Kingdom House

Updated 18 June 2022

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 undertaken by two adult social care 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.

Service and service type

Kingdom House 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. Kingdom House 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection the service manager in post had applied to register with CQC.

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 and professionals who work with the service and Healthwatch (Sheffield). Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 three people who used the service and two relatives on the telephone about their experience of the care provided. We spoke with six members of staff including the area manager, service manager, a team leader and support workers. 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.

We reviewed a range of records. This included two people's care records, multiple medication records and social activity records. We looked at a variety of records relating to the management of the service, including policies and procedures and audits.

Updated 18 June 2022

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

About the service

Kingdom House is a care home. The service provides support to a maximum of eight people in one adapted building. At the time of our inspection there were five people using the service.

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

Based on our review of key questions Safe and Well led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

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 model of care and setting maximised people's choice, control and independence. Systems in place protected people from abuse and improper treatment. Risks to people were assessed, monitored and managed safely. However, some environmental risks were not always assessed and identified in a timely manner. This needed imbedding into audit and governance systems so they were not missed.

People achieved good outcomes that effectively met their health, social and emotional needs. Staff had the necessary skills, and experience to meet people's needs. People's medicine support was managed safely. However, some minor improvements were required in this area.

Right Care

Care was person-centred or delivered in a way which promoted people's dignity, privacy and human rights. Staff offered people choices when supporting them with such things as activities and meals.

Right Culture

People spoken with told us staff were extremely kind and caring. Relatives spoken with were positive about the care and support provided. Staff we spoke with understood people's needs and described how they respected their dignity.

There were quality assurance systems and processes to audit service performance and the safety and quality of care. Where checks and audits were carried out, they had not always identified shortfalls at the service.

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

Rating at last inspection

The last rating for this service was good (published 17 May 2018).

Why we inspected

We received concerns in relation to the management of the home, staff understanding of risks to people and the quality of care provided. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

Since the concerns were raised there has been a permanent manager in post who has started to address the shortfalls in the quality of the service, detailed in this report.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingdom House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.