Kingsway View Care Home

Updated 2 August 2023

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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors 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. 2 inspectors visited the service and another inspector contacted staff following our visit to the service.

Service and service type

Kingsway View Care Home 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. Kingsway View Care Home is a care home without 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 11 people who used the service and 19 members of staff including the registered manager, care manager, the chef, housekeeping staff, senior care assistants, care assistants, the regional support and peripatetic manager, the managing director and group and commercial manager. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Our Expert by Experience spoke to 10 relatives by telephone to gather their views and experiences of the service. 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.

Updated 2 August 2023

About the service

Kingsway View Care Home is a residential care home providing personal care to up to 80 people. The service provides support to older people, people living with dementia and people with a physical disability. At the time of our inspection there were 24 people using the service.

Kingsway View Care Home accommodates people in one purpose-built building across 3 floors. Each floor has communal areas and balcony outdoor space, all bedrooms in the home have en-suite facilities.

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

People had not always been protected from the risk of abuse, safeguarding incidents had not always been thoroughly investigated and measures to protect people had not always been implemented in a timely manner. Medicines had not always been safely managed, we identified recording issues, however the provider took immediate action to rectify these concerns.

We found complaints had not been dealt with in line with the providers policy and relatives told us of concerns they had raised which they had not received any update or resolution on. The providers systems and processes had not been followed by the registered manager in relation to safeguarding and complaints. A range of audits had been regularly completed, however they had not identified the shortfalls we found

Risks which affected people’s daily lives were assessed and measures were found to be in place to mitigate risks identified. Staff were recruited safely, and infection, prevention and control measures were in place and followed by staff.

Care plans detailed information about people's choices and preferences. Staff training was relevant and up to date. We received mixed opinion from people and their relatives about the quality of the food.

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 were given the opportunity to be involved in their care planning and staff understood the importance of respecting people’s dignity and promoting their independence.

We received mixed opinion on the activities available from people and their relatives. People told us they felt supported to maintain relationships with people who were important to them. Information was available in people’s preferred formats.

There was a positive and friendly atmosphere in the service. The provider demonstrated their commitment to learn and make improvements to the quality of care by taking immediate actions during and following our inspection to the concerns we identified.

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

Rating at last inspection

This service was registered with us on 19 August 2022, and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about medicines, staff training, the environment and food. A decision was made for us to inspect and examine those risks.

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.

The overall rating for the service is requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, 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.

Enforcement

We have identified breaches in relation to safeguarding people from abuse and complaints at this inspection. Please see the action we have told the provider to take at the end of this report.

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.