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Kingston Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 March 2021

About the service

Kingston Nursing Home is a residential care home providing personal and nursing care to 22 people aged 65 and over, at the time of the inspection. The service can support up to 47 people.

People’s experience of using this service and what we found

Following the last inspection in August 2020 improvements had been made to the care people received. The new manager and clinical lead with the support of the provider had made significant improvements in a short space of time. Whilst improvements had been made in a short amount of time and the service is no longer rated inadequate, the provider had yet to evidence sustained and continued improvements over a longer period of time.

Systems and processes had been introduced to ensure the service continued to improve. Numerous audits were regularly taking place to monitor the service. Policies and procedures had been put in place to ensure staff knew what was expected of them. Accidents or incidents were recorded and monitored, and learning was identified to reduce the risk of them happening again.

A refurbishment programme was underway at the location. The environment people lived in was improving which positively impacted on their experience of care. We have made a recommendation in relation to the environment.

People were protected from abuse and were treated with respect and dignity. Staff told us staffing levels

were good and were at a level where they could meet people's needs.

Improvements had been made to the management of medicines. People were supported by staff who had been trained to administer medicines.

Staff described the atmosphere and culture at the home as positive and enjoyed coming to work. They said they had observed the positive impact on people who they reported as ‘happier.’

Infection control procedures were in place and the home followed current government guidance to ensure people were protected from the transmission of infection. PPE stations were in place and staff had been trained to don and doff personal protective equipment. Cleaning staff knew how to ensure products were to be used to ensure effectiveness. Cleaning rotas and schedules were in place to ensure risks to people were minimised. Storage of excess PPE was an issue which the manager was looking into.

Rating at last inspection (and update)

The last rating for this service was inadequate (published 26 September 2020). This service has been in Special Measures since 26 September 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions inspected. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating. 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 carried out a focussed inspection of this service between18 and 24 August 2020. Breaches of legal requirements were found. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which refer to those requirements.

The ratings from the previous comprehensive inspection for those key questions, not looked at on this occasion, were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection. This inspection was carried out to follow up on action we told the provider to take at the last inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link

Inspection areas

Safe

Requires improvement

Updated 10 March 2021

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 10 March 2021

Caring

Good

Updated 10 March 2021

Responsive

Good

Updated 10 March 2021

Well-led

Requires improvement

Updated 10 March 2021

The service was not always well-led.

Details are in our Well-Led findings below.