Working at Kenmore

Managers checks missed key issues like wrong pressure mattress settings and mental capacity records, so leadership oversight has gaps.

Gaps were found in identifying shortfalls in some quality standards. We found there was insufficient oversight of the process of recording people's capacity which had not been identified before our inspection.

Pressure mattress settings were wrong for some people and put them at risk of sores until fixed during the inspection.

airflow mattress settings were not correctly set based on their weight. For example, 2 people's pressure relieving mattresses were set to 150kg, despite their individual weights being significantly less. This was addressed between days 1 and 2 of our inspection.

Night shifts started with too few staff, rushing people into bed early, though more staff were added afterwards.

concerns around people being encouraged to go to bed before night staff arrived was identified during the inspection... following our inspection, night time staffing levels were reviewed by the provider and increased