We carried out a review of the data available to us about The King William 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 The King William Care Home, you can give feedback on this service.
We found the following examples of good practice.
The provider kept in touch with relatives and discussed visiting options in line with government guidance. Some people had identified essential care givers.
Staff supported one to one activity to happen for people who were isolating in their rooms to reduce the impact of isolation.
Staff competence checks were completed to ensure safe practices in hand hygiene and donning and doffing of PPE. Staff signed to confirm COVID-19 updates shared by the provider have been read.
The provider implemented the regular use of a disinfecting fogging machine throughout the service for enhanced disinfection
About the service:
The King William Care Home is a residential care home providing personal and nursing care for 21 people at the time of the inspection, some of whom were living with dementia. The service can support up to 28 people in one adapted building with a lift to the first floor. There are several communal areas for people to use and an accessible outdoor space.
People’s experience of using this service and what we found:
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.
People remained safe at the service and risks about their well-being were assessed, recorded and regularly reviewed. People told us that when they needed assistance, staff responded promptly. People were supported to take their medicines safely. Incidents and accidents were investigated, and actions taken to prevent reoccurrence. The premises were clean, and staff followed infection control procedures.
People’s needs had been assessed, plans developed, and they received care and support from staff who had the skills and knowledge to demonstrate a full understanding of their care needs. People were provided with a nutritious and varied diet and were complimentary about the food and the choices offered. Recruitment procedures for appointing staff were thorough. Staff were safely recruited and received the training and support needed to undertake their role.
Staff always treated people with kindness and respect and were passionate about providing a quality person centred service. People said they felt involved and supported in their care. There was a friendly and welcoming atmosphere for people using the service and people gave positive comments about the staff and care provided.
Staff were responsive to people’s individual needs and were seen to engage well. Activities and entertainment were organised on a regular basis which people said they enjoyed. People, visitors and staff views were listened to and action taken to improve the service for all.
The service was led by clear leadership who conducted quality assurance audits to monitor the running of the service. These systems were in place to continue to drive and improve the level of service. The registered manager was praised by people, their relatives and the staff for their positive and supportive approach. The management team and staff engaged well with other professionals to support the needs of the service.
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 rating for this service was requires improvement (published 16 July 2018). 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 improvements had been made and the provider was no longer in breach of regulations.
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 The King William 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.
This unannounced inspection took place on 5 June 2018. The King William Care Home was registered by Care Quality Commission (CQC) on 22 December 2016 following a change in legal entity and this was the first time we had inspected this service.
The King William Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The King William Care Home provides care and support for up to 28 older people, some of who may be living with dementia. The premises had been adapted and consisted of two floors which included bedrooms, a main lounge, garden room, dining room and an activities room. There were 20 people living at the service at the time of our inspection.
There was no registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. However, there was a manager in post who was in the process of applying to become the registered manager.
We found that regular audits by the managers of the service had identified areas of the environment that needed attention to ensure that people’s needs were met by the adaptation, design and decoration of the service. Although the provider had carried out some improvements to the environment such as servicing and repairing equipment and on-going essential repairs such as fixing leaking taps and replacing toilet seats, they had failed to address the areas of concern identified in the environmental audits. During this inspection, we found the same issues in relation to the environment as identified by the audits. For example, we saw that some bedrooms had an unpleasant odour because carpets were stained and worn. In one bedroom there had been a leak and the carpet was wet and this room had a strong odour.
Both sluice rooms were in need of refurbishment. They were not easy to clean and walls and floors were stained. Several toilets needed new flooring, the laundry was not a clean and hygienic environment to wash people’s clothes and windows in many areas of the service had condensation in the pains obscuring peoples view to the outside.
People were safe at the service and staff knew how to protect them from abuse. Managers and staff monitored people’s well-being and took preventative action to keep them safe. There were enough staff on duty to support people and meet their needs. Staff supported people with their medicines and this was done safely. Staff were trained in infection control and wore PPE (personal protective equipment) to reduce the risk of the spread of infection or illness.
People’s needs were assessed before they started using the service. The staff were well-trained and knowledgeable. Staff assisted people with their meals and made sure people had enough to eat and drink. People’s healthcare needs were met and staff referred them to healthcare professionals where necessary. People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice
The staff were caring and kind and had developed good relationships with people using the service. They engaged with people and welcomed their relatives and friends when they visited. Staff respected people and supported them to make choices about their care, support and any individual needs they might have including cultural, religious, and those relating to disability. People told us staff treated them with dignity.
Staff provided people with individualised care that met their needs. Care plans were personalised and written in conjunction with the person themselves and others involved in their care. They included information about people’s life histories, which enabled staff to get to know people and take an interest in their lives. Staff encouraged people to socialise and to join in with activities and events that took part on the premises and provided assistance for them to do this where necessary.
Staff were trained in equality and diversity and information was provided to people in formats that were accessible to them. The service had a complaints procedure and if a person made a complaint they were listened to and their concerns taken seriously.
People were satisfied with the care and support provided. Staff said they liked working at the service because they were well supported by the manager and their peers. People, relatives, and staff had the opportunity to comment on the service through surveys, meetings and one-to-one discussions. Records showed the service worked with other agencies to ensure people’s needs were met.
At this inspection, we found the service to be in breach of one regulation of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. The action we have taken are detailed at the end of this report.