Kingsthorpe Grange

Updated 9 March 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors and 2 Expert by Experiences. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kingsthorpe Grange is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Kingsthorpe Grange is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager had been in post for 3 months and had submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 9 people and 11 relatives of people who used the service about their experience of the care provided.

We spoke with 16 members of staff including the manager, regional manager, deputy manager, safeguarding leads, care assistants, activity staff, assistant practitioners and nurses. We reviewed care plans and records for 9 people. This included people's medicine records and daily care records. We also reviewed various records relating to the day to day management of the service, quality assurance and key policies and procedures.

Updated 9 March 2024

About the service

Kingsthorpe Grange is a nursing home providing personal and nursing care for to up to 51 people. The service provides support to people living with dementia and other mental health conditions. At the time of our inspection there were 37 people using the service.

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

Systems and processes in place to monitor the quality and safety of the service had failed to identify and address concerns found during the inspection. The provider had failed to implement effective systems to comply with CQC regulations.

Further improvements were required to ensure risks to all people living in the service were identified and mitigated.

Relatives told us people’s clothing and personal items often went missing. During the inspection we saw unlabelled clothing and underwear in the laundry room and within people’s individual wardrobes.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People had care plans in place detailing the care and support they needed from staff however, these were not always personalised and required further development.

People’s medicines were administered by trained and competent staff and medicines were ordered, stored and disposed of safely.

People and their relatives told us staff treated them with kindness. Staff respected people’s privacy and dignity when supporting people with personal care.

Staff worked effectively with other healthcare professionals and people told us their healthcare needs were managed well.

People and the relatives we spoke with during the inspection told us they felt safe and there was enough staff to meet people’s needs and keep them safe. Staff received training on safeguarding and understood how to recognise and report abuse. Staff told us that they would report any concerns to the nurses or manager.

We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.

People were supported to eat and drink enough to maintain a balanced diet. The provider ensured staff received training to understand the individual needs of the people supported at the service.

People and their relatives were given the opportunity to provide feedback on their care for improvements to be made. Staff told us they felt valued in their roles and received support from their colleagues and the manager.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 20 September 2023) and there were breaches of regulation. At this inspection we found the provider remained in breach of regulations. This service has been rated requires improvement for the last five consecutive inspections.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.

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 have identified breaches in relation to risk management, dignity and respect, and oversight at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.