Background to this inspection
Updated
8 December 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Roy Kinnear House is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. Inspection activity started on 31 October 2022 and ended on 10 November 2022. The inspection visit took place on 2 November 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke in person with the home’s clinical nursing lead as the registered manager wasn’t present. People couldn’t use words to communicate verbally and did not comment on the service. We spoke with 5 relatives or advocates, 5 staff, and 3 healthcare professionals to get their experience and views about the care provided. We reviewed a range of records. They included 2 people’s care plans and risk records. We looked at 3 staff files in relation to recruitment, training and staff supervision. We checked a variety of records relating to the management of the service, including staff rotas, training, and service level audits. We continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection. This included staffing and training information, and provider quality assurance audits. We received the information which was used as part of our inspection.
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.
Updated
8 December 2022
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
About the service
Roy Kinnear House is a ‘care home’ that provides care and support for up to 6 people. All the people who live at the home have a learning disability. There were 5 people living there at the time of the inspection.
CQC regulates both the premises and the care provided, and both were looked at during this inspection.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
The home’s environment provided a safe service, and people felt safe living at the home. The quality of service provided was regularly reviewed, and changes were made to improve people’s care and support as required. This was in a way that was best suited to people. The home had established good working partnerships with healthcare professionals and within the local community that promoted people’s participation and reduced their social isolation.
Right Care
There were suitable numbers of well trained and appropriately recruited staff who supported people to live safely, whilst enjoying their lives. Any risks to people and staff were assessed, monitored and regularly reviewed. Complaints, concerns, accidents, incidents and safeguarding issues were reported, investigated and recorded. Trained staff safely administered people’s medicines.
Right culture
The provider’s culture was open, honest and positive with a leadership and management that was clearly identifiable and transparent. The provider had a clearly defined vision and values which staff understood and followed. Staff understood their responsibilities, who they were accountable and were happy to take responsibility and report any concerns they may have to the provider.
Rating at last inspection
The last rating for this service was Good (published 7 March 2020).
Why we inspected
We undertook this inspection to check whether the service was continuing to provide a good rated service to people.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains 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 Roy Kinnear House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk