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CQC report explained · a residential care home

What the CQC found at Kiniths House

Goodpublished 9 January 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home prevented and managed infection risks. They found effective visiting procedures, testing, personal protective equipment, cleaning, ventilation and social distancing arrangements.
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.
The latest report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors found strong infection prevention and control measures at Kiniths House.

This was an announced, targeted inspection on 15 March 2021. It was carried out because of the COVID-19 pandemic and looked at infection prevention and control in the home.

Inspectors found robust visiting arrangements, plentiful personal protective equipment, regular COVID-19 testing and effective cleaning. They were assured that the home was managing infection risks, including safe admissions and possible outbreaks.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a full rating across all five areas of care.

What inspectors praised
  • Visiting controls

    Visitors had to confirm they were well and had no COVID-19 symptoms, and they had to wear personal protective equipment.

    “Robust visiting procedures were in place to prevent infection entering the home.” from the report
  • Testing and protective equipment

    Staff were tested three times a week and people living in the home every 28 days. Personal protective equipment was plentiful and staff used it in line with guidance.

    “PPE was plentiful and available throughout the home.” from the report
  • Clean and suitable environment

    The home used single rooms, social distancing and ventilation to reduce transmission risks. Inspectors found it clean and hygienic, with frequent in-depth cleaning.

    “The premises were clean and hygienic. In-depth cleaning was maintained throughout the day and night.” from the report
  • Up-to-date infection policy

    The provider reviewed its infection prevention and control policy when government guidance changed. Staff had training covering COVID-19 awareness, using protective equipment and testing.

    “The provider was proactive to ensure the IPC policy was current and reviewed when new government guidance was issued.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your visiting procedures changed since the inspection in March 2021?
  2. 02What COVID-19 or other infection testing arrangements are currently in place for staff and residents?
  3. 03What happens if a resident or member of staff tests positive for an infection?
  4. 04How often are the infection prevention and control policy and cleaning procedures reviewed?
  5. 05How do you make sure staff are trained to use personal protective equipment safely?

This was a targeted inspection of infection prevention and control under the Safe question only; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 2 April 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.

An earlier report, explained

What inspectors found, January 2019

Rated Good; inspectors found safe, kind and personalised care, with a small gap in staff knowledge about accessible information.

This was an unannounced, planned inspection on 7 December 2018. One inspector reviewed information held by the CQC, spoke with five people and four staff, and examined care records, medicine records, accident records, complaints and quality checks.

The inspectors found that people were safe, with enough staff, secure medicines and suitable risk assessments. Staff had training, people received food and drink suited to their needs, and they could access health professionals.

People were treated kindly and respectfully. They were involved in decisions about their care, daily lives and activities. Care plans reflected their preferences, and the home had a complaints process.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was also rated Good at the previous inspection, published on 14 September 2016.

What inspectors praised
  • Safe staffing and medicines

    Inspectors saw enough staff to support people safely. Medicines were stored securely and administered using an electronic system.

    “Our observations showed there were sufficient staff to support people safely.” from the report
  • Kind and respectful care

    People described staff as kind, and inspectors saw people looking relaxed and comfortable. Staff supported privacy, dignity and independence.

    “Staff showed they were caring with people by the way they spoke to them and people were constantly smiling and showing they were relaxed and comfortable around staff.” from the report
  • Personal choice

    People were involved in decisions about food, activities, holidays and how they were supported. Staff knew their likes, dislikes and preferences.

    “The culture within the service was one of people deciding how they were supported, what they did and when.” from the report
  • Good management checks

    The manager used audits, spot checks and competency checks to monitor quality and staff skills. The home also worked with health and social care professionals.

    “Spot checks and audits were carried out by the registered manager so areas needing improvement within the service could be identified and rectified.” from the report
What inspectors were concerned about
  • Accessible information training

    minor

    The manager and staff did not know the accessible information standard. Inspectors were told training would take place shortly, although they found that suitable communication methods were already being used.

    “The accessible information standard was not known to the registered manager and staff” from the report
  • Building work ongoing

    minor

    Maintenance and development work was still being carried out in bathrooms, shower rooms and other areas. Ask how this affects your relative and when it will be finished.

    “The provider was currently carrying out a number of maintenance/development works to the property.” from the report
Questions to ask them, based on this report
  1. 01What training has now been completed on the accessible information standard?
  2. 02Which maintenance and development works are still outstanding, and how will they affect residents?
  3. 03How will you support my relative's specific communication needs and preferences?
  4. 04How are medicine records checked to make sure medicines are given as prescribed?
  5. 05How will my relative be involved in reviews, activities and decisions about their care?

This was an unannounced, planned inspection that looked at the care home, its premises and all five CQC questions. This explanation was written from the published report of 9 January 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.

The story over the years

Every inspection of Kiniths House

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Kiniths House →

  2. January 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Kiniths House →

  3. September 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 10 December 2010.

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.

Next steps

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Care at home

At least 100 live-in carers within about an hour of Dudley

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 £980 to £1,230 a week. 88 can care for a couple. 10 years' experience on average.

“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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