• Care Home
  • Care home

Archived: The King William Care Home

Overall: Requires improvement read more about inspection ratings

Lowes Hill, Ripley, Derbyshire, DE5 3DW (01773) 748841

Provided and run by:
Ashmere Care Group

All Inspections

16 February 2016

During a routine inspection

The inspection visit took place on 16 and 17 February 2016 and the first day was unannounced.

The home is registered to provide accommodation for persons who require nursing or personal care. The service does not provide nursing care. At the time of our inspection there were 26 people living there.

There was a registered manager in post at the time of our inspection, and they were present on the two visits we undertook. 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.

Medicines were not always managed safely. People were satisfied that they received their medicines as prescribed.

People were protected from the risk of harm or abuse. Staff understood how to recognise and respond to concerns. Risks associated with people’s care needs were assessed and measures put in place to reduce the likelihood of harm occurring.

There were enough staff to meet people’s needs in a timely manner. Staff were knowledgeable about people’s needs, and supported people to access healthcare services promptly. People told us staff cared for them in a kind and compassionate way. People were treated in a manner which was dignified and upheld their rights.

The provider had procedures and checks in place to ensure that staff were of good character and fit to work in a care environment. Staff had an induction period at the start of their employment and received ongoing training.

The provider met the principles and legal requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People were supported to maintain a balanced diet, and they told us they enjoyed the variety of meals and snacks offered.

People felt that the care and activities offered were responsive to their needs. People were supported to maintain relationships which were important to them, and staff knew people’s individual preferences well.

People were involved in planning and reviewing their care, and felt able to raise concerns or make a complaint. The provider sought people’s views about their care and took action to improve the service in response to this.

The provider had systems in place to monitor and review care, but this did not always identify when people’s care had not been reviewed recently. The provider’s policies and procedures did not always reflect current professional guidance.

People, relatives and staff felt supported to make suggestions to improve care or raise concerns.

7 February 2014

During a routine inspection

People told us that they felt their needs were looked after well. One person told us 'The staff are friendly and help me whenever they can'.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

People who use the service are in safe and accessible surroundings that promote their wellbeing. The premises are being adequately maintained.

The provider had clear systems in place to obtain feedback from all persons involved in the service as well as auditing their own service. This shows that the provider had systems in place to monitor the quality and safety of service provided.

The provider keeps accurate personalised care and support records secure and confidential for each person who uses the service. They also store records in a secure and accessible way.

11 June 2012

During a routine inspection

We spoke with four people who use the service. They told us that their privacy was respected and that staff showed them respect and ensured their dignity was maintained. Two people gave us their views on whether staff encourage them to be as independent as possible. One said, 'I can do what I like and when I like.' The other person described daily routines that were flexible and which reflected their individual interests.

The people we spoke with felt that all their needs were met at the care home. They thought that a range of suitable activities were offered and three people described examples of those activities they found stimulating. One person told us, 'We're always asked [by the activities coordinator] if we want to get involved.' People told us that they felt safe living at the care home. One person said, 'I have seven staff I could confide in.'

Two of the people we spoke were able to tell us that they felt there were sufficient staff to meet their needs and were readily available. One person added that they were 'definitely' cared for properly, by staff. People told us that staff were competent at their job, with one adding that staff were, 'very good.'

People who use the service, and their representatives, were asked for their views about their care and whether they were acted upon. One person told us, '[It's] very good' and felt they had some say in how the service was run. They both confirmed there were residents' and relatives' meetings held and satisfaction surveys. One person said they felt their comments were listened to and acted upon and they gave us an example of this.

Although people's experiences were positive, we found concerns with the:

' Degree of monitoring the quality of service that people receive.

' Maintenance of an accurate record of the care provided to each person.