6 August 2020
During an inspection looking at part of the service
Kingland House is a care home for up to 44 older people, some of whom may be living with dementia. The home was originally four private houses which have been adapted and linked together. There were 36 people living in the home at the time of our inspection.
People's experience of using this service and what we found:
People told us they felt safe living at Kingland House, and that staff were caring and supportive.
Risks to people were assessed and regularly reviewed. Staff understood the actions needed to minimise the risk of avoidable harm including the prevention of avoidable infections.
Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.
Medicines were administered safely by trained staff who had their competence checked regularly.
There were enough trained, experienced staff to meet people’s needs. Safe recruitment practices were in place: appropriate checks were completed to ensure only suitable staff were employed. Staff received induction, on-going training and support that enabled them to carry out their roles safely and effectively.
People spoke positively about the food. We observed home cooked, well balanced meals being served to people and a range of drinks being offered.
People received care that was responsive to their individual needs. Staff understood how people preferred their care and support provided. Care plans were person-centred and reflected both care needs and lifestyle choices.
People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people.
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.
The culture of the service was positive and open. Governance systems and oversight of the service had been reviewed and improved. Issues were identified, and actions taken to address any shortfalls. Staff spoke positively about their own roles and teamwork.
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 25 July 2019) and there was a breach in one regulation. 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.
Why we inspected
We undertook this targeted inspection to monitor the service.
We inspected and found that improvements had been made and the rating of requires improvement was no longer reflective of the service. We widened the scope of the inspection to become a focused inspection which included the key questions of safe, effective and well-led.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.