Kingsway Care Home

Updated 12 April 2023

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 team comprised of 1 inspector.

Service and service type

Kingsway Care Home 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. Kingsway Care Home 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced with an announced return to the service on a second day.

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. 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 5 people who used the service and observed staff interaction with people to help us understand people’s experience. We spoke with 4 relatives about their experience of the service. We spoke with 3 care staff, the general manager and the registered manager who was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 4 care plans and 3 staff files and a variety of records relating to the management of the service. These included audits, policies and processes, training for staff and medicine records.

Updated 12 April 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Kingsway Care Home is a residential care home providing personal care to 11 people. At the time of the inspection 9 people were living at the home. The service provides support to people with a learning disability and autistic people. People had their own bedrooms with en-suite bathroom and shared communal facilities in 2 lounges, dining areas and landscaped gardens.

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

Right Support

Systems and processes to ensure good management oversight required improving. The provider had not recognised safeguarding incidents when people became upset with each other. The provider had recorded and investigated the incidents and taken appropriate action to keep people safe. However, they had failed to inform the local authorities of the physical altercations between people because they had not recognised some behaviours had met the threshold for a safeguarding alert.

Risks to people had been assessed and people’s care plans had been regularly reviewed and updated. Staff supported people to maintain their health and wellbeing by accessing healthcare services. Staff knew their legal responsibilities to keep people safe.

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 policies and systems in the service supported this practice.

Right Care

People's needs were assessed prior to them receiving care and support from the service. Staff understood how to promote people's independence and ensured the care they provided treated people with dignity and respect. People were supported to express their views. People's communication needs had been considered and met. People’s medicines were managed safely. The provider had sufficient infection, prevention and control measures in place and staff had access to a good supply of personal protective equipment.

Right Culture

It was clear the registered manager, the general manager and all the care staff cared passionately about the people they supported at Kingsway Care Home. People and their family members told us how supportive the provider was and how much they enjoyed living at the home. Regular feedback was sought from family members. Staff felt supported by the provider. Complaints had been listened to and acted upon.

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 requires improvement, (published 31 August 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last 2 consecutive inspections.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We have found evidence that the provider needs to make improvements. 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 Kingsway Care Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safeguarding people from potential risk harm at this inspection and a failure to notify.

We have made a recommendation about advanced safeguarding training for the management team and care home staff to aid their understanding.

The provider has taken immediate action to mitigate the risk.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.