The Care Quality Commission
  • Care Home
  • Care home

Archived: Kelvedon House

10 Clarkson Road, Wednesbury, West Midlands, WS10 9AY (0121) 505 7775

Provided and run by:
Keyplan Properties Limited

Important: The provider of this service changed. See new profile

All Inspections

22, 23 October 2013

During an inspection in response to concerns

We carried out this inspection in response to concerning information we had received. We also had concerns shared with us by Sandwell Council.

At the time of our inspection 49 people were living in the home. We spoke with 12 people, 11 staff, four relatives, a visiting professional and the provider. We looked at the care records of eight people. We observed the interactions between staff and the people living in the home to get a view of how people were being treated when they could not verbally express their needs.

We saw that interactions between people and the staff were generally caring and friendly. One person told us, 'I am alright'. Another person told us, 'I enjoy a good sing song'. A visitor told us that they were happy with their relatives care but staff always seemed very busy.

Care records that inform staff about how people's needs should be met were not detailed and had not been kept up to date. So staff may not have all the information they needed to meet people's needs and keep them safe.

Systems in place to protect people from the risk of unsafe care were not robust and they had not ensured people's wellbeing and safety.

Staff had not received all the training they needed so they could meet people's needs and keep them safe.

The systems in place for monitoring the quality of the service provided were not robust and had not ensured that people's views about the home were considered.

17 January 2013

During a routine inspection

During our visit to Kelvedon House we were able to speak to the staff, service users, family and friends, in addition to reviewing documentation relevant to the outcomes inspected.

The information collected from these different mechanisms, when combined with our observation of the care and support provided, enabled us to conclude that the services provided both respected and involved people.

At Kelvedon House we found a programme of care that clearly supported individual's (or others acting on their behalf) with their needs, from the point at which there were referred to the service, or before if required, to the point where they left the service or were supported with their end of life care wherever possible.

This care programme included implemented procedures which ensured that: each individual's nutritional and hydration needs were fully assessed and monitored; people who used the service were protected from the risk of abuse; and that there was a clear system in place to assess and monitor the quality of the service provided.

Although we noted that staff appraisals had not been carried out in the last year staff were clear about the lines of accountability in the service and regular supervision arrangements were in place which included personal development reviews. We therefore concluded that the provider was compliant in the the six standards we reviewed.

During an inspection looking at part of the service

We reviewed the service's compliance with a number of essential standards in December 2011. Whilst we found that the service was compliant with most of these there was one essential standard where we found minor concerns. In addition there was one outcome area where improvements were needed so that the provider remained compliant with the law.

This review was carried out to look at all the information we have received since we told the provider where they needed to improve.

We told the provider after our last review that any restrictions placed on a person, such as the use of bedrails, should be subject to the consent of the individual person or their designated representative.

When we visited Kelvedon House in December 2011, we spoke with people who told us they are involved in planning their care. We heard from people that staff 'Go through the care plan' and a relative told us that the care agreed is 'exactly what is given'.

A relative told us that they had sat with a social worker and went through the care review. Relatives also told us that they were updated if the health of their relative had changed.

We saw in one instance that there was no signed consent available for a resident that required the use of bedrails. There was a care plan for maintaining the resident's safety. The registered manager had since informed us that a meeting had been arranged to ensure agreement is obtained.

The registered manager wrote to us after our visit and showed us that consent had been obtained for the resident that required the use of bedrails.

When we visited the home in December 2011, we heard positive feedback from people and relatives about the staff. We heard that 'Staff are always well mannered'.

We saw from training records that staff had been well supported with training that they had received and this was mostly up to date. There was a need for staff training in safely moving and handling people. The manager had identified this was needed prior to our visit.

We saw on two occasions staff using an underarm technique to lift a person, this was not appropriate as it had potential to cause injury. This supported the need for all staff to complete the moving and handling training.

We told the provider that moving and handling training was required to ensure that staff are able to move and transfer people safely.

The registered manager wrote to us after our visit and showed that most staff had received moving and handling on 20 December 2011. The remaining staff are scheduled to complete the training on 20 February 2012.

8 December 2011

During a routine inspection

We spoke with people who told us that they were involved in planning their care. We heard from people that staff 'go through the care plan' and a relative told us that the care agreed is 'exactly what is given'. People told us they get 'all the support you need' and 'any problems, you tell them and they do it'.

In talking with relatives or through observation we saw that people's choices and support needs were reflected in their care plans. A relative told us that they sat with a social worker and went through the care review. They also told us that they were updated if the health of their relative changes.

People told us about residents' meetings where they could raise any problems with staff. We were told staff would resolve these.

People told us about their activities and these matched the care plans for what people liked to do. People also said they 'always go swimming two to three times a week' and 'go to town as it isn't far'. We were told that people could read and do what they wanted.

Relatives told us that they are invited to any entertainment and the upcoming activities were on the notice board. A relative told us that they have plays at the home, sing songs, go for pub lunches and have external entertainers about once a month. Relatives knew what entertainment was planned for December telling us that there was a 'film show this afternoon, local choir carol singing and a singing duet called Tickled Pink due'.

Relatives told us that they can visit anytime and that there was 'always a cup of tea and some toast for you'.

A relative told us that there are meetings that the families can attend and raise issues. The relative also said the registered manager will listen and if she can, put things right.

People told us that they would 'tell the staff if any problems, very good at sorting problems out' and that they felt safe. Relatives told us they were confident that their relative was safe. People told us that they 'like living here'. There were no concerns raised when we spoke with people.

People we spoke with were able to decide what they wanted to do. We heard that some people were able to go out with support from staff as needed. People told us that their choices were promoted by staff and we saw that people moved around freely. People told us positive feedback from people about the staff and relatives. We heard that 'staff are always well mannered'.

People also said that they liked it at Kelvedon House and a relative said 'it's smashing here'.