CQC report explained · a residential care home
What the CQC found at Kenwyn
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff to meet people's needs, safe medicine systems, suitable recruitment checks and good infection-control arrangements. Some night shifts had no medicine-trained member of staff, although an on-call arrangement was in place.
- Effective?
- Good
- Staff training had improved and care plans contained useful information about people's needs. Some staff had missed supervision for several months, but the manager had plans to address this.
- Caring?
- Good
- Caring was not covered by this focused inspection. The report says ratings for questions not inspected were carried forward from the previous comprehensive inspection.
- Responsive?
- Good
- Care was personalised and reviewed regularly. Staff supported activities, communication, food preferences and end-of-life care, although some end-of-life plans needed more detail.
- Well-led?
- Good
- The home had a new manager, regular audits and provider-level quality monitoring. People, relatives and staff were consulted, and inspectors found the previous governance breach had been addressed.
What inspectors found, July 2021
Kenwyn is rated Good; inspectors found safe, kind and personalised care, with some records and staffing arrangements still being improved.
This was an unannounced focused inspection on 3 June 2021. Two inspectors spoke with people living in the home, relatives, staff, managers and health professionals. They reviewed care records, medicines records, staff files and the home's quality checks.
The home provided residential care for 19 people aged 65 and over, although it could support up to 25 people. Inspectors found people were safe, the home was clean and comfortable, and staff provided personalised care. Medicines were stored, given and recorded safely. Staff worked with health professionals and supported activities, food choices and people's wellbeing.
The service was rated Good overall and Good for Safe, Effective, Responsive and Well-led. Caring was not assessed during this inspection. The previous overall rating was Requires improvement, with breaches of regulations. Inspectors found enough improvement had been made and the home was no longer in breach.
Safe medicines
Inspectors found no unexplained gaps in medicine records and saw regular checks of medicine storage and administration.
“At this inspection we saw no unexplained gaps in the medicine records.” from the report
Personalised support
Staff knew people's interests and preferences and used this knowledge to plan activities, decorate rooms and support individual wellbeing.
“Staff knew people well, and knew the things they were interested in.” from the report
Food and choice
Menus were shaped by people's preferences and nutritional needs. People could ask for alternatives, and snacks were offered to help maintain healthy weights.
“People had been consulted to ensure menus reflected their choices and nutritional needs.” from the report
Improved care
The service had improved since the previous inspection, including staff training, accommodation, care records and quality checks.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
Night medicine cover
needs fixingThere had occasionally been night shifts without a medicine-trained member of staff. An on-call senior carer or manager could attend if medicines were needed.
“Occasionally there had been some night shifts without a medicine trained member of staff on duty” from the report
Supervision backlog
minorSome staff had gone several months without supervision after the management change. The manager had plans to catch up.
“Due to the recent change of manager some staff had not received supervision for several months.” from the report
End-of-life plans
needs fixingSome end-of-life care plans did not contain much detail about individual wishes. The manager said this needed to improve.
“Some plans were very brief, indicating the person's next of kin should be contacted for any end of life decisions.” from the report
Cream records
minorComputer records did not initially give specific details of creams and lotions applied. Paper body-map records were reinstated during the inspection.
“However, these records did not contain specific details about the creams applied.” from the report
- 01How do you ensure a medicine-trained member of staff is available on every night shift?
- 02Have all overdue staff supervision sessions now been completed?
- 03How will you record each person's detailed end-of-life wishes and preferences?
- 04How are creams and lotions recorded now, and how do you check that each one has been applied?
- 05What improvements have been made to signage for people living with dementia?
This was a focused inspection of Safe, Effective, Responsive and Well-led; Caring was not inspected and the report says ratings for questions not looked at were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 2 July 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, November 2019
Rated Requires Improvement; inspectors found kind care and progress, but medicines, staff training, cleanliness and management checks were not reliable enough.
This was an unannounced comprehensive inspection carried out over three days. Inspectors spoke with people living in the home, relatives, staff and healthcare professionals. They observed care and reviewed care plans, medicine records, staff files and management records.
People generally said they felt safe and well cared for. Staff were kind and respectful, care plans had improved, and food and drink were monitored. However, five people's medicine records showed missed doses or did not clearly show whether medicines had been given correctly.
The home had also had problems with cleaning, staff training, activities and management checks. Some improvements happened during the inspection, but they had not been sustained. The overall rating and all ratings except Caring were Requires Improvement.
Kind and respectful care
People and relatives were positive about the staff. Inspectors saw staff treating people with kindness, dignity and respect.
“We observed them engaging people in a kind, caring and inclusive way.” from the report
Improved care planning
Care plans contained more detail about people's individual needs and wishes. This helped staff provide more consistent, person-centred care.
“Care plans were person centred and included any best practice and information from healthcare professionals.” from the report
Food and health monitoring
People were offered a varied diet, snacks and drinks. Staff monitored food and fluid intake and referred people to healthcare professionals when needed.
“Where it was noted there was a concern, for example in not drinking enough, people had been referred to their GP.” from the report
Suitable recruitment and staffing arrangements
The report found that recruitment checks were completed before staff started work. Staffing levels had also increased since the previous inspection.
“Recruitment was robust and ensured staff were only employed once all checks had been completed” from the report
Medicines were not always safely recorded
seriousFive people's records showed missed doses or did not make clear whether medicines had been given correctly. There were also no trained night staff available to give medicines.
“There were problems with five people's medicines administration records where doses of one or more medicine had been missed” from the report
Important staff training was incomplete
seriousSome staff had not completed fire or safeguarding training. Other role-specific training was also missing, and the training records did not always give a reliable picture.
“However some key training had not taken place which could have placed people at potential risk.” from the report
Cleaning and maintenance needed improvement
needs fixingInspectors found strong smells, dirty areas and worn or stained furniture and carpets on the first visit. Some problems improved during the inspection, but more refurbishment was planned.
“Some areas of the home had strong odours of urine, and were not clean or well maintained.” from the report
Activities were not fully personalised
needs fixingGroup activities had increased, but there was limited time for people who could not or did not want to join them. People could not access the community unless they could do so independently.
“There was limited time to spend with people who were unable or did not want to join in group activities” from the report
Management checks missed problems
seriousQuality checks had improved but did not identify issues with medicines, cleanliness and furnishings. The provider had not yet shown that improvements were fully embedded.
“The registered providers quality monitoring was not always robust and failed to identify improvements were needed” from the report
- 01What has changed to make sure every dose is given and recorded correctly, including medicines needed overnight?
- 02How many staff have now completed fire, safeguarding and role-specific training?
- 03What is the timetable for replacing worn carpets and furniture and improving cleaning?
- 04How will people who do not join group activities get individual time and access to the community?
- 05How are management checks now identifying problems before they affect people's safety?
This was an unannounced comprehensive inspection covering all five quality questions, brought forward because the home was in a whole-home safeguarding process. This explanation was written from the published report of 22 November 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.
Every inspection of Kenwyn
7 rated inspections over 5 years: the service has held its Good rating throughout.
- July 2021Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2018Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2018Requires improvementdown from GoodSafe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- March 2018Goodstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- March 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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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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.
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