CQC report explained · a residential care home
What the CQC found at Kazdin
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, medicines, safeguarding, risk management and infection control were generally suitable, although some kitchen and laundry improvements were identified.
- Effective?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Caring?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Responsive?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Well-led?
- Good
- Inspectors found positive leadership, good quality checks and a culture focused on people's strengths, choices and dignity. There was no registered manager in post, but a new manager was applying to register.
What inspectors found, February 2023
Rated Good; inspectors found safe, kind and person-centred care, but there was no registered manager and some infection-control work was needed.
This was a focused inspection on 18 and 21 January 2023. One inspector met all three people living in the home, spoke with relatives, staff and health professionals, and checked medicines, care plans, recruitment, safety records and quality checks.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found people were treated with kindness, offered choices and supported to build independence. Staff understood people's communication needs and preferences.
The inspection found enough staff, safe recruitment and appropriate safeguarding arrangements. Infection-control arrangements were mostly satisfactory, but the inspector identified an area of the kitchen needing attention and discussed laundry processes. A contractor had been booked to address the kitchen issue after the visit.
Only Safe and Well-led were inspected. The ratings for Effective, Caring and Responsive carried over from the previous inspection, which was published on 11 March 2021. The overall rating remained Good.
Kind and individual care
Staff were described as kind and compassionate. They understood people's likes, dislikes, communication styles and preferred ways of receiving support.
“Staff were kind and compassionate and knew what people liked and disliked and how they wanted their support provided.” from the report
Choice and independence
People were supported to make choices, take positive risks and develop independence at their own pace. They could personalise their rooms and living areas.
“People were offered choice in aspects of daily living and could personalise their bedrooms and lounges.” from the report
Strong quality checks
The provider had regular audits, mock inspections and a service improvement plan. Inspectors saw that action was taken when checks found problems.
“There was a robust system of audits and checks on aspects of day to day support.” from the report
Good communication
The home used different methods to understand people's views and feelings, including a whiteboard and a dictionary of one person's unique words.
“This meant staff could communicate more effectively and find out people's opinions or how they were feeling about something.” from the report
No registered manager
needs fixingThere was no registered manager when inspectors visited. This was a condition of the home's registration, although a new manager had started and was applying to register.
“Although this condition was not currently being met the provider had taken proactive steps to employ a new manager who was in the process of registering with CQC.” from the report
Kitchen and laundry checks
needs fixingInspectors were only mostly assured about safety through the premises' layout and hygiene practices. They identified one kitchen area needing attention and discussed laundry processes.
“We were mostly assured that the provider was promoting safety through the layout and hygiene practices of the premises.” from the report
- 01Has the new manager now completed the application and become registered with CQC?
- 02What work was completed on the kitchen area identified by inspectors, and what changes were made to laundry processes?
- 03How often are agency staff used now, and will the same staff continue to support my relative?
- 04How would you support my relative to build independence and take part in activities outside the home?
- 05How do you record and understand my relative's individual communication methods, preferences and changing needs?
This was a focused inspection of Safe and Well-led only; the Effective, Caring and Responsive ratings carried over from the previous inspection published on 11 March 2021. This explanation was written from the published report of 22 February 2023 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, March 2021
Inspected but not rated; inspectors found strong COVID-19 infection controls, but some staff risk assessments were not recorded.
This was an announced, targeted inspection on 18 February 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care quality.
Inspectors found systems to reduce the spread of COVID-19. These included visitor checks, testing, PPE, extra cleaning, infection control audits and a plan for managing an outbreak.
The home was rated inspected but not rated. This is not a Good or Outstanding rating, and it does not give a full judgement on the overall quality of care.
Visitor safety
Visitors had to complete several checks before entering, and the home limited visits to essential visitors during the pandemic.
“There was a clear system in place for visitors to ensure they followed the current guidance on the use of personal protective equipment (PPE) and social distancing.” from the report
PPE and staff training
Staff had extra infection control and PPE training. Inspectors saw staff using PPE properly, and there were sufficient supplies.
“Staff had received additional training in infection prevention and control and the use of PPE including masks, gloves, aprons and hand sanitiser.” from the report
Testing and cleaning
People and staff took part in regular whole-home testing. Cleaning was increased for frequently touched surfaces, with monthly infection control audits.
“Cleaning schedules and procedures had been enhanced to include more frequent cleaning of touch points such as handrails and light switches.” from the report
Outbreak planning
The home had COVID-19 policies, a contingency plan and a risk assessment for managing a possible outbreak.
“There was a contingency plan and risk assessment in place to manage a potential outbreak of COVID-19 within the service to keep people and staff safe.” from the report
Staff risk records
needs fixingRisk assessments for staff who might be at higher risk had not all been formally recorded at the time of inspection. The manager said these were being completed afterwards.
“Whilst it was clear the registered manager knew staff well; this information had not been formally recorded.” from the report
- 01Have individual COVID-19 risk assessments now been completed for every staff member who may be at higher risk?
- 02How do you check that staff follow current PPE, shielding and social distancing arrangements?
- 03How often are cleaning schedules and infection control audits reviewed?
- 04What would happen if there was a COVID-19 outbreak in the home?
- 05How can residents keep in contact with relatives if visits are restricted?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic, and it did not provide a full rating of the home. This explanation was written from the published report of 11 March 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.
Every inspection of Kazdin
4 rated inspections over 8 years: the service has held its Good rating throughout.
- February 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- October 2019Goodstayed GoodSafe: GoodWell-led: Good
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 January 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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9 live-in carers within about an hour of Plymouth
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 9 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.