Kingsley Court Care Home

Updated 6 August 2021

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.

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

The inspection was conducted by two inspectors, a nurse specialist advisor and a member of the CQC medicines team. An Expert by Experience supported the inspections by making telephone calls to relatives of people who used the service. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kingsley Court Care Home 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

We looked at all the information we held about the provider, including statutory notifications, information from the local authority safeguarding team and information from members of the public.

During the inspection

We spoke with eight people who used the service and two visiting relatives. We also spoke with three visiting professionals and staff on duty, who included care workers, senior care workers, the activities coordinator, nurses, housekeeping staff, team leaders, the deputy manager and the registered manager.

We observed how people were being cared for and supported. Our observations included 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.

We looked at the care plans (and associated records) for seven people who used the service, and part of the care plans for another five people. We looked at how medicines were being managed, conducted a partial tour of the environment and looked at other records used by the provider to manage the service, such as records of staff recruitment and training, records of meeting minutes, quality audits and checks.

After the inspection

The registered manager sent us some addition information which we reviewed. The Expert by Experience spoke with the relatives of nine people who used the service on the telephone. A representative from the local authority quality assurance team gave us feedback about the service following a recent visit they had conducted.

Updated 6 August 2021

About the service

Kingsley Court Care Home is a care home providing nursing and personal care for up to 85 older people. At the time of the inspection 84 people were living at the service, with another person moving to the home that day. Some people were living with the experience of dementia and some were people being cared for at the end of their lives. The service was divided into three units. Bluebell (ground floor) for older people with nursing needs, Rose (first floor) for people living with dementia who had additional nursing needs and Primrose (second floor) for people living with the experience of dementia. The service was run by Healthcare Homes, a company providing residential, nursing and domiciliary care throughout South and East England.

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

People were well cared for. They received personalised care which they were happy with. They had good relationships with the staff who they felt were kind, caring and respectful. People, or those who were important to them, had been involved in planning their care to make sure it reflected their needs and preferences. The staff knew people well, they offered them meaningful choices and respected these.

People were kept safe, because the staff knew how to provide safe care. Risks to people's wellbeing had been assessed and planned for. The environment was safely maintained. People received their medicines as prescribed and had access to healthcare services when they needed these.

The staff felt well supported. They had the training and supervision they needed to provide good care. There were enough staff to meet people's needs and keep them safe. The provider's systems for recruiting staff helped to make sure they were suitable and had the right skills and attitude.

There were effective systems for monitoring and improving the quality of the service. These included responding to, and learning from, incidents, accidents and complaints. The registered manager was visible and people using the service, their visitors and staff told us they could speak with them and felt listened to and valued. The provider worked with other external organisations, such as universities, carrying out a number of different research projects with the aim of improving care for older people and those living with dementia.

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

Rating at last inspection

The rating at the last inspection was good (published 2 February 2018).

Why we inspected

The inspection was prompted in part by notification of a specific incident regarding medicines management. The incident is being investigated by other organisations, including the local authority safeguarding team. Therefore, we did not investigate this specific incident. We carried out the inspection to make sure medicines were being safely managed and whether there had been learning from this incident. We also looked at whether people's needs were being met

We carried out a focused inspection to look at the key questions of Safe, Responsive and Well-led.

We found no evidence during this inspection that people were at risk of harm.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has not changed and remains 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 Kingsley Court Care Home 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.