Kenilworth Grange Care Home

Updated 24 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of two inspectors and a specialist nurse advisor.

Service and service type

Kenilworth Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The first day of our inspection was unannounced. The second day was announced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information we require providers to send us to give some key information about their service, what they do well and improvements they plan to make. This information helps support our inspections.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who works with the service and the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and seven relatives about their experience of the care provided. We spoke with the registered manager, the deputy manager, three nurses, two unit managers, four care assistants, two lifestyle co-ordinators, one housekeeper, the chef and the provider’s health and safety lead. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and four medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed. We spoke with three healthcare professionals who regularly visited the service.

Updated 24 December 2019

About the service

Kenilworth Grange Care Home is a nursing home which provides personal and nursing care to younger and older people over three separate floors. Some of these people have a physical disability, mental health condition or are living with dementia.

Kenilworth Grange is registered to provide care for 60 people, of which a number of beds are part of the 'Discharge to assess' (D2A) scheme (funded by Clinical Commissioning Groups and South Warwickshire Foundation Trust). The D2A scheme aims to ensure people are moved out of hospital (when medically stable) to receive a period of rehabilitation/re-ablement in a community setting prior to assessment of their long-term care needs. Some people on D2A may have complex health care needs and may not be able to return to their own home. At the time of our inspection visit there were 59 people living at the home, 16 of whom were on the D2A scheme.

People's experience of using this service and what we found

There were enough staff with the appropriate skills, knowledge and experience to provide people with safe, effective care. Risk management plans gave staff a clear understanding of the risks people had, how to minimise them, and the equipment required to reduce risks. Staff knew how to recognise abuse and protect people from avoidable harm, neglect and discrimination. There was an open culture in the home where learning from mistakes, incidents and accidents was encouraged.

People's care needs, risks and preferences were assessed before they moved into the home to ensure staff could meet those needs. Staff were trained and supported to undertake their work effectively. Staff worked in partnership with a multi-disciplinary team to enable people to live healthier lives or to manage long term medical conditions. Medicines were managed in accordance with good practice and people received their medicines as prescribed. People’s nutritional and hydration needs were met.

Staff communicated with people in a warm and friendly manner. Staff understood the importance of recognising people had past lived experiences, histories and lifestyles and used this information to form relationships with them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People received individualised care and support. Staff were able to respond to people’s changing needs because information was shared effectively within the home. People were offered opportunities to engage in activities of interest to them and were supported to maintain relationships with important people in their lives.

There was a clearly defined management structure within the home and staff felt supported by the management team. There was a robust approach to quality assurance and learning from adverse incidents to drive improvement. The service worked in partnership with health and social care professionals to ensure people received the care they needed and to improve their outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The rating at the last inspection for this service was good (published 3 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.