Kineton Manor Nursing Home

Updated 14 December 2021

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by five inspectors and a pharmacy inspector. Two inspectors and the pharmacy inspector visited the home. The other three inspectors spoke with staff and relatives over the telephone or by email.

Service and service type

Kineton Manor is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided and both were looked at during this inspection.

The service had two managers registered with the Care Quality Commission. The registered managers 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

Our inspection was announced. We gave the service 60 minutes notice of our visit because the service was inspected during the coronavirus pandemic and we wanted to be sure we were informed of the home's coronavirus risk assessment for visiting healthcare professionals before we entered the building.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection and recurrent themes of concerns. We sought feedback from the local authority and commissioners who work with the service. We also contacted 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 of this information to plan our inspection.

During the inspection

We spoke with one person who lived at the home and a visiting relative about their experiences of the care provided. We spoke with one of the registered managers, the deputy manager, two nurses, an infection control lead, five care workers, two housekeeping staff, a member of catering staff and an activities co-ordinator.

We reviewed four people's care records in detail, three medicines related care plans and eight people’s medicines records. We looked at a sample of records relating to the management of the service including health and safety checks, accident and incident records, policies and procedures and a sample of completed audits and checks.

After the inspection

We spoke with eight people's relatives and two staff members via the telephone. We had email correspondence with a further two members of staff. We reviewed the additional documentation we had requested from the registered manager during the site visit. We continued to seek clarification from the provider to validate evidence found.

Updated 14 December 2021

About the service

Kineton Manor Nursing Home provides accommodation, nursing and personal care for up to 53 older people, who may have dementia. There were 51 people living at the home at the time of our inspection.

People's experience of using this service

The provider completed quality checks in key areas of the service which had driven improvements. People received their medicines as prescribed however, some improvements in the safe management of medicines were identified. The provider later sent us information about how they were going to strengthen their medicines management processes to ensure any shortfalls were quickly identified.

Staffing levels met people’s needs. Staff supported people in an unrushed manner and were able to respond to requests for support without any undue delay.

Staff understood the importance of risk management and changes in risks to people's health and wellbeing were shared during the handover between shifts. Staff were trained in safeguarding and confident in reporting safeguarding concerns.

The home was clean and tidy and infection control practices minimised the risks of infections spreading.

Relatives spoke positively about their experiences of the home and the care and compassion demonstrated by managers and the staff team. All the staff we spoke with told us they were confident in raising any concerns and would not hesitate to do so knowing they would be listened to.

The provider had recently restructured the management team to make it more effective and was responsive to feedback. Following our inspection the provider took immediate action to review their medicines protocols and procedures.

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

Rating at last inspection

The last rating for this service was Outstanding (published 19 May 2019).

Why we inspected

The inspection was prompted in part due to information received about the management of medicines and a culture of staff not feeling able to raise concerns. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from outstanding to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kineton Manor on our website at www.cqc.org.uk.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.