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Archived: Kingsthorpe View Care Home Good

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All reports

Inspection report

Date of Inspection: 5 June 2013
Date of Publication: 10 July 2013
Inspection Report published 10 July 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 5 June 2013, checked how people were cared for at each stage of their treatment and care and talked with carers and / or family members. We talked with staff, reviewed information sent to us by other regulators or the Department of Health and talked with other regulators or the Department of Health.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

The provider did not have an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

We spoke to two relatives of people who were using the service. The people we spoke to told us they felt they could speak to the manager and they would be listened to. One person said, “If I were worried about anything I would speak with the manager.” Another person said, “I have been asked to complete a survey to give my views on the service.”

People who used the service were asked for their views about their care and treatment and this information had been documented within the care plans. We did not see any evidence to indicate responses to surveys had been analysed in order to improve the quality of the service provision.

Staff meetings took place within the home. We reviewed the most recent minutes dated 17th May 2013. The minutes demonstrated a number of concerns which had been discussed in the manager’s presence including bullying amongst the staff and safeguarding concerns relating to people using the service. The manager told us after our inspection that she had not had the opportunity to review the minutes and they were not an entirely accurate reflection of the discussion which took place. The minutes had initially been taken by an administrative member of staff within the home. The minutes raised a series of concerns in respect of inappropriate behaviours and practices. This meant the system to discuss, monitor the quality of service for people living in the home and make changes in response to any problems was ineffective.

We saw that fire equipment and other equipment was checked and maintained regularly.

A complaints policy and a whistleblowing policy were in place. The complaints policy was also displayed in the main entrance of the home. There were no complaints for us to review at the time of our inspection.

Staff told us that audits were carried out by the manager. One person said, “The manager does a room check every day to make sure everything is in order.” Another member of staff said, “The manager walks around the home to see if things are being done.” We found the quality assurance processes within the home were ineffective as there were a number of actions which had not been followed up, as identified within other sections of this report.