Background to this inspection
Updated
1 March 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: Two inspectors conducted the inspection over one day.
Service and service type: Kidsley Grange is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection: This inspection was unannounced.
What we did when preparing for and carrying out this inspection:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We contacted the local authority who commission services from the provider and they provided us with feedback. We assessed the information we require providers to send us at least once annually 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 five people who used the service and one person’s visitors to ask about their experience of the care provided. We also observed the support people received within the communal areas of the home. We spoke with seven members of staff including the cook, the deputy manager, senior care staff, care staff and activities staff. We spent time with the registered manager and area manager during the inspection and a visiting mental health nurse who worked for the provider. We reviewed a range of records. This included accident and incident records, three people's care records and medicine records. We also looked at three staff recruitment files.
We asked the registered manager to email audits to us, so that we could see how the provider monitored the service to drive improvements. We reviewed this information as part of the inspection process.
Updated
1 March 2019
About the service: Kidsley Grange is registered for 21 beds and provides personal care and accommodation for older people and younger adults, people with a physical disability and people living with dementia. On the day of our visit 17 people were using the service.
People’s experience of using this service:
People received support from staff who understood their role in protecting them from the risk of harm. Infection control procedures were in place to minimise the risk of people acquiring an infection. Risks were assessed and managed and people were supported to take their medicines in a safe way. The safety of people was enhanced, as the appropriate recruitment checks were done for new staff.
People enjoyed the meals available and they were supported to make decisions about the meals available, to ensure they met their preferences and dietary needs. Drinks were available to people throughout the day. Assessments were completed when people were unable to make specific decisions regarding their care. This ensured people were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible. People and their representatives were involved in their care to enable them to receive support in their preferred way. People had access to healthcare services and received coordinated support, to ensure their preferences and needs were met.
Opportunities to take part in social activities were available to enhance people’s well-being. People were supported to maintain their cultural and faith needs and were treated with consideration and respect by the staff team. Information was provided in an accessible format to support people’s understanding. People maintained relationships with their family and friends and were encouraged to give their views about the service. This included raising any concerns they had.
There were systems in place to monitor the quality of the service and drive improvement, this included; the refurbishment of the home, enhancing the service to commence electronic record keeping and ensuring that people received services that met their preferences and needs.
More information is in the full report below.
Rating at last inspection: Requires Improvement (report published 7 March 2018)
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we saw that improvements have been made.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.