CQC report explained · a residential care home
What the CQC found at Karenza Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home had procedures to prevent infections, used PPE safely, carried out testing and could manage an outbreak.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2021
Inspected but not rated; inspectors were assured about the home's infection prevention and control arrangements.
This was an announced, targeted inspection on 4 February 2021. It looked at how the home was prepared to prevent and control COVID-19 infections.
Inspectors found visiting arrangements, PPE, testing and cleaning systems in place. They were assured that the home could manage infection risks and outbreaks.
The inspection did not give an overall quality rating. The Safe question was inspected but not rated, and the other areas were not assessed in this report.
Safe visiting arrangements
The home used appointments, a separate property and phone or video calls to help relatives keep in touch while reducing infection risks.
“A property to the rear of the home was used for visiting to prevent a need for relatives having to enter the home.” from the report
PPE and testing
There were adequate supplies of PPE and COVID tests. Regular testing of people and staff was taking place.
“Adequate stocks of COVID tests were available. Regular COVID testing of people and staff were undertaken to prevent infection outbreaks and spread.” from the report
Clean environment
Inspectors found the environment clean, with cleaning carried out throughout the day.
“The environment was clean. Staff carried out cleaning throughout each day to minimise the risk of spreading infection.” from the report
Infection control procedures
Staff had infection prevention training and access to current policies and guidance.
“A COVID file was available to staff that included policies and procedures and updates from key organisations such as Public Health England.” from the report
Inspectors raised no specific concerns in this report.
- 01What has changed in your infection prevention and control arrangements since the inspection on 04 February 2021?
- 02How are visits arranged now, and can relatives still use a separate visiting area or video calls?
- 03How often are people, staff and visitors tested for COVID-19?
- 04What happens if there is an infection outbreak in the home?
- 05Can we see the home's most recent full inspection ratings for areas not covered by this report?
This was a targeted inspection of infection prevention and control, reported mainly under Safe; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 27 February 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2020
Rated Good; inspectors found people were safe and the home was well managed, after changes following an incident involving someone leaving the home.
This was an unannounced inspection on 15 January 2020. One inspector reviewed records, spoke with two people, staff, relatives and professionals, and checked how the home responded to a specific incident.
The inspection found that risks had been assessed and action had been taken after a person left the home. Changes included different sleeping arrangements, more staff, sensors and cameras. Inspectors found enough staff, safe medicines procedures and effective safeguarding arrangements.
The home was rated Good overall. Safe and Well-led were rated Good and remained unchanged from the last inspection. The other three areas were not inspected during this visit, so their previous ratings were used.
Action after an incident
The provider reviewed the person's care and made changes to staffing, sleeping arrangements and the environment to improve safety.
“At this inspection, we found that the provider had taken appropriate action to assess and act on any identified risks.” from the report
Staffing and safeguarding
Inspectors found enough staff on duty and staff understood how to recognise and report abuse or other safety concerns.
“We saw the provider had effective processes in place to support staff with information if they had concerns about people's safety and how to report those concerns.” from the report
Safe medicines
People received medicines as prescribed. Staff were trained and records showed when medicines had been given.
“People received their medicines safely and as prescribed.” from the report
Open management
The provider had systems for checking quality and used feedback from people, relatives and staff to make improvements.
“The provider was open and transparent where things had gone wrong and had been proactive in making improvements where needed.” from the report
Previous security and supervision incident
needs fixingThe inspection followed an incident in which a person left the home. Information received by CQC had raised concerns about supervision and the security of the premises, although inspectors found no evidence during this inspection that people were at risk of harm from this concern.
“The inspection was prompted in part by notification of a specific incident. Following which a person had absconded from the service.” from the report
- 01What changes to staffing and sleeping arrangements were made after the incident involving someone leaving the home, and are those arrangements still in place?
- 02How are the sensors and cameras used to improve security, and how are they checked?
- 03How are people's risk assessments and care plans reviewed when their needs or risks change?
- 04How do you make sure there are enough suitably trained staff when someone is absent?
- 05What feedback have people and relatives given recently, and what changes were made as a result?
This was a focused inspection of Safe and Well-led after a specific incident; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 8 February 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Karenza Care Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2019Goodstayed GoodSafe: GoodWell-led: Good
- November 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 21 October 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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