We carried out a review of the data available to us about Kingsgate Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kingsgate Care Home, you can give feedback on this service.
Kingsgate is a residential care home providing personal and nursing care for up to 40 people aged 65 and over, in one adapted building, over three floors. At the time of the inspection Kingsgate was supporting 31 people.
People’s experience of using this service and what we found
Kingsgate had a homely, caring environment and promoted a positive culture. The atmosphere in the home was warm and welcoming and staff were friendly and considerate. They treated people with kindness and had developed positive relationships with them. There were systems and processes in place to keep people safe. Staff supported people to have maximum choice, in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The premises were very clean. National guidance was being followed with regards to Covid-19 infection prevention and control; to ensure practice was safe and people were protected as much as possible from contracting Covid-19.
There were systems in place to check the quality and safety of the service. However, quality assurance systems needed further development to give a full overview of the service and inform an ongoing improvement plan. This would complete the quality monitoring cycle and show the service was continually driving improvement.
Rating at last inspection
The last rating for this service was requires improvement (published 1 February 2020) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
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 and Well-led which contain those requirements.
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.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Kingsgate on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Kingsgate Nursing Home is a residential care home providing personal and nursing care for up to 40 people in one adapted building, over three floors. At the time of the inspection there were 35 people using the service. The home is situated in the town centre of Clacton on sea.
People’s experience of using this service and what we found
Medicines were not always well managed. People did not always receive their medicines are prescribed
Staff had not always received training to support people with complex needs.
The service was not always well led. Management lacked regulatory oversight of the service. Systems were in place to monitor the quality of the service were not effective.
The registered manager had not always notified the Commission of safeguarding concerns or incidents of serious injuries to people.
Care plans and risk assessments were not always person centred. We have made a recommendation about this
Staff were recruited safely, were visible in the service and responded to people quickly.
People could take part in a range of activities internal and external to the service and were supported to access the community.
People's health was well managed, and relationships had been developed to ensure that individual health and nutritional needs were met. People had end of life plans in place. Relatives and staff made positive comments about the management team at the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 03/01/2019 and this is the first inspection.
Why we inspected
This was a planned inspection
Enforcement
We have identified breaches in relation to medicines management and governance 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.