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Inspection Summary


Overall summary & rating

Good

Updated 5 February 2019

This inspection took place on 21 January 2019 and was unannounced. This meant the staff and provider did not know we would be visiting.

Kingfield Holt is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Kingfield Holt is registered to provide accommodation and personal care for up to 23 people. Accommodation is provided over two floors, accessed by stairs or a passenger lift. Communal lounges and dining areas are provided. The home is a detached period building with a large garden close to local amenities. The care provided is for people who have needs associated with those of older people. On the day of our inspection there were 15 people living at the home.

Our last inspection at Kingfield Holt took place on 25 and 26 January 2018. We found the service was in breach of three of the regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. Regulation 11, Need for consent, Regulation 12, Safe care and treatment, and Regulation 17, Good governance.

Following the last inspection, we asked the provider to complete an action plan to show what they would do, and by when, to improve the key questions asking if the service was safe, effective, and well led, to at least good. The registered provider sent us an action plan detailing how they were going to make improvements. At this inspection we checked the improvements the registered provider had made. We found sufficient improvements had been made to meet the requirements of the Regulations.

There was an acting manager at the service. The previous registered manager had very recently retired from the service. 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 and associated Regulations about how the service is run.

People living at Kingfield Holt told us they felt safe and they liked the staff. Staff confirmed they had been provided with safeguarding vulnerable adults training, so they understood their responsibilities to protect people from harm.

Regular checks of the building were carried out to keep people safe and the service well maintained.

There were sufficient numbers of staff available to keep people safe. The staff recruitment procedures and checks in operation promoted people’s safety.

We found systems were in place to make sure people received their medicines safely.

Staff were provided with relevant training and supervision to make sure they had the right skills and knowledge to support people.

Staff gave people as much choice and control as possible.

People enjoyed the food provided and were supported by staff to receive adequate food and drink to remain healthy.

We found the home was clean, bright and well maintained.

People had access to a range of health care professionals to help maintain their health.

People were treated with dignity and respect and their privacy was protected. People and health professionals we spoke with made positive comments about the care provided by staff.

A range of activities were available to provide people with leisure opportunities.

People were confident in reporting concerns to the acting manager or staff and felt they would be listened to and their concerns would be addressed.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.

Staff told us they felt they had a very good team. Staff and people said the acting manager was approachable and communication had improved within the service.

Inspection areas

Safe

Good

Updated 5 February 2019

The service was safe.

People told us they felt safe. People had individual risk assessments and all identified risks were assessed and ways to reduce the likelihood of the person being harmed were considered.

Appropriate arrangements were in place for the safe administration and disposal of medicines.

There were sufficient numbers of staff available to keep people safe. The staff recruitment procedures and checks in operation promoted people�s safety.

Effective

Good

Updated 5 February 2019

The service was effective.

Staff were appropriately trained and supervised to provide care and support to people who used the service.

Staff gave people as much choice and control as possible.

People were provided with access to relevant health professionals to support their health needs.

Caring

Good

Updated 5 February 2019

The service was caring.

People�s privacy, dignity and independence were maintained by staff who knew people�s preferences well.

People living at the home said staff were very caring in their approach.

Responsive

Good

Updated 5 February 2019

The service was responsive.

People�s care plans contained a range of information and had been reviewed to keep them up to date.

People were confident in reporting concerns to the acting manager or staff and felt they would be listened to and their concerns would be addressed.

There were some activities organised for people to participate in.

Well-led

Good

Updated 5 February 2019

The service was well-led.

There were quality assurance and audit processes in place to make sure the home was running safely.

People and relative�s views were sought to continuously improve the service.