Background to this inspection
Updated
7 January 2022
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 carried out by one inspector.
Service and service type
Kingsfield Court 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.
At the time of our inspection the service did not have a manager registered with the Care Quality Commission. This meant that the provider is legally responsible for how the service is run and for the quality and safety of the care provided. A manager was in post and in the process of applying to become registered with the Care Quality Commission.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with eleven members of staff including the provider, nominated individual, manager, regional support managers, senior care workers, care workers, housekeeper, lifestyle coordinator and maintenance staff.
Updated
7 January 2022
About the service
Kingsfield Court is a residential care home providing personal care to 59 people aged 65 and over at the time of the inspection. The service can support up to 70 people.
People’s experience of using this service and what we found
People said they felt safe. Staff understood their responsibilities to protect people from abuse and avoidable harm. People received their medicines in a safe way and in the way they preferred.
Infection prevention and control policies and procedures and national guidance were followed. The service was clean and hygienic and people were protected from the risk of infection.
Staffing numbers had recently increased, and staff deployment had improved to ensure increased support and supervision for people who required it.
Lessons were learned when things went wrong and changes were made to reduce further risk and improve the quality of care and support.
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.
Systems and processes to monitor the quality of the service were robust and identified risk and areas for improvement. People were consulted and involved in the day to day running of the service. For example, people chose the activities and menu they preferred. People’s equality and diversity needs were considered and respected.
Staff and managers had a shared vision and person-centred approach. Staff were supported and said their managers were accessible, approachable and open. The provider worked in partnership with other professionals and followed best practice guidance within the sector.
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 Good (Published 24 April 2020).
Why we inspected
The inspection was prompted in part due to concerns received about staffing and management of risk. A decision was made for us to inspect and examine those risks.
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 coronavirus and other infection outbreaks effectively.
We received concerns in relation to staffing and the management of risk. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern.
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 remained the same. 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 Kingsfield Court on our website at www.cqc.org.uk.