You are here

Kingsway Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 August 2019

About the service

Kingsway Care Home provides personal care (without nursing) for up to 11 people with a learning disability or autism. The home is adapted from a domestic residential property and does not present externally as a care home.

The service had not been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance as it initially opened before this guidance became available. Registering the Right Support ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 11 people. Ten people were using the service at the time of our inspection. This is larger than current best practice guidance, but the size of the service having a negative impact on people was mitigated by the home fitting into the residential area where it was sited. There were no identifying signs, with only the industrial bin indicative this was other than a family property. Staff did not wear anything that suggested they were care staff when coming and going with people, with use of domestic, family style cars for transport.

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

People were usually supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; although application of policies and systems in the service could better support this practice.

The service didn’t always apply the principles and values of Registering the Right Support (RRS) and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people did not fully reflect the principles and values of RRS for the following reasons; Some people’s perception was they did not always have a choice as to daily routine and their involvement in care planning could be improved. We saw the staff had sought people's views and preferences however and there were best interest decisions in place for use of any restrictions to keep people safe. There were many areas where we saw people had choice though.

People and relatives told us they had a positive experience in respect of the care and support they received. They told us they received support from staff in a timely way and were not kept waiting for assistance. We saw people looked comfortable in the presence of staff and people told us they felt safe at the home. Staff were knowledgeable about potential risks to people and were able to tell us how these would be minimised.

People were supported by staff who were kind and caring and staff were seen to respect people and promote their privacy, dignity and independence. People and staff had a warm, friendly relationship.

People were supported by care staff who had a range of skills and knowledge to meet their needs, although would benefit from further training in core areas of knowledge, which the provider had planned. Staff understood their role, felt confident and well supported. Staff received supervision and felt supported by the provider. People's health was supported as staff worked with other health care providers to ensure their health needs were met.

Staff were knowledgeable about people’s needs and preferences. People’s records needed improvement to reflect people’s involvement and how the care we saw was planned. The provider was working to develop more accessible care records, but we heard from people they ha

Inspection areas

Safe

Requires improvement

Updated 31 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 31 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 31 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 31 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 31 August 2019

The service was not always well-led.

Details are in our well-Led findings below.