• Care Home
  • Care home

Kingsley House

Overall: Good read more about inspection ratings

Gumstool Hill, Tetbury, Gloucestershire, GL8 8DG (01666) 503333

Provided and run by:
The Cotswold Nursing Home Company Limited

Latest inspection summary

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Background to this inspection

Updated 26 May 2022

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.

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

The inspection was carried out by one inspector and an Expert by Experience. 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

Kingsley House 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. Kingsley House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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 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 eight members of staff including the registered manager, clinical lead, nurse, laundry assistant, chef, activities co-ordinator and care assistants.

We spoke with one visiting professional, six people and seven relatives to gather their experiences of the care provided. We reviewed three people's care records, a sample of records relating to management of the service including health and safety checks, accident and incident records and policies and procedures. We checked policies and records for managing medicines.

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.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We sought feedback from two professionals to gather their experiences of the care provided.

Overall inspection

Good

Updated 26 May 2022

About the service

Kingsley House is a residential nursing home providing personal and nursing care to up to 37 people. The service provides support to older people and people living with a diagnosis of dementia or age-related frailty. At the time of our inspection there were 27 people using the service.

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

People received their medicines in a safe and timely way. The provider was strengthening their governance to ensure that medicines were consistently managed in accordance with up-to-date guidance and best practice.

Staff had received training in recognising safeguarding, and knew the actions to take to protect people from harm. There were recruitment processes in place and checks were carried out before staff were appointed.

The provider had infection control procedures in place to protect people and prevent the spread of

infection. Staff accessed personal protective equipment (PPE) and acted in accordance with government guidance.

People received person-centred care based on their individual needs, choices and preferences. Staff who supported them were aware of their individual preferences and were knowledgeable about people's needs and how these should be met.

People's needs and choices were assessed, and their care was reviewed regularly. Care records identified people's individual risk and how these should be managed to reduce the risk of harm.

People and their relatives confirmed they were well cared for by staff that had the skills and knowledge to meet their needs. Staff understood their roles and responsibilities and felt well trained. Staff communicated with other health and social care providers to ensure people's health and care needs were met.

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.

People and relatives said the staff were kind and caring. We observed positive interactions throughout our inspection. Staff said they enjoyed working at Kingsley House and felt well supported by their colleagues and the registered manager.

A quality assurance system was in place and incidents and accidents were reviewed to reduce the risk of a reoccurrence. Complaints were responded to appropriately.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 30 April 2019)

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

Follow up

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