Kingshill

Updated 23 May 2023

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 Health and Social Care Act 2008.

Inspection team

An inspector and an Expert by Experience carried out this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kingshill 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. Kingshill is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service and 4 relatives about their experience of the care provided. We spoke with 9 members of staff including the registered manager, regional head of operations, co-production co-ordinator, the cook, senior support workers and support workers.

We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at records in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 23 May 2023

About the service

Kingshill is a residential care home that provides short term accommodation and 24 hour care, support and enablement services for a maximum of 15 people who live with a mental illness. The accommodation is provided in 1 building with bedrooms across 2 floors and communal areas on the ground floor. At the time of the inspection 14 people lived at the service.

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

Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults. Staff had received training relevant to their roles when they first started working at the service, and thereafter they received regular training refreshers. Staff training compliance was maintained. The service had enough staff.

People were protected from the risks of abuse and staff were trusted to keep them safe. Staff had received training in how to safeguard people. Staff were confident to report concerns and were satisfied action would be taken to investigate them.

People's care needs were risk assessed and care plans provided staff with the information they needed to manage the identified risk. Accidents and incidents were recorded and monitored. The provider had appropriate infection prevention and control systems.

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.

Medicines were managed safely. Staff supported people to be independent with taking their medicines. Staff were trained to administer medicines.

Auditing systems had vastly improved and were robust. Governance systems had been revamped.

The provider was passionate about creating a culture of greater understanding and support. People were at the heart of the service. The management team's primary focus was to develop people's skills and confidence and provide them with the tools needed to live more independently. People's quality of life was enhanced by the service's culture of improvement and inclusivity.

The culture of the service was led by a respected registered manager. Staff felt empowered and valued in their roles. They were encouraged to share their ideas and make suggestions. The registered manager sincerely promoted staff well-being.

The service worked closely in partnership with other health and social care organisations and the community to achieve good outcomes for people using the service. Professionals who worked with the service spoke highly about the registered manager, the staff and the care and support delivered.

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 5 August 2021). 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.

At our last inspection we recommended the provider reviews their food provision systems. At this inspection we found the provider had worked with the people who lived at the service and implemented better systems.

Why we inspected

We undertook this focused inspection to check the provider 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.

For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. 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 Kingshill on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.