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Kings Lodge Nursing Home Good

We are carrying out a review of quality at Kings Lodge Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 3 November 2018

Kings Lodge Nursing Home 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. The care home can provide accommodation and nursing care for 77 people in one, three storey detached building that is adapted for the current use. The home provides support for people living with a range of healthcare, mobility and sensory needs, including people living with dementia. There were 70 people living at the home at the time of our inspection.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered managers, 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.

At the last inspection on 7 March 2016, the service was rated ‘Good.’ At this inspection we found the service remained ‘Good.’ This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People and relatives told us they felt the service was safe. One person told us they felt safe they were never rushed and the home was clean, “It’s all spotless.” People remained protected from the risk of abuse because staff had a good understanding of safeguarding and there were systems and processes in place to keep people safe. Risks to people’s safety had been assessed, monitored and managed to ensure people remained safe. Regular health and safety checks and audits of systems and processes including care planning took place to ensure staff had current guidance when supporting people’s needs. We observed audit activity for areas including, moving and handling equipment, fire safety and infection control.

Medicines continued to be managed safely. There were arrangements in place for the safe ordering, administration, storage and disposal of medicines. People were supported to have their medicine safely with their consent and when they needed it. People were supported to maintain good health; their nutritional needs were met and they had good access to health care services. One person told us, “When I was living alone, my relative was worried because I was losing weight. I eat really well here.”

People and their relatives felt there were sufficient numbers of skilled staff to effectively meet people’s needs. Staff were recruited using robust recruitment processes and confirmed they received training and specialist guidance to support their understanding of the needs of people living with dementia and other complex health needs.

Staff considered peoples capacity using the Mental Capacity Act 2005 (MCA) as guidance. People’s capacity to make decisions had been assessed. People were supported to have choice and control of their lives and the service continued to review and reduce restrictive practices to ensure people were supported in the least restrictive way possible; the policies and systems in the service supported this practice. The provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

People’s needs and choices were assessed prior to people moving into the service, and they were supported by staff that knew their background life experiences and likes and dislikes. One person told us, “The girls look after me well, I can’t fault the care.” Care continued to be personalised to meet people’s care, social and wellbeing needs.

We observed positive and responsive interactions between people and staff. People’s independence continued to be encouraged. Staff promoted and respected people’s equality, diversity and human rights and their right to maintain important relationships. This culture continued through to the provision of end of lif

Inspection areas

Safe

Good

Updated 3 November 2018

The service remains Good

Effective

Good

Updated 3 November 2018

The service remains Good

Caring

Good

Updated 3 November 2018

The service remains Good

Responsive

Good

Updated 3 November 2018

The service remains Good

Well-led

Good

Updated 3 November 2018

The service remains Good