We carried out a review of the data available to us about Kingsfield Court Care Home 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 Kingsfield Court Care Home, you can give feedback on this service.
Kingsfield Court is a residential care home providing personal care to 59 people aged 65 and over at the time of the inspection. The service can support up to 70 people.
People’s experience of using this service and what we found
People said they felt safe. Staff understood their responsibilities to protect people from abuse and avoidable harm. People received their medicines in a safe way and in the way they preferred.
Infection prevention and control policies and procedures and national guidance were followed. The service was clean and hygienic and people were protected from the risk of infection.
Staffing numbers had recently increased, and staff deployment had improved to ensure increased support and supervision for people who required it.
Lessons were learned when things went wrong and changes were made to reduce further risk and improve the quality of care and support.
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.
Systems and processes to monitor the quality of the service were robust and identified risk and areas for improvement. People were consulted and involved in the day to day running of the service. For example, people chose the activities and menu they preferred. People’s equality and diversity needs were considered and respected.
Staff and managers had a shared vision and person-centred approach. Staff were supported and said their managers were accessible, approachable and open. The provider worked in partnership with other professionals and followed best practice guidance within the sector.
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 Good (Published 24 April 2020).
Why we inspected
The inspection was prompted in part due to concerns received about staffing and management of risk. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
We received concerns in relation to staffing and the management of risk. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingsfield Court on our website at www.cqc.org.uk.
We found the following examples of good practice.
¿ Visitors were safely welcomed into the service following the provider’s IPC (infection prevention and control) policy. The receptionist explained the service’s IPC rules to visitors, and these were also displayed in the service’s foyer.
¿ Visits took place in a converted a garden room, with a separate outdoor entrance. The room had a screen divider to reduce the risk of cross-infection.
¿ If people were unable to have visitors, for example, if they were isolating or unwell, the service’s activities team facilitated Skype calls for them so they could keep in contact with relatives and friends.
¿ Staff and the activities team supported people to maintain their well-being with daily events and activities, including outdoor exercise in the service’s gardens.
¿ The premises had been re-configured, and some furniture removed, to ensure people had the space they needed to socially distance. If people needed to isolate they were supported in their bedrooms which had ensuite facilities.
¿ People’s needs were assessed prior to admission and care plans and risk assessments put in place to ensure they had the support they needed.
¿ The service was well-supplied with PPE (personal protective equipment) and staff had the training they needed to use and dispose of PPE safely. They wore the correct PPE including masks, gloves and aprons.
¿ People and staff were regularly tested for COVID-19 in line with current government guidance, and plans were in place if people or staff needed to isolate due to positive results and/or symptoms.
¿ The premises were clean and well-ventilated. The housekeeping team had the cleaning products they needed and followed cleaning schedules to ensure good infection control standards were maintained.
¿ The second floor was designated a COVID-19 positive unit with the required safety measures in place. This meant if people used this part of the service they would not be in contact with people using the rest of the service. The registered manager said that if used, the unit would be staffed separately.
We were assured that this service met good infection prevention and control guidelines as a designated care setting.
Further information is in the detailed findings below.
People’s experience of using this service and what we found
People told us they felt safe. Systems and processes supported people to express any concerns they may have and staff knew how to identify abuse and what action to take if abuse was suspected. Risk was assessed and management plans were in place to reduce any risk.
There were enough staff to meet people’s needs and to spend time with them. Staff were recruited in a safe way. People received their prescribed medicines and staff managed peoples medicines in a safe way.
Infection control procedures reduced the risk for people. Staff had all the protective equipment such as gloves and aprons they required. The provider had taken proactive and swift action in response to the corona virus pandemic.
People had their needs assessed and staff were supported with the training and supervisions they required to meet people’s needs. People had enough to eat and drink and enjoyed their meals and snacks. People had access to all the healthcare services they required and were supported to live healthy lives.
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 were caring, kind and compassionate. People and staff had developed positive relationships. Staff knew people well and understood how to meet their needs. People had their privacy and dignity respected and promoted.
Care and support was person centred and considered people’s protected characteristics under the Equality Act. People were able to follow their hobbies and interests. There were a variety of opportunities for people to engage in activities and occupation.
Complaints were taken seriously and used as an opportunity for learning and improvement.
The service was well-led. People and staff felt supported and told us their managers were open and inclusive. There was a comprehensive and effective quality monitoring framework. People, staff and professionals were engaged and involved and frequently asked for their feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This was the first inspection.
Why we inspected
This was a planned inspection based on our inspection programme.
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.