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Kingsleigh Residential Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 September 2019

About the service: Kingsleigh Residential is a care home. People in residential care homes receive accommodation and 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.

Kingsleigh Residential accommodates up to 23 older people. At the time of the inspection, 13 people were living there.

People’s experience of using this service:

People were at risk of cross contamination due to staff not being able to access effective hand washing facilities. Hot water temperatures were not being undertaken to ensure they were within safe parameters and on occasions they were recorded as being above recommended guidelines.

Staff were not receiving supervision, training and an annual appraisal in line with the providers policies. People were not always supported by staff who demonstrated compassion and a positive approach to people. The provider failed to ensure quality assurance systems were in place to identify shortfalls.

Some areas of the home required improving such as ceilings and a broken extractor fan. Staff received training in safe administration of medicines however staff were not always recording the administration of topical medicines such as creams. Staff were not always able to demonstrate a good understanding of the types of abuse or the Equality Act 2010. Care plans were not always current and up to date reflecting people’s current care needs or end of life wishes. Not all people knew how to make a complaint should they need to.

People and staff felt the service was safe and that the food was nice. People were supported to access medical appointments and health professionals when required. People had choice and control and had their views sought. Care plans contained important information such as likes and dislikes and people’s personal information. Activities such as exercises, dancing, themed days, and listening to music were provided to people.

People were supported by staff who had checks undertaken to ensure they were suitable to work with vulnerable adults. Incidents and accidents were recorded, and an overview held so that any trends and themes could be identified.

Rating at last inspection: Good (published December 2016).

Why we inspected: This was a planned inspection based on previous rating. At this inspection we found a deterioration had been made and the overall rating had changed from Good to Requires Improvement.

Follow up: We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We will continue to monitor the service through the information we receive. We will visit the service in line with our inspection schedule, or sooner if required.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 4 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 September 2019

The service was not always Effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 4 September 2019

The service was not always Caring

Details are in our Caring findings below.

Responsive

Good

Updated 4 September 2019

The service was Responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 4 September 2019

The service was not always Well-led

Details are in our Well-Led findings below.