Background to this inspection
Updated
31 August 2019
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Kingston Rehabilitation Centre is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also checked notifications made to us by the provider, safeguarding alerts raised regarding people living at the home and information we held on our database about the service and provider.
During the inspection
We spoke with four people, three relatives, nine care workers, and the area manager. The registered manager was on leave. We looked at the personal care and support plans for two people and two staff files. We contacted seven health care professionals to get their views.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
After the inspection
We requested additional evidence to be sent to us after our inspection. This included training matrix, audits and activities. We received the information which was used as part of our inspection.
Updated
31 August 2019
About the service
Kingston Rehabilitation Centre is a care home providing care and support for up to thirty-six people. The provider is the Bagshot Rehabilitation Centre Limited and is situated in the Kingston. There were nine people using the service at the time of our inspection.
People’s experience of using this service and what we found
The home provided a safe place for people to live and work in. They were enabled to live safely and enjoy their lives, because risks to them were assessed. This meant they could take acceptable risks. The home reported, investigated and recorded accidents and incidents and safeguarding concerns. There were suitable numbers of appropriately recruited staff. Medicine was safely administered.
People did not experience discrimination against them and their equality and diversity needs were met. Staff were well-trained, supervised, and appraised. They spoke to people in a clear way that people could understand. People were encouraged, by staff, to discuss their health needs and people had access to community-based health care professionals. Staff protected people from nutrition and hydration risks, and people were encouraged to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s needs and best interests.
The home had a warm, friendly and welcoming atmosphere with people enjoying the way staff provided them with care and support. The staff we met were caring and compassionate. Positive interactions took place between people, staff and each-other during our visit. Staff acknowledged people’s privacy, dignity and confidentiality. People were encouraged and supported to be independent and had access to advocates.
People had their needs assessed, reviewed and received person centred care. They were given choices, followed their interests and hobbies and did not suffer social isolation. People were given enough information to make decisions and end of life wishes were identified. Complaints were recorded and investigated.
The home’s culture was open, positive and honest with transparent management and leadership. There was a clear organisational vision and values. Areas of responsibility and accountability were identified, and service quality frequently reviewed. Audits were carried out and records kept up to date. Good community links and working partnerships were established. Registration requirements were met.
People were supported to have maximum choice and control of their lives staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service support this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
This service was registered with us on 14/02/2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.