Background to this inspection
Updated
12 May 2022
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 included checking the provider was meeting COVID-19 vaccination requirements. 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 service was inspected by one inspector.
Service and service type
Kingsway Clayton Residential Care home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Kingsway Clayton is a care home without nursing care. 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. However, the registered manager was absent from the service for over 28 days at the time of the 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. 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.
We used all 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 six members of staff including, the deputy manager, the office manager, and four care staff.
We reviewed a range of records. This included three 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 were reviewed.
After the inspection
We continued to interrogate records and seek clarification from the service to validate evidence found. We looked at training data and quality assurance records.
Updated
12 May 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Kingsway Clayton House Residential Care home is a care home providing personal and nursing care. At the time of the inspection ten people with learning difficulties and autism were being supported at the service. The service can support up to 16 people.
People’s experience of using this service and what we found
Based on our review of key questions Safe and Well Led the service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
People had support to pursue their interests in a meaningful way. Although this was a larger than recommended service under the right care, right support, right culture principles, people were supported to undertake activities in an individualised and meaningful way. They were able to personalise their rooms and spend time in different areas of the service as they wished to.
Staff supported people with their medicines to achieve the best possible health outcome. Medicines were managed safely.
Staff enabled people to access healthcare in the community and were supported to maintain their own health and wellbeing.
Safeguarding processes at the service had been improved and had resulted in better management of people’s finances, and people’s positive behavioural plans were used effectively to provide good outcomes for them. Risks to people’s safety were reviewed and measures were in place to safely support people.
People at the service were all able to verbally communicate with staff and make their needs know.
Right Care
People’s support plans were individualised and contained personalised details of the support people required.
Staff were trained so they understood how to protect people from poor care and abuse, and support people’s differing needs .
There was information on display at the service in formats accessible for people living there about safeguarding and whistleblowing.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right Culture
There had been improvements to the governance arrangement at the service, resulting in better oversight of people’s care since our last inspection. However, the arrangements were a temporary measure and further arrangements were required to ensure the long-term oversight of the service was maintained. The service was being run by the deputy manager and office manager. They had the support of a family member of the provider, and a consultant employed by them. The provider’s family member recognised the arrangements needed to be formalised and was working to address this.
Feedback on their care was obtained from people and there was evidence on how the service promoted improvement or acted on people's views.
People were supported by staff who knew them well and the staff turnover was low which had a positive effect on the people living at 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 and update.
The last rating for this service was requires improvement (published 15 December 2021) The provider completed an action plan after the last inspection to show what they would do and by when to improve.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We carried out an unannounced focused inspection of this service on 3 November 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding people and governance of the service.
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.
Enforcement
We have identified a breach in relation to Regulation 4 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider was not meeting the requirements of their registration as due to ill health they were not able to fulfil their duties as registered provider at this inspection.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained Requires improvement. 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 Kingsway Clayton House Residential Care home on our website at www.cqc.org.uk.