Kingfisher Lodge is a residential care home providing regulated activities personal and nursing care to up to 60 people. The service provides support to people with dementia, older and younger adults, and people with a learning and/or physical disability. At the time of our inspection there were 52 people using the service.
Kingfisher Lodge is laid out over two floors, with en-suite bedrooms, communal dining and lounging areas, to each floor. Both floors are accessible by lift and stairs. People have level access to a large, well-stocked garden from the ground-floor. The manager’s office is located adjacent to the reception area on the ground-floor.
People’s experience of using this service and what we found
The manager raised potential safeguarding concerns with the local authority safeguarding team. Staff spoke confidently about how they would identify abuse and what they would do if abuse was witnessed or suspected. Risk assessments were in place where required, for example for people at risk of falls. The manager had identified medicines related recording was not always robust and was working to improve this at the time of our inspection. The provider used a staffing dependency tool based on peoples’ needs, we received mixed comments about staffing levels.
The provider submitted notifications as required and used checks and audits to identify shortfalls, errors and omissions. Staff knew people well and had recently worked with a dementia specialist to provide people with more person-centred care. At the time of our inspection, the service did not have a registered manager in place, a recent application for registration had been withdrawn and a general manager was in post for the interim. The manager and regional director had identified areas for development, plans were in place to support this.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of safe and well-led, the service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right support: People were supported to have maximum control of their lives and make their own choices. The service shared relevant information with external professionals to support these choices.
Right care: Staff had not received learning disabilities training, however this had not impacted people and the manager planned to rectify this. Staff knew people well.
Right Culture; The service worked with peoples’ families to ensure people experienced good outcomes.
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 good (published 20 November 2020)
Why we inspected
We received concerns in relation to the management of medicines and safeguarding concerns. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.