CQC report explained · a residential care home
What the CQC found at Kinsey Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, appropriate risk assessments, safe medicines systems and effective infection control. Staff knew how to recognise and report abuse and manage emergencies.
- Effective?
- Good
- People's needs were assessed and reviewed. They were supported with food, healthcare, communication, independence and decision-making in line with the Mental Capacity Act.
- Caring?
- Good
- Staff were kind and caring, respected privacy and involved people in daily decisions. People were supported to develop independence and express their views.
- Responsive?
- Good
- Care plans were personalised and staff knew people's likes, dislikes and histories. People were supported with communication, family relationships, activities, education and employment.
- Well-led?
- Good
- People and staff said the home was well led. Inspectors found regular audits, action plans, opportunities for feedback and systems to monitor and improve quality.
What inspectors found, February 2020
Kinsey Road was rated Good overall; inspectors found safe, kind and personalised care, with end-of-life wishes not recorded.
This was an unannounced planned inspection on 14 January 2020. One inspector spoke with all four people living in the home, two staff and the registered manager. They reviewed care records, medicines records, complaints, audits and other management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, personalised care and support for people to make choices, develop independence, access health services and take part in activities, education and work.
The report noted one area to keep under review. People's end-of-life care needs and wishes had not been recorded, although the registered manager said discussions had taken place and plans would be made if people wished to discuss this. The overall Good rating was unchanged from the previous inspection, published in August 2017.
Safe medicines
Inspectors found that medicines had been given as prescribed and that records were complete. Guidance was available for medicines given when needed.
“Medication Administration Records had been completed and guidance was available to ensure that 'as and when required' medicines were given consistently by all staff.” from the report
Kind and respectful staff
People described staff as kind and caring. Inspectors saw friendly relationships and respect for people's privacy and choices.
“People were supported by staff who were kind and caring.” from the report
Independence and choice
People were supported to make daily choices, prepare meals, manage their flats and go out independently where possible.
“People independence was encouraged. We saw people being supported to prepare their own meals, tidy their own flats and go out independently where possible.” from the report
Activities and work
People were supported to follow their interests and take part in education, paid work and voluntary work.
“In addition to social activities, people were also supported to pursue educational or employment opportunities.” from the report
Quality monitoring
The home had audits and improvement plans covering areas such as medicines, infection control and the environment. People were also asked for feedback.
“There were robust systems in place to monitor quality.” from the report
End-of-life wishes were not recorded
minorThe report says people's end-of-life care needs and wishes were not recorded. The manager said discussions had taken place, but no one had expressed a wish to discuss or record their wishes at that time.
“People's end of life care needs and wishes were not recorded.” from the report
- 01How would you discuss and record my relative's end-of-life care wishes if they wanted to do this?
- 02How will you support my relative to make daily choices and change their mind about planned activities?
- 03How will you support my relative's specific communication needs?
- 04What activities, education, employment or volunteering opportunities could you support my relative to take part in?
- 05How do you check that medicines, including medicines given when needed, are recorded and given safely?
This was an unannounced planned inspection covering all five CQC areas, and the home was rated Good in each one. This explanation was written from the published report of 29 February 2020 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, August 2017
Kinsey Road was rated Good; inspectors found safe, caring and personalised support, with a shortfall in notifying the CQC about some events.
This was an unannounced comprehensive inspection on 12 July 2017. Inspectors spoke with three people living in the home, three relatives and staff. They also observed care and checked care plans, medicines, staffing, complaints and quality records.
The inspectors found that people were safe and received their medicines as prescribed. There were enough trained staff, risks were recorded, and staff understood how to respond to abuse or changes in people's conditions.
People were supported by staff who understood their needs, communication styles and preferences. They were involved in their care, encouraged to be independent, supported with activities and helped to access health professionals.
All five areas were rated Good. The home remained Good, as it had been at the previous inspection. The report noted that the registered manager had not always notified the CQC about some events when required.
Staffing and safety
There were enough trained staff to meet people's needs promptly. Staff knew how to manage risks linked to people's conditions and how to respond to suspected abuse.
“There were enough suitably trained staff on each shift to keep people safe.” from the report
Skilled support
Staff had the knowledge and training needed to support people. The report also found regular supervision and access to specialist advice when needed.
“The needs of people were met consistently by staff who had the right competencies, knowledge, qualifications, skills, experience, attitudes and behaviours.” from the report
Respect and independence
Staff knew people's histories, preferences and communication styles. They respected privacy and encouraged people to take part in daily tasks and decisions.
“We saw staff respected people's privacy and they took care to ask permission before supporting people with personal care.” from the report
Personalised care
People helped develop their care plans and chose activities that matched their interests. Staff responded when people's needs changed.
“People's care plans were thorough and reflected people's needs, choices and preferences.” from the report
Medicines management
Medicines were stored correctly and given by trained staff. Audits and reviews were used to check that medicines were given as prescribed.
“Regular audits and reviews ensured people received the appropriate medication as prescribed.” from the report
Required notifications
needs fixingThe registered manager had not always notified the CQC about specific events that the service was required to report. Families may want to ask what has changed in the home's reporting process.
“The registered manager was aware of their responsibilities to the commission however they had not always notified us of specific events they were required to.” from the report
- 01What changes have been made to make sure all events that must be reported to the CQC are notified on time?
- 02How will you make sure staffing levels and the planned support in my relative's care plan are maintained when staff are absent?
- 03How are medicines audited, and how would you tell us if there was a medicines error?
- 04How often will my relative's care plan and risks be reviewed, and how will their views be recorded?
- 05How will you support my relative to choose activities, meals and daily routines in line with their preferences?
This was an unannounced comprehensive inspection covering all five questions and the overall quality rating. This explanation was written from the published report of 16 August 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 Kinsey Road
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- April 2013
Registered with the Care Quality Commission on 24 April 2013.
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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