9 January 2024
During an inspection looking at part of the service
Kingsthorpe Grange is a nursing home providing personal and nursing care for to up to 51 people. The service provides support to people living with dementia and other mental health conditions. At the time of our inspection there were 37 people using the service.
People’s experience of using this service and what we found
Systems and processes in place to monitor the quality and safety of the service had failed to identify and address concerns found during the inspection. The provider had failed to implement effective systems to comply with CQC regulations.
Further improvements were required to ensure risks to all people living in the service were identified and mitigated.
Relatives told us people’s clothing and personal items often went missing. During the inspection we saw unlabelled clothing and underwear in the laundry room and within people’s individual wardrobes.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
People had care plans in place detailing the care and support they needed from staff however, these were not always personalised and required further development.
People’s medicines were administered by trained and competent staff and medicines were ordered, stored and disposed of safely.
People and their relatives told us staff treated them with kindness. Staff respected people’s privacy and dignity when supporting people with personal care.
Staff worked effectively with other healthcare professionals and people told us their healthcare needs were managed well.
People and the relatives we spoke with during the inspection told us they felt safe and there was enough staff to meet people’s needs and keep them safe. Staff received training on safeguarding and understood how to recognise and report abuse. Staff told us that they would report any concerns to the nurses or manager.
We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.
People were supported to eat and drink enough to maintain a balanced diet. The provider ensured staff received training to understand the individual needs of the people supported at the service.
People and their relatives were given the opportunity to provide feedback on their care for improvements to be made. Staff told us they felt valued in their roles and received support from their colleagues and the manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 20 September 2023) and there were breaches of regulation. At this inspection we found the provider remained in breach of regulations. This service has been rated requires improvement for the last five consecutive inspections.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingsthorpe Grange on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to risk management, dignity and respect, and oversight at this inspection.
Please see the action we have taken at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.