We carried out a review of the data available to us about Kingswood Care Services Ltd - Head Office on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kingswood Care Services Ltd - Head Office, you can give feedback on this service.
People’s experience of using this service:
There were systems in place to help make sure people were protected from the risk of abuse. Staff were aware of safeguarding procedures and understood how to protect the people they supported.
Risks to people's safety were identified, assessed and action was taken to keep people safe. When people were at risk, staff had access to assessments and understood the actions needed to minimise avoidable harm.
There were enough staff deployed to meet people's needs and all relevant pre-employment checks were undertaken to ensure they were safe to work with people in the community.
Medicines were administered and managed safely by trained and competent staff. Staff had knowledge of safe hygiene practices to support people around infection control.
When there had been incidents, the provider had learnt lessons and put improvements in place.
People were supported by staff who had the necessary skills and knowledge to understand and meet their needs. Staff felt supported and had access to training relevant to their roles.
People were supported to do their shopping, prepare their meals, and eat healthily. People were positively encouraged and supported to have maximum choice and control of their lives in the least restrictive way possible; the policies and systems in the service support this practice.
Staff had formed positive caring relationships with people who used the service and their relatives. People remained as independent as possible due to staff knowing people's individual likes and dislikes. Staff were mindful to support people in a way which maintained their dignity and upheld their right to privacy.
Governance arrangements were in place. The registered manager provided clear and direct leadership to staff who had a good understanding of their roles and responsibilities. The quality assurance and auditing system contributed to service delivery. However, some monitoring processes needed strengthening.
We made two recommendations for the provider to consider in relation to end of life care and monitoring the quality of the service.
Rating at last inspection: At the last inspection, the service was rated as Good (published 12 October 2016).
Why we inspected: This was a planned inspection based on the previous rating. The service remains Good with a Requires Improvement in well led.
Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were safeguarded from the potential of harm and their freedoms protected. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
Staff had received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people. The service worked well with other professionals to ensure that people's health needs were met. Where appropriate, support and guidance were sought from health care professionals, including GPs. People were supported with their nutrition and hydration needs. Staff supported people with their medication when required.
Staff knew the people they were supporting and provided a personalised service. Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. Staff were attentive to people's needs and treated people with dignity and respect.
People were supported with activities which interested them. People and their representatives knew how to make a complaint and the service had processes in place to deal with these.
The registered manager had a number of ways of gathering people’s views including talking with people, staff, and relatives. In addition the registered manager also gained people’s views by the use of questionnaires. Quality monitoring audits were completed to help ensure the service was running effectively and to make improvements.
We found that staff had been well trained and saw that they had a good understanding of people's individual needs. People were supported to enjoy good levels of activity and occupation to get out and about in the local community. People using the service told us that they were very happy with the level of support provided.
People told us that they felt safe and secure with their care workers. People told us that they were happy with the quality of the service provided. We found that the provider consulted with people and monitored the service to ensure that standards would be maintained.