Background to this inspection
Updated
17 March 2020
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.
Inspection team
The inspection was carried out by one Inspector.
Service and service type
Kingsmount is a 'care home'. People in care homes receive accommodation and nursing or personal care as
single package under one contractual agreement. CQC regulates both the premises and the care provided,
and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Prior to the inspection we looked at the information we held about the service. This included feedback or notifications which the provider is required to send to us by law. We also sought feedback from the local
authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used this information to plan our inspection.
During the inspection
We spoke with twelve people who lived at the home and three visitors about their experience of the care provided. Some people living at the home were unable to talk with us. We used the principles of 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 spoke with seven members of staff including the registered manager, head of care, care staff, the activities coordinator and kitchen porter.
We reviewed a range of records. This included six people's care records and multiple medication records. We looked at three staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including governance systems, policies and procedures.
Updated
17 March 2020
About the service
Kingsmount Residential Home is a residential care home providing personal care to 32 older people, some of whom may be living with dementia or memory loss. At the time of the inspection, there were 28 people living at the home.
People’s experience of using this service and what we found
The provider had made improvements since our last inspection and were no longer in breach of regulations. Further improvement was needed to ensure the improvements made were sustained and systems and processes in place to ensure the delivery of quality care, were robust. We have also made two recommendations to continue to drive improvements.
People told us they felt safe living at Kingsmount. One person said, "Oh yes I feel safe. I’m safe in their hands." Staff knew what to do to keep people safe and were confident any concerns would be taken seriously.
Risks to people were assessed and managed safely and risk assessments were in place which guided staff in caring for people in a safe way. Systems were in place that ensured accidents and incidents were recorded and investigated. Accident or incident records were not analysed to consider any lessons which could be learned. We made a recommendation to the provider about this.
People's care plans provided staff with guidance in how to support each person. However, some care plans were not as detailed or person-centred as others to ensure people's preferences were reflected. We recommended the provider seek guidance to ensure all care plans are person-centred.
Systems to monitor the quality of the service provided had been strengthened and improved. Further improvement was being implemented and embedded into practice to ensure people continued to receive safe care and treatment.
Medicines were managed safely. Staff were trained to administer medicines and regular audits were completed to ensure medicines continued to be given safely and as prescribed.
People told us staff were kind and caring and they treated them well. One person said, “There’s some delightful staff, they really are good. Nothing’s too much trouble for them.” There was a relaxed and friendly atmosphere in the home and people were supported by staff who knew them and their needs well. During the inspection, we observed staff interacting with people and found there were sufficient staff available to meet people's needs. Staff were recruited safely.
Staff received supervision and training which enabled them to deliver effective care. Staff told us they felt supported, listened to and able to make suggestions.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff encouraged people to maintain a healthy diet. Referrals were made to healthcare professionals where required to ensure people's health needs were met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 20 February 2019) and there were breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.