CQC report explained · a residential care home
What the CQC found at Kun Mor and George Kiss Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed, medicines were managed safely, infection control measures were in place and recruitment checks were carried out safely.
- Effective?
- Good
- Staff had suitable training and support. People received appropriate help with food, drink and health needs, and the home worked with health professionals.
- Caring?
- Good
- People and relatives described staff as kind and caring. Staff respected privacy, dignity, independence, religious traditions and cultural needs.
- Responsive?
- Good
- Electronic care plans recorded people's needs, preferences and routines. There were activities and a complaints process, although activities had reduced during the pandemic and some records did not fully describe mental health needs.
- Well-led?
- Good
- The home was managed openly and had plans to improve audits and documentation. Some relatives experienced good communication, while others said they received little information unless they contacted the home.
What inspectors found, December 2021
Kun Mor and George Kiss Home is rated Good; inspectors found kind, safe care, with some improvements needed in audits, communication and activities.
Inspectors visited on 11 and 18 November 2021 without giving notice. They spoke with people living in the home, relatives, staff, managers and a visiting GP. They also checked care records, medicines, recruitment files, complaints, accidents and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, staff were kind, medicines were managed safely, and care was based on people's needs, preferences and cultural background.
The pandemic had reduced activities and affected staff supervision and quality checks. The home had plans to improve its audits and records. Some relatives also reported inconsistent communication and questioned whether staffing and activities were always sufficient.
Kind and respectful staff
People and relatives generally said staff were kind, caring and respectful. Inspectors saw staff protect people's dignity and involve them in their care.
“People and their relatives told us staff were kind and caring.” from the report
Safe medicines and care
Medicines, including controlled drugs, were managed safely. Staff were trained and assessed as competent to give medicines.
“Medicines, including controlled drugs, were managed consistently and safely in line with national guidance.” from the report
Clean home
The home was clean and had infection control arrangements, including additional cleaning and appropriate use of protective equipment.
“The service was clean and infection control measures were in place in line with best practice.” from the report
Culturally appropriate support
Staff understood Jewish traditions and kosher dietary requirements. People were supported to take part in cultural and religious activities.
“The home supported people of Jewish faith and staff were trained to appreciate Jewish traditions” from the report
Personalised care
Care plans recorded people's routines, preferences and support needs. People and families were involved in care planning and reviews.
“People were encouraged to be independent and are involved in their care plan.” from the report
Quality checks were catching up
needs fixingThe full range of provider audits had not taken place for 18 months, and care plan checks were less regular than before the pandemic. The provider had identified this and started an action plan.
“The full range of provider audits had not taken place over the previous 18 months” from the report
Communication with relatives varied
needs fixingSome relatives received regular updates, but others said they had to contact the home to find out how their family member was doing. The home said it would explore this.
“Other relatives said, "My main concern is a lack of communication; I only get feedback if I ring and ask them how he is.” from the report
Fewer activities during the pandemic
needs fixingThere was still a range of activities, but fewer than before the pandemic because of social distancing and fewer volunteers. Some relatives reported limited stimulation and planned trips that had stalled.
“Whilst there remained a broad range of activities at the service, from music, art, singing, dancing and flower arranging, there were fewer activities than prior to the pandemic.” from the report
Some records could be clearer
minorTwo people's mental health needs were not fully described in their records, although staff understood those needs and inspectors saw appropriate care. The complaints log also did not record learning from complaints.
“We identified two people whose mental health needs could be further expanded on in records” from the report
- 01How many activities are now available each week, and how do you make sure people who cannot join group activities are included?
- 02How will you keep relatives updated without them having to phone first?
- 03What changes have been made to the provider audits and care plan checks since this inspection?
- 04How are staffing levels decided on each unit, and how do you respond when people are left waiting or sitting for long periods?
- 05How do care records now describe people's mental health needs and the learning from complaints?
This was an unannounced inspection covering all five CQC questions, including care, premises, medicines, records, staff recruitment and infection control; inspectors also spoke with relatives by telephone. This explanation was written from the published report of 10 December 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, July 2019
Kun Mor and George Kiss Home was rated Good; inspectors found kind, personalised care, with minor medicines documentation issues.
The inspection was unannounced and took place on 20 May 2019. The inspection team spoke with people living in the home, relatives, staff and health professionals. They reviewed care records, medicines records, incidents, complaints, staff records 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 staff were kind. Inspectors found the home clean, homely and well organised, with personalised care and a range of activities.
There were some minor issues. Documents for medicines given covertly were not complete in line with best practice. Some people and relatives also felt there were not always enough staff at weekends. The home said it was addressing these points.
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw people treated with dignity and staff responding to behaviour in a firm but kind way.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised care
Care records included people's routines, backgrounds, preferences and current needs. A keyworker system helped staff get to know people individually.
“We found care records were up to date, personalised and comprehensive.” from the report
Good management
The management team used audits, handovers, meetings and feedback to monitor care and make improvements. Staff and relatives spoke well of the local managers.
“We found the service was very organised and were able to show us evidence they had effective management systems in place.” from the report
Activities and choice
People could take part in music, art, outings, gardening, photography and film. Inspectors saw people enjoying activities with staff support.
“The service ran a broad range of activities taking place at the service from music, art, outings, gardening photography and film.” from the report
Clean and homely environment
Inspectors found the home clean and maintained to a high standard. It was wheelchair accessible and had gardens and accessible bathing facilities.
“The service was clean on the day of the inspection.” from the report
Covert medicines paperwork
needs fixingFor some people given medicines without their permission, the pharmacist had not signed the list and the method of giving the medicines was not always recorded. The home said a new policy and pharmacy support were being put in place.
“The pharmacist had not signed the documentation to confirm the list of medicines to be given covertly; and the method of giving the medicines had not always been stipulated by the pharmacist.” from the report
Weekend staffing
needs fixingMost people said there were enough staff, but two relatives and one person felt staffing was sometimes insufficient at weekends. Managers said they were reviewing levels and increasing staffing at busy times.
“However, two relatives and one person told us they thought there were not always enough staff at weekends.” from the report
Some care reviews were overdue
minorThe home used yearly care reviews, but some reviews were overdue at the inspection. Managers said they were working to arrange them with relatives and representatives.
“The registered manager told us some reviews were overdue but they had reminded relatives at the last meeting to make their availability known to book in reviews.” from the report
- 01How was the new medicines policy for covert medicines implemented after the inspection?
- 02How do you now make sure a pharmacist approves the medicines list and instructions for giving covert medicines?
- 03What are the current staffing levels at weekends, and how do you respond when demand is higher?
- 04How are overdue care reviews and capacity assessments being completed and kept up to date?
- 05How will you make sure agency staff continue to know each person's care needs and routines?
This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided. This explanation was written from the published report of 4 July 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 Kun Mor and George Kiss Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Kun Mor and George Kiss Home →
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Kun Mor and George Kiss Home →
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015
Registered with the Care Quality Commission on 9 July 2015.
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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