other documents such as those relating to quality assurance, medicine management, staffing and recruitment and infection control.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with one relative for their feedback about the home.
Updated
7 October 2021
About the service
16 Kenilworth Gardens is a care home registered to accommodate and support up to five people with mental health needs, learning disabilities and/or autism. At the time of the inspection, four people were living at the home. The home is a two-floor building with adapted facilities.
People’s experience of using this service
We expect health and social care providers to guarantee people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, Right care, Right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the principles of Right support, Right care, Right culture. People were empowered to live positive lives and they had choice and control of their support. They received care that was person-centred. The ethos, values, attitudes and behaviours of the management and staff encouraged people to be as independent as possible.
People told us they felt safe in the home and staff were aware of how to safeguard people from abuse. Risks to people were assessed and mitigated against so they could be supported safely. Medicines were managed safely. Staff were recruited appropriately and there were enough staff to support people. Systems were in place to prevent and minimise the spread of infections. Lessons were learned following accidents and incidents in the home.
Staff completed training to perform their roles effectively and were supported with supervision. 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.
People were supported to maintain a balanced diet and could access healthcare services. People received care from staff who were caring and respected their privacy and dignity. People and staff had got to know each other well.
Care plans were personalised to ensure people received care that met their needs and preferences. People participated in activities and were supported to avoid social isolation. Systems were in place to manage complaints. People’s communication needs were understood and met.
Quality assurance systems were in place to ensure the home was safe and people received suitable support. Feedback was sought from people to help make continuous improvements to the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 30 April 2020 and this is the first inspection.
Why we inspected
We undertook this inspection to check the provider was applying the principles of Right support, Right care, Right culture. The service had also not been inspected since registering with us.
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.
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.