Kingscroft

Updated 4 July 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection which took place on the 2 May 2018. The inspection team consisted of two inspectors.

Information was gathered and reviewed before the inspection from notifications and the provider information return form (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

At the inspection, we interviewed the registered manager, a support worker, a housekeeper and a team leader. The two people using the service on the day of inspection were out at resource centres, so we were unable to speak with them. Because of this, we contacted six relatives of people who use the service to hear their views about the care and support people received. We also contacted professionals involved with the service: a moving and handling advisor, a physical healthcare specialist nurse and the area quality assurance manager for Surrey County Council.

We checked records related to the provider’s quality monitoring procedures. We looked at three care records, including assessments, risk assessments and care plans. We looked at audits relating to the running and the safety of the service which included environmental audits and medicines audits. We also viewed customer satisfaction results and accident and incident records. We looked at other documents including minutes of meetings, staff training records and details of activities.

Updated 4 July 2018

Kingscroft provides short breaks to approximately 40 people on annual basis and also provides unplanned respite for people in the event of an emergency such as family illness.

The home provides 24 hour care, supervision and support for up to eight people at a time with learning disabilities and additional health needs.

This was an unannounced inspection carried out on 2 May 2018. At the time of our inspection two people were using the service.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Why the service is rated Good.

The service was managed in a safe environment with adequate numbers of staff. People’s risks had been assessed and they were protected from abuse. Medicines were managed safely and robust infection control procedures protected people from the risk of infection. Lessons were learned when things went wrong and actions were taken to improve safety.

People had access to healthcare services and their health and well-being needs were met. People had a choice of menu and complex eating and drinking needs were managed. People’s cultural and religious preferences were also taken into account. Staff had the right skills to meet the needs of the people they cared for. The premises was appropriately designed and adapted to meet people’s needs. People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Relatives fed back that staff were caring. Rotas were arranged to allow staff adequate time to spend with people. People’s dignity and respect were understood by staff. Staff encouraged people to be independent.

People’s needs were assessed before entering Kingscroft. Relatives and people contributed to the planning of their care and support. Staff ensured that people had as much choice and control as possible. People were supported to take part in activities and they were encouraged to develop and maintain relationships. People and their relatives knew how to make complaints and staff used them to make improvements.

The manager supported staff in their roles. There were regular staff meetings and staff’s views were taken into account. The registered manager ensured that staff upheld the vision and values of the service including a person-centred culture, compassion, dignity and respect. Regular checks were carried out on the service through a variety of different audits. Communication was good between the service and relatives and there were strong links with the local community.

Further information is in the detailed findings below.