We carried out a review of the data available to us about Kingsley Court Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kingsley Court Care Home, you can give feedback on this service.
Kingsley Court Care Home is a care home providing nursing and personal care for up to 85 older people. At the time of the inspection 84 people were living at the service, with another person moving to the home that day. Some people were living with the experience of dementia and some were people being cared for at the end of their lives. The service was divided into three units. Bluebell (ground floor) for older people with nursing needs, Rose (first floor) for people living with dementia who had additional nursing needs and Primrose (second floor) for people living with the experience of dementia. The service was run by Healthcare Homes, a company providing residential, nursing and domiciliary care throughout South and East England.
People’s experience of using this service and what we found
People were well cared for. They received personalised care which they were happy with. They had good relationships with the staff who they felt were kind, caring and respectful. People, or those who were important to them, had been involved in planning their care to make sure it reflected their needs and preferences. The staff knew people well, they offered them meaningful choices and respected these.
People were kept safe, because the staff knew how to provide safe care. Risks to people's wellbeing had been assessed and planned for. The environment was safely maintained. People received their medicines as prescribed and had access to healthcare services when they needed these.
The staff felt well supported. They had the training and supervision they needed to provide good care. There were enough staff to meet people's needs and keep them safe. The provider's systems for recruiting staff helped to make sure they were suitable and had the right skills and attitude.
There were effective systems for monitoring and improving the quality of the service. These included responding to, and learning from, incidents, accidents and complaints. The registered manager was visible and people using the service, their visitors and staff told us they could speak with them and felt listened to and valued. The provider worked with other external organisations, such as universities, carrying out a number of different research projects with the aim of improving care for older people and those living with dementia.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The rating at the last inspection was good (published 2 February 2018).
Why we inspected
The inspection was prompted in part by notification of a specific incident regarding medicines management. The incident is being investigated by other organisations, including the local authority safeguarding team. Therefore, we did not investigate this specific incident. We carried out the inspection to make sure medicines were being safely managed and whether there had been learning from this incident. We also looked at whether people's needs were being met
We carried out a focused inspection to look at the key questions of Safe, Responsive and Well-led.
We found no evidence during this inspection that people were at risk of harm.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has not changed and remains good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingsley Court Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
At the last inspection on 11, 12 and 13 November 2015, the service was rated good.
At this inspection we found the service remained Good.
People felt safe living at the service and were safeguarded from the risk of abuse. Staff recruitment procedures were followed to ensure only suitable staff were employed and there were enough staff available to meet people’s needs. Risks were assessed and plans put in place to minimise these. The service was clean and fresh and infection control procedures were being followed. Systems and equipment were maintained and serviced at the required intervals to keep them in good working order. Medicines were being managed safely. The registered manager used reflective practice to consider all aspects of the service including events so that where shortfalls were identified lessons could be learnt.
People were assessed before they came to the service and their needs and wishes were recorded and being met. Staff undertook recognised qualifications in health and social care and received ongoing training to provide them with the skills and knowledge to provide good care. People’s dietary needs and preferences were identified and being met, including those to meet people’s religious and cultural needs. People received the input from healthcare professionals they required.
The service was decorated to provide a homely, dementia-friendly environment for people to live in. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
People, relatives, and professionals were happy with the care and support provided to people. People were offered choices about their care and support and staff maintained people’s privacy and dignity. Staff understood people’s individual care and support needs which they met in a kind and caring way. People’s religious and cultural needs were known and respected.
Care records were clear, person centred and reviewed regularly to keep the information up to date. Activities were varied and took place each day and people enjoyed taking part. People and relatives felt able to express any concerns so they could be addressed. Information about people’s end of life care wishes was recorded so this could be followed.
The registered manager was visible in the service and spent time with people, relatives and staff to ensure people’s needs were understood and met. They demonstrated good leadership and this was echoed in comments from people, relatives and staff. The registered manager kept up to date with current legislation and good practice, monitored all aspects of the service and worked hard to maintain good standards and make any improvements necessary.
Further information is in the detailed findings in the main body of the report.
The inspection was carried out on 11, 12 and 13 November 2015 and the first day was unannounced. This was the first inspection under the current registration with the Care Quality Commission.
Kingsley Court Care Home provides accommodation for a maximum of 85 people. The service has three floors and accommodates people in single rooms each with en suite facilities. The ground floor provides general nursing care for up to 30 older people. The first floor provides nursing care for up to 30 older people with dementia care needs. The second floor provides personal care for up to 25 older people with dementia care needs. Each floor has communal dining, sitting rooms and bathing facilities. At the time of inspection there were 77 people using the service.
The service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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. The service had a manager who had applied to CQC to become the registered manager for the service and was going through the process of registration.
People were happy with the service and confirmed they felt safe living there. Staff treated people with dignity and respect, listening to them and supporting them in a caring and friendly way.
Risk assessments were in place to reflect the risk to individuals and the care and support they required to minimise these. Systems and equipment were being maintained to keep them in good working order. Infection control procedures were in place and being followed and the environment provided a clean, homely place for people to live.
Medicines were managed safely. Effective systems were in place so that people consistently received their medicines as prescribed.
Staff understood safeguarding and whistleblowing procedures and were clear about the process to follow to report any concerns around abuse. A complaints procedure was in place and people and relatives were confident to express any concerns so they could be addressed.
Staff recruitment procedures were in place and being followed to ensure only suitable staff were employed at the service. Staff received regular training and updates and had a good understanding of people’s individual choices and needs and how to meet them.
The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and Mental Capacity Act 2005 (MCA). DoLS are in place to ensure that people’s freedom is not unduly restricted.
People’s nutritional needs were identified and were being met. Input from the GP and other healthcare professionals was sought and provided to address any health concerns.
The majority of care records reflected people’s individual needs, interests and wishes and staff demonstrated a good understanding of these and provided person-centred care. Auditing of care records was in progress to identify where improvements were needed with personalising records. People’s religious and social needs were being identified and met and work was ongoing to further improve the activities provision in the service.
The manager was visible throughout the service and promoted good practices, listening to people, relatives and staff, all of whom provided us with positive feedback about their experience of the manager.
Systems were in place for monitoring the service and these were effective so action was taken promptly to address any issues identified.