Kingsgate Care Home

Updated 13 May 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

This inspection was carried out by two inspectors.

Service and service type

Kingsgate 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 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 all of this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

We spoke with four people who used the service and one relative about their experience of the care provided. We spoke with eleven members of staff including the provider, registered manager, deputy manager, clinical lead, nurse, senior care workers, activity person, care workers, domestic supervisor and domestics. 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.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures and quality assurance records were reviewed. We spoke with the local authority.

Updated 13 May 2021

About the service

Kingsgate is a residential care home providing personal and nursing care for up to 40 people aged 65 and over, in one adapted building, over three floors. At the time of the inspection Kingsgate was supporting 31 people.

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

Kingsgate had a homely, caring environment and promoted a positive culture. The atmosphere in the home was warm and welcoming and staff were friendly and considerate. They treated people with kindness and had developed positive relationships with them. There were systems and processes in place to keep people safe. Staff supported people to have maximum choice, in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The premises were very clean. National guidance was being followed with regards to Covid-19 infection prevention and control; to ensure practice was safe and people were protected as much as possible from contracting Covid-19.

There were systems in place to check the quality and safety of the service. However, quality assurance systems needed further development to give a full overview of the service and inform an ongoing improvement plan. This would complete the quality monitoring cycle and show the service was continually driving improvement.

Rating at last inspection

The last rating for this service was requires improvement (published 1 February 2020) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to 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 Kingsgate 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.