• Care Home
  • Care home

Kingsclear

Overall: Good read more about inspection ratings

Park Road, Camberley, Surrey, GU15 2LN (01276) 413700

Provided and run by:
Aria Healthcare Group LTD

Latest inspection summary

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Background to this inspection

Updated 24 February 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

Three inspectors and a specialist nurse advisor carried out the inspection.

Service and service type

Kingsclear 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. Kingsclear is a care home with 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

The inspection was unannounced.

Inspection activity started on 25 January 2023 and ended on 2 February 2023. We visited the home on 25 January 2023.

Before the inspection

We reviewed information we had received about the home since the last inspection, including safeguarding records and notifications of significant events. We sought feedback about the home from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us 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 7 people who lived at the home, 4 relatives and a visiting healthcare professional. We talked to members of the management team including the registered manager, the deputy manager, the clinical lead, the provider’s regional manager and a quality support manager. We spoke with 2 nurses, 4 care staff and a member of the wellbeing team. We observed the care and support people received.

We looked at care records for 8 people, including their assessments, care plans and risk assessments. We checked 4 staff recruitment files, medicines management, health and safety records, records of complaints and accidents and incidents and the home’s business contingency plan.

After visiting the home, we spoke with 8 relatives by telephone to hear their views about the care their family members received. We received feedback from 2 healthcare professionals by email.

Overall inspection

Good

Updated 24 February 2023

Kingsclear is a care home with nursing for up to 97 older people, including people living with dementia. There were 61 people living at the home at the time of our inspection. The home is purpose-built and provides accommodation and facilities over 3 floors, although only 2 were occupied at the time of our visit. Facilities include a bar, café, cinema room, library and hair salon.

People’s experience of using this service:

Potential risks to people had been assessed and measures put in place to mitigate any risks identified. For example, pressure-relieving equipment and repositioning regimes reduced the risk of people developing pressure ulcers. People were supported to eat and drink safely. People at risk of failing to maintain adequate nutrition were weighed regularly. The home was clean and hygienic and people were protected from the risk of infection. Medicines were managed safely.

Systems used to follow up accidents and incidents had improved, which helped managers identify any emerging themes and actions that could be taken to minimise risk. Staff were recruited safely and understood their role in safeguarding people from abuse. Any incidents involving unsafe care had been referred to the local authority and notified to CQC. The provider had investigated incidents and contributed to safeguarding enquiries when requested to do so.

People’s care was designed and planned to meet their individual needs. Relatives had opportunities to be involved in planning and reviewing their family members’ care. People had access to a range of activities and events. Staff encouraged people to engage with others to ensure they did not become socially isolated.

People were supported to have maximum 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. Staff understood people’s individual communication needs and these were recorded in people’s care plans.

Input from the provider’s senior leadership team had improved the culture within the home and the support provided to staff and the home’s management team. Systems and processes used to monitor quality and safety had improved. Staff and managers had developed effective working relationships with other professionals involved in people’s care.

Whilst improvements had been made to address the concerns identified at the last inspection, these needed to be embedded and sustained over time to ensure people’s experience of care remained consistently good.

People had opportunities to give their views about the home and these were listened to. Relatives told us staff kept them up to date about their family members’ welfare and wellbeing. People knew how to complain and told us they would feel comfortable doing so if necessary. Any complaints received had been managed in line with the provider’s complaints procedure.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

The last rating for this service was requires improvement (published 26 August 2022) and there were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected:

We carried out an unannounced comprehensive inspection of this service on 28 April 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe, Responsive and Well-led which contain those requirements. The inspection was also prompted partly due to concerns we had received about some aspects of the management of the home.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to 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 Kingsclear on our website at www.cqc.org.uk

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.

Follow up:

We will continue to monitor information we receive about the service, which will help inform when we next inspect.