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Inspection Summary


Overall summary & rating

Good

Updated 25 April 2019

About the service:

Kingsleigh House is a residential care home that is registered to provide care and accommodation for a maximum of 30 older people. 27 people were using the service at the time of the inspection, some of those experienced dementia. There was a registered manager who was present during our inspection. 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 2008 and associated Regulations about how the service is run.

People’s experience of using this service:

Whilst some audits were in place there was not enough detail provided to give a clear overview of any patterns or trends. We did not always receive notifications as required to enable us to see what action the provider took to keep people safe.

Checks were carried out on people’s satisfaction with their care using questionnaires. People knew the registered manager and felt they were visible around the home and were approachable.

People were supported by staff to remain safe. There were enough staff available to people and people’s needs were attended to in a timely manner. Risk assessments were in place to minimise any potential risk to people’s wellbeing. Staff were recruited in a safe way. People received their medicines as expected.

People felt that staff assisting them knew their needs. Staff received training and had been provided with an induction, and felt able to approach the registered manager with any concerns. Meals were nutritious and people were kept hydrated. People were supported to maintain their health. People were supported to have choice and control over their lives and staff understood that they should support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People felt that staff were kind and caring. Staff maintained people’s confidentiality and privacy and dignity. People were encouraged to be independent.

People's care plans reflected their needs and preferences and staff could explain specific care that people required. Activities were planned and people participated in them as they wished. Complaints were dealt with appropriately in line with the complaints procedure. People participated in activities that were tailored to their needs. End of life plans were considered when required.

Rating at last inspection: The rating for the service at our last inspection was ‘Requires Improvement’ with breaches of Regulation 13 and 17 with our last report published on 08 September 2017.

Why we inspected: This was a planned comprehensive inspection that was due based on our scheduling targets. At the last inspection the key questions around Safe, Caring, Responsive and Well led were rated ‘requires improvement’. This was due to concerns around reporting of safeguarding concerns, management of medicines, staff not being deployed effectively and recruitment processes not always being robust. Other issues included, people not being supported to have their views and concerns heard, concerns around staff whether staff maintained people’s privacy and dignity consistently, complaints not being addressed in a robust manner and concerns that checks and audits not carried out effectively. At this inspection we found that there had been some improvements, but further changes were required.

Enforcement:

No enforcement action was required.

Follow up:

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

Inspection report


Inspection areas

Safe

Good

Updated 25 April 2019

The service was safe

Details are in our Safe findings below.

Inspection report


Effective

Good

Updated 25 April 2019

The service was effective

Details are in our Effective findings below.

Inspection report


Caring

Good

Updated 25 April 2019

The service was caring

Details are in our Caring findings below.

Inspection report


Responsive

Good

Updated 25 April 2019

The service was responsive

Details are in our Responsive findings below.

Inspection report


Well-led

Requires improvement

Updated 25 April 2019

The service was not always well-led

Details are in our Well-Led findings below.

Inspection report