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Archived: The Kilkenny Residential Care Home

Overall: Inadequate read more about inspection ratings

Kilkenny Residential Care Home, 6 Third Avenue, Frinton On Sea, Essex, CO13 9EG (01255) 672253

Provided and run by:
We Care Residential Homes Ltd

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 13 June 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: This inspection took place on 16 and 24 April 2019 and was unannounced. The team consisted of two inspectors on day one and one inspector on day two.

Service and service type – The Kilkenny Residential Home 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 service did not have a manager registered with the Care Quality Commission (CQC). A person was in the process of making an application with CQC to become the registered manager. Registered manager’s and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of inspection, the manager had applied to the commission to be registered.

What we did: Before the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must let us know about, such as safeguarding events and statutory notifications sent by the provider. A notification is information about important events which the provider is required to tell us by law, like a death or a serious injury.

We sought feedback about the service from the local authority and other professionals involved with the service. The provider had completed a Provider Information Return (PIR). This is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the information provided in the PIR and used this to help inform our inspection. We also reviewed previous inspection reports.

Overall inspection

Inadequate

Updated 13 June 2019

About the service: The Kilkenny Residential Home is a residential care home for older people situated in Frinton on sea. The accommodation is located over two floors. There were eight people living at the service on the day of inspection.

People’s experience of using this service:

The service failed to manage and mitigate fire safety. We referred the service to the local fire authority

The service failed to have appropriate and detailed evacuation plans in place for staff to follow.

The provider failed to maintain the environment to ensure it was safe for people living in the service. We have recommended a maintenance schedule is implemented to address environmental improvements.

Staff and relatives told us there were insufficient staff in the service.

People's medicines were not managed safely

Mental capacity assessments were not always completed in line with law. We have recommended mental capacity assessments are reviewed.

Staff and relatives told us the service failed to provide adequate and meaningful activities for people

The service was not well led. The provider and management lacked oversight of the service.

Systems were in place to monitor the quality of the service; however, these were not effective and failed to highlight concerns raised during the inspection.

End of life care plans were not always in place for people. We have recommended end of life care planning for people is developed.

The service failed to encourage staff to maintain and develop their knowledge and skills.

Staff respected people's privacy and dignity but failed to interact with people in a caring and compassionate way.

Staff and relatives told us the service failed to provide adequate and meaningful activities for people

Rating at last inspection: Good (report published 20 October 2016.)

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Enforcement: Action we told provider to take (refer to end of full report)

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 improvement.

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