Kingfield Mews

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People's needs were assessed before they moved into the home. This ensured their needs could be met, and staff had the appropriate knowledge and skills to look after them effectively.

Pre-admission assessments were used to develop a detailed care plan for each person. This included clear guidance for staff to help them understand how people liked and needed their care and support to be provided. Regular review meetings were held for people and their relatives and information from these meetings was used effectively to update people’s plans of care. Protected characteristics under the Equality Act (2010), such as religion and disability, were considered as part of this process, if people wished to discuss them. This showed people's diversity was included in the assessment process.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The management team demonstrated a good understanding of key guidance and best practice. They discussed their continual aim for reduced use of physical restraint in line with current guidance and the importance of ensuring people had their rights and choices respected. People were supported by staff who had received relevant and good quality training. Staff followed and applied their learning. Training included communication tools, positive behaviour support, human rights and restrictive interventions. Where people faced challenges, records evidenced the service had worked proactively to engage with the correct services to support decisions about people’s care and treatment.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People were supported by a wide range of health and social care professionals, including speech and language therapists (SALT), epilepsy specialist nurses and the community learning disability team. The service worked well in partnership with advocacy organisations and other health and social care organisations, which helped to give people using the service a voice and improve their wellbeing. Advice was well recorded, accessible and consistently followed.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people to access health care screening and healthcare services when people needed support. They made referrals to other organisations and requested immediate support if people experienced an issue with their health.

People chose what they wished to eat each day and were always offered alternatives if the options given were not acceptable. Most people received assistance from staff to prepare their food, but people were encouraged to prepare their own if they wished to do so. Staff supported with healthy meal planning where people agreed to this.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.The provider had a clear vision for the direction of the service which showed ambition and a desire for people to achieve the best outcomes possible.

Systems and processes relating to consent and capacity required improvement. For example, 1 person had recently moved into the service and was subject to a restriction regarding the use of their mobile phone. The provider was in the process of implementing the necessary recording and monitoring processes to ensure the restriction was appropriately documented, reviewed, and managed in line with the person's care and support needs. Despite these recording issues, there was no evidence people's rights were being restricted. Staff empowered people to make their own decisions about their care and support where possible. We observed staff seeking consent from people before care was delivered.