CQC report explained · a nursing home
What the CQC found at Kenilworth Grange Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2019
Kenilworth Grange Care Home was rated Good; inspectors found kind, safe and well-organised care, with one falls alarm not in place during the visit.
Inspectors visited on 28 and 29 November 2019. The first day was unannounced and the second was announced. They spoke with people, relatives, staff and healthcare professionals, observed care and checked care, medicine and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably skilled staff, safe medicines management, individual care plans, kind staff and good links with health and social care professionals.
One person's falls risk plan said a chair alarm should be used, but the alarm was not in place when inspectors saw the person in the lounge. Staff were present and reduced the risk, and the manager immediately put an alarm mat in place and said the plan would be reviewed.
Kind and respectful staff
People and relatives consistently described staff as caring and friendly. Staff supported privacy, dignity and personal relationships.
“Staff communicated with people in a warm and friendly manner.” from the report
Personalised care
Care plans recorded people's preferences, interests and communication needs. Staff used life histories and individual wishes to shape support and activities.
“People received individualised care and support from staff who understood their needs, preferences and interests.” from the report
Good clinical support
Staff worked with healthcare professionals and monitored people's health. The report also found positive support for nutrition, pressure ulcers and end of life care.
“Staff worked in partnership with a multi-disciplinary team to enable people to live healthier lives or to manage long term medical conditions.” from the report
Learning and oversight
Managers used audits, incident reviews and staff meetings to identify improvements. Staff were encouraged to report mistakes and learn from them.
“There was an open culture in the home where learning from mistakes, incidents and accidents was encouraged.” from the report
Falls alarm not in place
minorA person's risk plan said they should have an alarm on their chair, but inspectors found it was not in place at that moment. Staff were present and the manager acted immediately by putting an alarm mat in place and reviewing the plan.
“During our visit we saw the alarm was not in place when the person was sitting in the lounge.” from the report
- 01How do you check that each person's falls equipment, including chair or bed alarms, is in place and working?
- 02What changes were made to the person's risk management plan after the inspection?
- 03How are people's changing needs and preferences shared between shifts?
- 04How do you involve relatives in care reviews and decisions when a person cannot make a decision themselves?
- 05How do you use complaints, incidents and survey feedback to improve the home?
This was a planned inspection covering all five CQC questions, including the premises and care, with records reviewed for four people and four medication records checked. This explanation was written from the published report of 24 December 2019 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, June 2017
Kenilworth Grange Care Home was rated Good; inspectors found safe, kind and personalised care, with activities and medicine guidance still needing attention.
Inspectors visited the home without warning on 3 May 2017. They spoke with people living there, relatives, staff and health professionals. They reviewed care records, medicines records, training records, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well cared for. Inspectors found enough trained staff, accurate care plans, safe medicine systems and good support with food, drinks and healthcare.
The home had improved its Responsive rating since the previous inspection. Staff knew people well and followed their agreed wishes. However, the manager identified that activities and social interaction should be made more personal and varied. Inspectors also asked the home to obtain professional guidance about medicines that were crushed.
Personalised care records
Care plans and risk assessments gave staff clear information about people's needs, risks and preferences. Inspectors found staff knowledge matched the records.
“Care plans contained accurate and detailed relevant information for staff to help them provide the individual care people required.” from the report
Kind and respectful staff
People and relatives spoke positively about the care. Inspectors saw staff being patient, maintaining dignity and encouraging independence.
“People told us staff continued to be considerate, kind and caring when staff provided their care and support.” from the report
Enough trained staff
Inspectors found staffing levels supported people's needs. Training records showed 99% compliance with staff training targets.
“People's care and support was provided by a caring staff team and there were enough trained and experienced staff to be responsive to meet their needs.” from the report
Strong oversight
The home used regular audits, feedback and one improvement plan to identify and follow up actions.
“The provider's internal governance and registered manager's systems were effective to monitor and drive improvements.” from the report
Crushed medicines guidance
needs fixingInspectors found no guidance from a GP or pharmacy showing which medicines should be crushed. The manager agreed to seek this advice so medicines could be given safely and as prescribed.
“However, no guidance from the GP or pharmacy was available to show what medicines should be crushed.” from the report
Activities needed strengthening
minorActivities were provided, but some staff felt there were too few opportunities across the four units. The manager had plans to make activities and social interaction more varied and personal.
“Social interaction and activities within the home and the community must be more robustly pursued, to hopefully give the resident more engagement with their immediate surroundings'.” from the report
- 01What guidance do you now have from the GP or pharmacy about medicines that need to be crushed?
- 02How have you increased the range of activities across all four units?
- 03How do you make sure activities match each person's interests, abilities and preferences?
- 04How do you check that care records remain consistent with what staff know about each person?
- 05How are families involved when care plans are reviewed or a person's health needs change?
This was a comprehensive inspection covering all five rating areas, and the visit was unannounced. This explanation was written from the published report of 3 June 2017 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 Kenilworth Grange Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 31 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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At least 100 live-in carers within about an hour of Warwickshire
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.
Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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.