CQC report explained · a nursing home
What the CQC found at Kenton Hall Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, May 2021
Rated Good; inspectors found safe medicines processes, personalised activities and stronger management, but some records still needed improvement.
This was a focused inspection on 14 April 2021. Inspectors examined medicines management because CQC had received concerns after a specific incident. The report says the incident was subject to a criminal investigation, and this inspection did not examine what happened.
Inspectors found medicines were managed safely. Staff training and competence checks were up to date. Infection prevention measures were also found to be suitable. However, some records for medicines given when needed were not detailed enough.
People had varied activities and care plans generally contained useful personal information. Some care plan records included duplication, and a small number needed more review, especially for end of life care. The home was described as open, welcoming and well-led.
The overall rating improved from Requires Improvement to Good. Responsive and Well-led were rated Good. Safe was inspected but not rated, and the other questions were not reviewed during this visit.
Medicines management
The medicines processes inspected were safe and well monitored. Staff training and competence checks were up to date.
“Effective and safe systems were in place for the management, storage, ordering and disposal of medicines we reviewed.” from the report
Activities and relationships
People had varied group and one-to-one activities. The home also worked to reduce isolation during the pandemic through calls, events and outdoor visiting.
“Group activities were imaginative and varied - they included themed days which had regard to people's culture heritage” from the report
Personalised care
Care plans recorded people's likes, dislikes, comforts and anxieties. Staff supported people to make choices about daily life.
“Care plans contained sufficiently detailed amounts of person-centred information about people's likes, dislikes, comforts and potential anxieties.” from the report
Management and culture
Inspectors found the home welcoming and inclusive. Staff, relatives and professionals spoke positively about the new manager's openness and approachability.
“The atmosphere was upbeat, inclusive and welcoming.” from the report
When-needed medicines records
needs fixingSome instructions for medicines given when needed did not contain enough personal detail. CQC recommended that these care plans be made more person-centred.
“Others were not as detailed and the provider committed to reviewing these.” from the report
Care plan duplication and review
minorSome care planning records repeated information. A small number of plans needed further review, particularly around end of life care.
“Some areas contained duplication and a small number of care plans we reviewed would benefit from further review, particularly with regard to end of life care.” from the report
- 01How have you updated the records for medicines prescribed to be given when needed?
- 02How are you reviewing care plans for end of life care and removing duplicated information?
- 03What additional training and competence refresher work was completed after the recent incident?
- 04How will you support activities, family contact and visiting if pandemic restrictions or other restrictions return?
- 05Has the manager completed the process of applying to register with CQC?
This was a focused inspection of medicines and infection prevention under Safe, plus Responsive and Well-led; Safe was not rated and the other key questions were not reviewed, so previous ratings carried over. This explanation was written from the published report of 14 May 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, March 2021
Inspected but not rated; inspectors found good infection prevention and control arrangements.
The inspection took place on 10 March 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, focused on infection prevention and control.
Inspectors found the home was clean, with regular cleaning of surfaces. Staff had suitable personal protective equipment and extra training on using it. Visitors had health checks, COVID-19 testing and risk assessments before visits.
The home had a designated visiting room and pod. Inspectors were assured that the home was managing visitors, admissions, testing, social distancing, shielding and possible outbreaks safely.
The service was inspected but not rated. This means the report does not give a full quality rating for the home.
Clean environment
Inspectors found the home clean and said surfaces were cleaned regularly.
“The home was clean and there was regular cleaning of all surfaces.” from the report
Safe visiting
The home used health declarations, COVID-19 testing and risk assessments for visitors. It also provided a visiting room and pod for contact with relatives.
“There was a designated visiting room and pod to allow people to have social interaction with their relatives.” from the report
PPE and staff training
Staff had access to suitable PPE and received extra training about infection prevention and correct PPE use.
“Staff had received additional training during the pandemic about correct PPE usage and infection prevention and control.” from the report
Infection control arrangements
Inspectors were assured that the home had arrangements covering testing, admissions, social distancing, shielding and managing outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are surfaces and shared areas cleaned now, and how often is this checked?
- 02What checks and risk assessments are currently required before relatives visit?
- 03How do you make sure staff have suitable PPE and keep up to date with infection prevention training?
- 04How are new admissions tested and assessed for infection risk?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated overall. This explanation was written from the published report of 18 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 Kenton Hall Nursing Home
6 rated inspections over 6 years: the service has held its Good rating throughout.
- May 2021Goodcurrent ratingSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- August 2020Requires improvementstayed Requires improvementWell-led: Good
- August 2019Requires improvementstayed Requires improvementSafe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2017Requires improvementdown from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 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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