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Kingsthorpe Grange Requires improvement

The local authority has identified this service as suitable to care for people discharged from hospital with a positive coronavirus (COVID-19) test result. We have checked it meets the infection prevention and control standards we expect. Find out more about these checks

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 July 2021

About the service

Kingsthorpe Grange is a nursing home registered to provide personal and nursing care for up to 51 people living with dementia and/or mental health needs. At the time of inspection there were 48 people residing at the service.

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

Systems and processes to ensure oversight of the service required improvement. Audits were not effective in ensuring completed records were in place and some audits had not been completed regarding reviewing daily tasks.

People were at risk due to care plans not always being in place. Risks to people had not been consistently recorded or strategies implemented to reduce the known risks to people.

People received medicines from staff who received training and understood a person had the right to refuse medicines. There were some recording issues with medicines. However, we found people did received their medicines as prescribed.

People, relatives and staff were supported to feedback about the service and understood how to complain and felt they would be listened to.

People were supported by staff who had been safely recruited and received appropriate training to complete their roles.

People were protected from abuse. The systems and process were in place and staff understood how to recognise and report and concerns.

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

Rating at last inspection

The last rating for this service good (published 08 August 2019).

Why we inspected

We received concerns in relation to safeguarding. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

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 COVID-19 and other infection outbreaks effectively.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingsthorpe Grange on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to risk assessments and care plans, medicine management and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 29 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 29 July 2021

Caring

Good

Updated 29 July 2021

Responsive

Good

Updated 29 July 2021

Well-led

Requires improvement

Updated 29 July 2021

The service was not always well-led.

Details are in our well-Led findings below.