• Care Home
  • Care home

Kingston House

Overall: Good read more about inspection ratings

Lansdowne Crescent East, Derry Hill, Calne, Wiltshire, SN11 9NT (01249) 815555

Provided and run by:
Greensleeves Homes Trust

Latest inspection summary

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Background to this inspection

Updated 20 November 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of one inspector, a medicines inspector and an Expert by Experience. 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

Kingston House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we reviewed the information we held about the service and the service provider. The registered manager completed a provider information return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We used all of this information to plan our inspection.

During the inspection

We spoke with 10 people and one relative to gather their views about the care they received.

We looked at six people’s care records. We checked recruitment, training and supervision records for staff and looked at a range of records about how the service was managed. We also spoke with the registered manager, deputy manager, general manager and five care staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Overall inspection

Good

Updated 20 November 2019

About the service

Kingston House is a care home providing personal care to 36 people aged 65 and over at the time of the inspection. The service can support up to 46 people. People live in three wings, one of which specialises in providing care to people living with dementia.

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

People said they felt safe living in the home and staff supported them to manage the risks they faced. People received support to take the medicines they had been prescribed. We have made a recommendation about supporting people to manage their medicines independently. There were enough staff to provide the care that people needed.

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 liked the food provided by the home and staff helped people where required. People were able to access the health services they needed. Staff received suitable training to give them the skills to meet people’s needs. The registered manager provided good support for staff to be able to do their job effectively.

People received caring and compassionate support from kind and committed staff. Staff respected people’s privacy and dignity. People and their relatives were positive about the care they received and about the quality of staff.

People were supported to take part in activities they enjoyed. People were involved in planning the activities schedule. There were opportunities for people who were unable to participate in group activities, to help ensure they did not become socially isolated. People had been supported to develop care plans that were specific to them. These plans were regularly reviewed with people to keep them up to date.

The service was well-led, with a registered manager and experienced management team. People felt the management team had a good understanding of any issues in the home. The quality of the service was regularly assessed, and action taken to make improvements where needed.

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 23 October 2018) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.