Kelstone Court Nursing Home

Updated 30 November 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.

Inspection team

The inspection was carried out by two inspectors, a specialist advisor and Expert by Experience. The specialist advisor was a nurse. 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

Kelstone Court Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement dependent on their registration with us. Kelstone Court Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 the inspection

We reviewed information we had received about the service since our last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also reviewed intelligence information we held on our system including notifications about important incidents.

During the inspection

We spoke with five people who used the service and two relatives about their experience of the care provided. We also spoke with the registered manager and nine staff members, including nurses, care assistants and activities co-ordinator. Where people had limited verbal communication, we observed their interactions with support staff.

We reviewed a range of records. This included people's care records, medicines management procedures and staff files in relation to recruitment data. A variety of records relating to the management of the service, including audits and policies were also reviewed.

We contacted four healthcare professionals to find out their experiences of working with this provider.

Updated 30 November 2022

About the service

Kelstone Court Nursing Home is a care home providing personal and nursing care for up to 28 people. At the time of our inspection, there were 26 people using the service. The service supports older people living with dementia and having nursing needs. The home is arranged over three floors, with the lounge being on the ground floor and shared by all people living at the home.

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

Although risks to people’s safety were managed appropriately, the care records did not always reflect this support. We made a recommendation about this.

Staffing levels were adequate to ensure people's safety but limited the flexibility people had to move around the home and choice of activities. Staff felt well supported in their role but the provider had to ensure they also observed staff on the job as necessary. The home environment was not always dementia friendly. Issues we identified during the inspection had been promptly addressed by the provider.

People, their family members and healthcare professionals were happy with the care delivery and had no concerns about safety. Staff understood policies and procedures of safeguarding people and followed safe infection control practices. The provider followed robust recruitment procedures to ensure they employed suitable staff to work with people. Staff had a good understanding of the Mental Capacity Act (2005) and the support people required to make decisions and choices. People received their medicines as prescribed. Information was shared by the staff team to learn from safety alerts and incidents. 

There was a stable staff team in place with shared responsibilities to support the service delivery. The registered manager had developed good relationships with people and their families which ensured that the concerns were addressed as necessary when things went wrong. The service supported people to contact the healthcare professionals when they needed. Quality assurance processes were in place to assess and monitor the care provision as necessary.

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 overall rating for this service was good (published 07/08/2018).

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Kelstone Court Nursing Home on our website at www.cqc.org.uk.

Why we inspected

This was a planned inspection based on a review of the information we held about this service and when the service was inspected last.

This was a focused inspection and the report only covers our findings in relation to the Key Questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.