Kite Hill Care Home

“Where people lacked mental capacity to consent to their care and treatment, mental capacity assessments and best interest decisions had not been completed in accordance with the Mental Capacity Act 2005.”

“The provider did not always ensure all potential risks to people were understood and managed effectively. People’s care plans lacked guidance in relation to the potential risks associated with their diagnosed medical conditions. Medicines were not always managed safely, including some medicines that had not been administered as prescribed and evidence demonstrating that some people had been given medicines that had expired. Systems to ensure that staff received all training relevant to their role were not effective.”

“The provider failed to operate effective checks of care quality and safety. The provider’s governance processes did not identify the issues we found during this assessment. Quality assurance systems and processes were not effectively implemented to ensure safety and drive improvement.”

“The home was very clean, well maintained and free from malodours. People and their relatives provided positive feedback about the cleanliness of the service. Staff followed infection prevention and control practices. We observed staff using appropriate personal protective equipment (PPE), including gloves and aprons, when delivering care.”

“We have asked the provider for an action plan in response to concerns found at this assessment in relation to safe and effective staffing and failure to notify.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.  ”