Summary

Kenfield Swansea Ltd provides a domiciliary support service for people who live in Kenfield House. The service can support up to six males who rent a private room and share the communal space. It operates from an administrative office located within Kenfield House. The service supports people’s mental health and promotes independent living. Any physical assistance people may need with personal care is provided by a different care provider.   

People receive a good standard of support from an experienced team of staff. Care staff support people to lead a healthy lifestyle and empower them to make their own decisions. People do things they enjoy at home and in the community. People value their relationships with staff and have trust in how the service is managed. The service benefits from consistent leadership and is closely monitored by the Responsible Individual (RI).

Well-being 

People are happy with the service they receive at Kenfield House. The goals people want to achieve are identified within personal plans, which are regularly reviewed. People get on well with staff, who ensure they receive the right level of support to continue living safely in the community. One person told us “I like it here; all the staff are great”. People consistently receive their prescribed medicines, which are managed safely. Staff support people to lead a healthy lifestyle and attend medical appointments and reviews.

People experience dignity and respect. Care staff respect people as individuals and are kind and considerate in their approach to care. Staff promote choice and encourage people to complete daily activities independently. The RI values people’s views and considers their experiences when assessing service standards. 

The service promotes people’s safety and well-being. Managers ensure enough staff are available to give people support when they need it. Staff closely monitor people’s mental health and keep good quality records of how people spend their days. Managers inform the relevant professionals of any concerns, so support strategies can be adjusted and risks reduced. Staff complete training in relation to safeguarding vulnerable adults, support and risk planning and health and safety. People are supported by staff who are appropriately vetted and dedicated to their roles. 

People have positive relationships with others, which enhances their well-being. Managers consider people’s social and cultural needs during the care planning process. People enjoy family outings and socialise with others at home and in the community. They have developed trusting relationships with the staff and managers and enjoy their company.

Care and Support 

The service supports people to have choice and control over their day-to-day lives. People make their own decisions regarding how they spend their time. They lead an independent lifestyle, following their interests and preferred routines. People complete domestic tasks themselves, which include washing and drying their clothes and keeping their home clean. Care staff encourage people to make healthy choices when planning and shopping for meals. Where appropriate, people receive support to budget and manage their finances. 

People have opportunities to build social connections. Staff told us they find it rewarding seeing people become more socially active. People have developed mutually respectful relationships with care staff and value the time they spend together. They described staff as “brilliant” and “really good… they all know what I like”. People may also socialise with other tenants in communal areas. We observed people to be at ease as they watched television in the lounge and moved between indoor and outdoor areas. People enjoy outings with family and meet friends through day centre services. They often access community facilities independently, using public transport if necessary. 

Personal plans outline the support people need to continue living independently in the community. They also identify the goals people want to achieve and consider risks to their safety and well-being. Daily records show that care staff support people in line with their personal plans. Personal plans are regularly reviewed, although managers could strengthen the review process by providing meaningful evaluations of their experiences and tracking their progress with personal goals. 

People receive input from medical and specialist services to promote their health and wellbeing. Care staff closely monitor people’s mental health and share updates with other team members. Managers refer people to the relevant professionals when they experience health changes. A professional confirmed that the support provided by staff allows people to continue living safely at Kenfield House. Care staff keep clear records of any incidents or concerns, which inform medical reviews. One person told us “They take me to all my appointments and take notes while I’m there”. Managers inform the relevant agencies when there are concerns about the continued suitability of the service. This helps ensure people’s long-term care arrangements fully meet their needs. 

The service has organised systems for managing medication. People receive appropriate support to take their prescribed medication, so they can stay as healthy as possible. Medicines are stored securely and audited by managers to help identify errors and control stock. The manager has introduced annual competency assessments for staff to ensure they continue to practise safely. The service has a medication policy, although this is being revised to ensure it is sufficiently detailed and aligns with national guidance.

Leadership and Management