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Inspection Summary


Overall summary & rating

Good

Updated 8 August 2019

Kingsthorpe Grange is a care home that provides personal care and nursing care. It can accommodate 51 people across four separate units, each of which has separate adapted facilities. At the time of the inspection 49 people were using the service.

People’s experience of using this service:

Staff and the management understood the importance of safeguarding people from the risks of abuse. The manager followed the safeguarding reporting procedures, through reporting concerns about people’s safety or welfare to the local safeguarding authority and to the Care Quality Commission (CQC).

Risk assessments were completed and updated as and when people's needs changed. We found the risk assessment for one person at risk of self-harm did not contain full details about the items the person could use to self-harm. In addition, their observation records did not evidence the engagement staff had with the person.The manager immediately arranged for the risk assessment, observation record and care plan to be fully updated with the specific details on how staff supported the person from the risks of self-harm.

Staff safely administered and managed people’s medicines. However, closer monitoring was needed regarding the administration of medicines prescribed to be taken ‘as required’ (PRN). The manager immediately put in place a recording tool for staff to specifically record the reason, and time when PRN medicines were administered. This meant closer monitoring of the use of PRN medicines could take place. The manager also confirmed they were in discussion with the company that provide the electronic medicines administration system, to have such a feature incorporated onto the system.

Staff recruitment procedures protected people from the risks of receiving care from unsuitable staff. Staff received appropriate induction and ongoing refresher training and support to carry out their roles. Staffing arrangements ensured people received timely support from a consistent team of staff that knew their care and support needs. Staff followed good practice infection control guidelines to help prevent the spread of infection.

People received a varied diet to ensure good nutrition and hydration. They had access to timely healthcare to maintain their health and wellbeing. People and their representatives were involved in making decisions about their care and support needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and their representatives were involved in the planning and development of their care and support. Staff were skilled at enabling people to communicate their choices and decisions. They knew people well and used this knowledge to provide personalised care. They respected and promoted people's privacy, dignity and independence. People were supported to access the local community and maintain relationships with friends and family. Systems were in place to receive and respond to complaints.

People, visitors and staff were encouraged to share their views about the service. Feedback received was used to continually drive improvement. The provider and manager were open and transparent in sharing information about actions taken and lessons learnt within the service. The manager and staff ensured people were provided with good care and support to achieve the best possible outcomes. They worked in partnership with a range of health and social professionals to achieve this.

Systems were in place to continually quality monitor all aspects of the service. The provider and manager were open to advice and took immediate action on areas identified for further improvement.

Rating at last inspection

At the last inspection the service was rated Good (report published 3 December 2016).

Why we inspected

This was a planned inspection based on the rating of th

Inspection areas

Safe

Good

Updated 8 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 8 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 8 August 2019

The service was well-led.

Details are in our well-led findings below.