12 October 2022
During an inspection looking at part of the service
Kelstone Court Nursing Home is a care home providing personal and nursing care for up to 28 people. At the time of our inspection, there were 26 people using the service. The service supports older people living with dementia and having nursing needs. The home is arranged over three floors, with the lounge being on the ground floor and shared by all people living at the home.
People's experience of using this service and what we found
Although risks to people’s safety were managed appropriately, the care records did not always reflect this support. We made a recommendation about this.
Staffing levels were adequate to ensure people's safety but limited the flexibility people had to move around the home and choice of activities. Staff felt well supported in their role but the provider had to ensure they also observed staff on the job as necessary. The home environment was not always dementia friendly. Issues we identified during the inspection had been promptly addressed by the provider.
People, their family members and healthcare professionals were happy with the care delivery and had no concerns about safety. Staff understood policies and procedures of safeguarding people and followed safe infection control practices. The provider followed robust recruitment procedures to ensure they employed suitable staff to work with people. Staff had a good understanding of the Mental Capacity Act (2005) and the support people required to make decisions and choices. People received their medicines as prescribed. Information was shared by the staff team to learn from safety alerts and incidents.
There was a stable staff team in place with shared responsibilities to support the service delivery. The registered manager had developed good relationships with people and their families which ensured that the concerns were addressed as necessary when things went wrong. The service supported people to contact the healthcare professionals when they needed. Quality assurance processes were in place to assess and monitor the care provision as necessary.
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 overall rating for this service was good (published 07/08/2018).
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Kelstone Court Nursing Home on our website at www.cqc.org.uk.
Why we inspected
This was a planned inspection based on a review of the information we held about this service and when the service was inspected last.
This was a focused inspection and the report only covers our findings in relation to the Key Questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
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.