Kenton Manor

At the last inspection the provider had failed to ensure robust systems and process were in place and actioned to ensure records relating to people's care and support were accurate and well maintained. The provider had also failed to ensure an effective system was in place to monitor the quality and safety of the service and the duty of candour policy was being followed. At this assessment the provider had made the necessary improvements and was no longer in breach of regulations.

The assessment was unannounced and was carried out by 2 inspectors, a regulatory officer and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

During the assessment we spoke with 13 people and relatives about their experience of the care provided. We spoke with staff including the registered manager, deputy manager, senior care staff, care staff, housekeeping and catering staff. 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 people’s care and medicine records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed.

Staff supporting people had the knowledge, training and confidence to identify safeguarding concerns and take appropriate action to protect individuals from harm or abuse. The service had effective systems for reporting, recording and monitoring incidents and near misses.

People were supported to have maximum choice and control over their daily lives. Staff promoted independence by supporting people in the least restrictive way possible, always acting in their best interests.

The service had appropriate systems to ensure that medicines were stored, administered, and disposed of safely. The service collaborated effectively with health and social care professionals to support people’s access to healthcare, helping them maintain their overall well-being.

There were effective systems and processes in place to monitor, assess and improve the quality and safety of the service. Audits were carried out regularly, and action was taken where improvements were identified. The registered manager understood their responsibilities under the duty of candour and demonstrated a commitment to being open, honest and transparent when things went wrong. This promoted a culture of continuous learning and accountability within the service.