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We are carrying out a review of quality at Kingly House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Outstanding

Updated 2 August 2017

We made an unannounced inspection of the service on 22 May 2017.

Kingly House provides accommodation and personal care for up to 17 people who require support because they have suffered brain injuries or have neurological disabilities. It, and three other services run by Kingly Partnership, are a centre of excellence for organisations that support people with similar needs. Kingly House is a 1920s detached property that has been extensively modernised and adapted for people who use wheelchairs and other specialist equipment. Accommodation is on two floors connected by a stairway with a stair lift. People have access to an enclosed landscaped garden.

The service has a registered manager. 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 consistently experienced care that met their unique needs. People’s lives had been enhanced as a result, often with outstanding outcomes which changed their lives. The service supported people with their rehabilitation in a meaningful way and helped them to achieve their aims no matter how challenging those aims were. People achieved increasing levels of independence because of the care and support they received.

The registered manager, the senior managers and the staff had a strong and visible person centred culture that was at the core of the service. People using the service felt the benefit of this through their experience of consistently outstanding care. Staff were motivated because they felt supported by a management team they felt inspired them.

People using the service knew what the aims of the service were and they were involved in developing the service. The service was exceptionally well led by the registered manager and senior team of qualified professionals. There were effective procedures for monitoring and assessing the quality of service and there was a commitment to continually improving the service. Feedback we received from a local authority that was that Kingly House was a ‘high performing and well led service.’ People’s and relative’s feedback from a recent satisfaction survey rated the service as outstanding.

The provider was an active participant of three regional and national forums, all specialising in raising awareness of brain injury and neurological disabilities. This helped the provider to ensure that care practice was in keeping with the latest research and a ‘flagship’ provider. They had been shortlisted for awards for best service in three different categories in three consecutive years, 2014, 2015 and 2016. The service provided preceptorships for newly qualified NHS occupational therapists. The service was a centre of excellence for this type of service.

People using the service felt safe and were protected by effective safeguarding procedures that staff were fully conversant with. Staff also helped people to make choices about how they wanted to be supported and how they spent their time. People were supported to participate in activities that developed and increased their independence. Where those activities included risks these were managed to protect people from injury.

People were supported by sufficient numbers of experienced and professionally qualified staff who understood their needs. The provider had effective procedures for the safe management of medicines.

Staff were well trained and supported by the management team and the directors of Kingly Partnership, all of whom were professionally qualified and specialists in neurological disability who participated in research in that area. People were supported by rehabilitation support workers (RSW) and professional occupational therapists that had extensive professional training about neurological disabil

Inspection areas

Safe

Good

Updated 2 August 2017

The service was safe.

The service had effective procedures and practices for protecting people from harm.

Risks associated with people’s care were managed without restricting people’s choices about how they spent their time.

Staff were recruited safely and enough suitably skilled and experienced staff were available to consistently meet people’s needs.

People’s medicines were managed safely.

Effective

Good

Updated 2 August 2017

The service was very effective.

People experienced high quality care from a staff team that included qualified professionals and highly trained rehabilitation support workers. This ensured that people consistently experienced high quality care and support. The provider used innovative and creative techniques to train staff.

The service attracted newly qualified occupational therapists who completed their preceptorships at the service.

Staff understood and practised the requirements of the Mental Capacity Act 2005 which ensured that people had the maximum choice and control of their lives.

Staff supported people to have sufficient to eat and drink; and people with special dietary needs had those needs met. Staff made special efforts to ensure people had their favourite foods.

Staff supported people to access healthcare services when they needed them. The service had excellent links with the relevant health professionals who were also involved in supporting people with their health needs.

Caring

Good

Updated 2 August 2017

The service was caring.

Staff treated people with kindness and compassion and involved people in decisions about their care and support. They respected people’s privacy and provided care in a dignified manner.

People were supported to be increasingly independent.

Staff knew people well and understood what was important to people. They supported people to maintain contact with people that were important to them.

Responsive

Outstanding

Updated 2 August 2017

The service was very responsive.

People consistently experienced care that met their unique needs. People’s lives had been enhanced as a result, often with outstanding outcomes which changed their lives.

The service supported people with their rehabilitation in a meaningful way and helped them to achieve their aims no matter how challenging those aims were. People achieved increasing levels of independence because of the care and support they received.

People knew how to raise concerns. The provider had effective arrangements for responding positively to people’s feedback.

Well-led

Outstanding

Updated 2 August 2017

The service was very well led.

The registered manager, the senior managers and the staff had a strong and visible person centred culture that was at the core of the service. People using the service felt the benefit of this through their experience of consistently outstanding care.

Staff were motivated because they felt supported by a management team they felt inspired them.

Arrangements for monitoring and assessing the service were focused on ensuring that people consistently experienced outstanding standards of care. The provider was highly respected by other professionals and had been shortlisted for specialist awards three years running. People and relatives consistently reported outstanding levels of care through annual surveys.