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Inspection carried out on 6 July 2017

During a routine inspection

Kingshill is a residential care home that provides short term accommodation and 24 hour care, support and enablement services for a maximum of 15 people who suffer or have suffered from a mental illness. The home is situated in the Standish area of Wigan. At the time of our inspection 14 people were living at the home.

At the last inspection in August 2015, the service was rated good. This inspection took place on the 6 July 2017 and was unannounced. At this inspection we found the service remained good overall. For the last five years the service had consistently met the standards we inspected against.

The management team promoted a culture of inclusion, and people living at the home were encouraged to achieve their goals and improve their skills of daily living. People’s goals and plans were reviewed regularly with input from an occupational therapist. Support was provided to people in a way that helped them achieve the best results they could.

Staff we spoke with were aware of how to recognise signs of abuse, and systems were in place to guide them in reporting these. They were knowledgeable about how to manage people’s individual risks, and were able to respond to people’s needs. People told us they were supported in a safe way and worked with staff to have their medicines when they needed them.

People told us staff knew how to support them and understood how to meet their needs. Staff had up to date knowledge and training to support people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in place supported this practice. People had food and drink they enjoyed and had choices available to them. Staff actively encouraged and supported people to maintain a healthy lifestyle. People said they had access to health professionals when they needed to. Relatives were confident their family member was supported to maintain their well-being and had access to the health professionals as they needed.

People said they were happy living at the home and supported by patient and kind staff. Relatives told us they were happy with the service their family member received. They told us staff were patient and knew people’s preferences and respected them. People living at the home were able to see their friends and relatives as they wanted. We saw staff treated people with dignity and respect and had a good knowledge of people’s rights.

The management team sought people’s views and acted upon them. People and their relatives knew how to raise complaints and felt confident that they would be listened to and action taken when needed.

The registered manager promoted an inclusive approach to providing care for people living at the home. For example, people and their relatives were encouraged to attend regular meetings, and to complete questionnaires to share their views about the quality of the service. The management team had actioned suggestions made by people, their families and staff where possible, and took a proactive approach to making improvements. The provider had systems in place to monitor the quality of care and treatment people living at the home received. The registered manager had identified where improvements were needed and had a plan in place to ensure these were made in a timely way.

Inspection carried out on 5 August 2015

During a routine inspection

Kingshill is a residential care home that provides short term accommodation and 24 hour care, support and enablement services for a maximum of 15 people who suffer or have suffered from a mental illness. The home is situated in the Standish area of Wigan. At the time of our inspection 14 people were living at the home.

At the last inspection in August 2015, the service was rated good. This inspection took place on the 6 July 2017 and was unannounced. At this inspection we found the service remained good overall. For the last five years the service had consistently met the standards we inspected against.

The management team promoted a culture of inclusion, and people living at the home were encouraged to achieve their goals and improve their skills of daily living. People’s goals and plans were reviewed regularly with input from an occupational therapist. Support was provided to people in a way that helped them achieve the best results they could.

Staff we spoke with were aware of how to recognise signs of abuse, and systems were in place to guide them in reporting these. They were knowledgeable about how to manage people’s individual risks, and were able to respond to people’s needs. People told us they were supported in a safe way and worked with staff to have their medicines when they needed them.

People told us staff knew how to support them and understood how to meet their needs. Staff had up to date knowledge and training to support people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in place supported this practice. People had food and drink they enjoyed and had choices available to them. Staff actively encouraged and supported people to maintain a healthy lifestyle. People said they had access to health professionals when they needed to. Relatives were confident their family member was supported to maintain their well-being and had access to the health professionals as they needed.

People said they were happy living at the home and supported by patient and kind staff. Relatives told us they were happy with the service their family member received. They told us staff were patient and knew people’s preferences and respected them. People living at the home were able to see their friends and relatives as they wanted. We saw staff treated people with dignity and respect and had a good knowledge of people’s rights.

The management team sought people’s views and acted upon them. People and their relatives knew how to raise complaints and felt confident that they would be listened to and action taken when needed.

The registered manager promoted an inclusive approach to providing care for people living at the home. For example, people and their relatives were encouraged to attend regular meetings, and to complete questionnaires to share their views about the quality of the service. The management team had actioned suggestions made by people, their families and staff where possible, and took a proactive approach to making improvements. The provider had systems in place to monitor the quality of care and treatment people living at the home received. The registered manager had identified where improvements were needed and had a plan in place to ensure these were made in a timely way.

Inspection carried out on 30 December 2013

During a routine inspection

We spoke with five people who lived at Kingshill and they told us they had been provided with lots of information about the staff and services provided before they moved in. Comments included; "staff talked to me and gave me information about the home before I came here" and "staff are good to me, they have helped me to understand myself". They also told us they were asked for their agreement and consent in all aspects of daily life and were happy that they were given choices. People said staff always discussed things with them and made sure they were happy with the care and treatment they were given.

Care and support plans were clear and staff told us they worked with people to make sure they enjoyed a valued and inclusive life. They said they were committed to an individual, person centred philosophy of service delivery with the main aim being to support people to manage their own condition and gain or regain the skills and confidence to achieve their own goals.

Staff were well trained and supported and demonstrated, through discussions and observations, their total commitment to maximise the daily lives of the people who lived at Kinsghill.

The home held regular residents meetings and used various quality assurance systems to make sure it was run in the best interests of the people who lived there.

Inspection carried out on 30 January 2013

During a routine inspection

We spoke with eight people who lived at Kinsghill and one relative. They told us that people were provided with clear information about the home before they made a decision to live there. They said that they had been provided with a care plan and brochure about the home so they knew all about the services provided. People said they were treated with dignity and were assisted to achieve their goals.

People said that they liked the home very much and felt settled. Comments included “I love it here, I don’t ever want to leave”, "I feel very happy here, staff are lovely”. “Staff are very kind and caring”, “I can do what I want and staff are here to help me”, “The manager is kind and listens to me, so do all the staff. It is my home and I love it”. “The staff are great, they help me to achieve the things I want in life and help me to be creative. They empower me to show my brilliance”,” They make us feel good about ourselves,” They really care” and “I trust the staff to care for the people living here. Staff are very professional in all that they do.”

Inspection carried out on 16 February 2012

During a routine inspection

People who talked to us were happy to be living and working at Kingshill and we saw that the service promoted their wellbeing and safety.

We were told:

“I love this place I think it’s the best place I’ve ever been in.”

“I like the building and it’s handy for the bus stop.”

“I’ve never had a complaint I’m happy just as it is.”

“They treat me with respect it’s awfully nice here.”

When asked about improvements needed we were told:

“There’s nothing really, they have socials and we get invited, there’s good family contact and low turn over of staff.”

And:

“The “Star” is great. (Recovery Star support package) It’s rewarding to think about and find things you want to achieve. I write poetry and Making Space has published them. I’m encouraged by staff to improve myself.”

We found the service at Kingshill compliant with the essential standards of quality and safety assessed. We found the manager to be well organised, diligent, and competent and so the service was well run.

It was clear that through his leadership skills the changes in emphasis towards enabling and promoting independence had been fully embraced by people living at Kingshill and implemented by those working in the service.

We found the people living at Kingshill were supported to be successful and to have a good standard of life.