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Kingsgate Residential Home Requires improvement

The provider of this service changed - see old profile


Inspection carried out on 23 January 2020

During a routine inspection

About the service

Kingsgate Residential Home is a residential care home providing personal care and support for 24 people aged 65 and over at the time of the inspection. The service can support up to 33 people.

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

At this inspection we found the provider had still not taken sufficient action to achieve compliance with the regulations. At our last inspection we found the provider was in breach of five of the regulations. Whilst some improvements had been made, the provider remained in breach of four of the regulations.

There was still a lack of effective quality assurance systems in place to monitor and assess all areas of the service. Some audits had been implemented, but these were still ineffective.

People’s care records did not contain enough detail and the needs of some people had not been assessed and planned for. Risks relating to people’s health and wellbeing were not managed robustly.

Reports of accidents and incidents were not detailed, and notifiable incidents had not been reported in line with the regulatory requirements.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People were cared for in a respectful way and felt involved in the planning of their care and treatment, along with their relatives. There was a lack of provision for people to take part in activities, but work was being undertaken to improve this.

There were opportunities for people and their relatives to provide feedback about the service and action plans were in place to address any concerns raised.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was inadequate (published 8 July 2019) and there were five breaches of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of four of regulations.

Following the last inspection we placed conditions on the provider’s registration. This meant the provider was required to send us monthly action plans to show what action they were taking in response to the concerns we found. These conditions will remain in place as the provider has not made enough improvement.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingsgate Residential Home on our website at


We have identified breaches in relation to safe care and treatment, need for consent, good governance and notification of other incidents at this inspection.

Please see the action we have told the provider to take at the end of this report.

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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Special Measures:

The overall rating for this service is ‘Requires improvement’. However, the service will remain in 'special measures'. We do this when services have been rated as 'Inadequate' in any Key Question over two consecutive comprehensive inspections. The ‘Inadequate’ rating does not need to be in the same question at each of these inspections for us to place services in special measures. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to chec

Inspection carried out on 26 March 2019

During a routine inspection

About the service: Kingsgate Residential Home is a care home that provides personal care and support for up to 33 people aged 65 and over. There were 25 people living at the service at the time of the inspection.

People’s experience of using this service:

People who live at Kingsgate Residential Home were not always having their needs met by sufficient numbers of staff. Environmental risks and concerns around medicines management were identified which did not ensure people’s safety. Leadership and governance arrangements within the service were of concern, as they were not always identifying shortfalls and making changes to address them. There were breaches of regulation impacting on the quality of service provided to people.

The service was not consistently following advice from healthcare professionals. We identified gaps in recording of care tasks including repositioning people, monitoring of toileting, therefore we were unable to source assurances people’s care and support needs were always met.

People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible; policies and systems in the service were not followed to support good practice.

Service cleanliness was of a consistent standard, making the care environment comfortable. People were accessing activities and where able, people accessed the local community. Staff treated people with kindness and were polite, however did not always maintain people’s privacy and dignity.

Management plans were in place for people needing support at the end of their life. The service had good working relationships with health and social care organisations to ensure people received joined up care.

People and their relatives were encouraged to give feedback on the service, and areas for improvement through satisfaction questionnaires.

Rating at last inspection: This was the first inspection of Kingsgate Residential Home since registering as a change of provider in November 2017.

Why we inspected: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions.

Enforcement: At this inspection, we identified breaches of regulation 11, 12, 17 and 18 and Registration regulation 18. Full information about CQC's regulatory response to any breaches of regulation found during inspections is added to reports after any representations and appeals by the provider have been concluded.

Follow up: We will continue to monitor this service and will reinspect in line with our schedule for those services rated as Inadequate. As an outcome of this inspection, the decision was made for the service to be placed in special measures.

For more details, please see the full report which is on the CQC website at