CQC report explained · a residential care home
What the CQC found at Kingdom House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2022
Requires Improvement; inspectors found kind care, but some safety checks and management systems were not reliable.
This was an unannounced focused inspection on 16 May 2022. Inspectors reviewed Safe and Well-led because concerns had been raised about management, risk awareness and care quality. They spoke with people, relatives and staff, observed care, and checked care, medicines and management records.
People were described as safe, treated with dignity and supported to make choices. Staff were kind and caring. Medicines were generally managed safely, infection control arrangements were satisfactory, and there were enough staff during the inspection.
However, some environmental and medicines checks were incomplete or late. Audits had not always found these problems, and feedback from people and stakeholders had not been gathered since January 2020. The overall rating changed from Good at the 2018 inspection to Requires Improvement.
Kind and respectful staff
Inspectors observed staff involving people in their care and treating them kindly. People and relatives also gave positive feedback about the support.
“We observed staff interacting with people and found they were kind and caring and involved people in their care and support.” from the report
Choice and independence
The care model supported people to have choice, control and independence, with care delivered in a person-centred way.
“The model of care and setting maximised people's choice, control and independence.” from the report
Staff medicines training
Staff had completed medicines training and competency checks before administering medicines. People received their medicines as prescribed.
“All staff had completed training before they were able to administer medicines and competency checks were completed to ensure staff safely administered medication.” from the report
Infection control
Inspectors were assured that the home had arrangements for preventing and managing infections, including COVID-19.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Environmental safety checks
seriousSome environmental risks were not identified promptly. One bath chair had not been checked for safe use, although the manager acted immediately and inspectors found no evidence of harm.
“Environmental risks were not always assessed and identified in a timely manner. For example, one bath chair had not been checked to ensure it was safe to use.” from the report
Incomplete medicines records
needs fixingTemperature records were not always completed and open dates were missing from some medicines. The manager took action when inspectors raised this.
“Temperature records were not always completed, and open dates of medicines were not recorded.” from the report
Audits did not find all problems
needs fixingThe home's checks and audits had not consistently picked up issues with medicines, mental capacity records and environmental risks.
“We looked at a range of audits and found some issues found on this inspection, had not always been picked up from the audits.” from the report
Feedback was overdue
needs fixingThe home’s policy was to gather feedback every 18 months, but this had not happened since January 2020.
“However, this had not been completed since January 2020.” from the report
Communication with relatives
minorOne relative said management did not always provide updates about test results. The concern was passed to the manager and action was taken.
“They do not always keep me informed. They do not ring me with results of tests.” from the report
- 01How are environmental safety checks, including checks on bath chairs and other equipment, now recorded and reviewed?
- 02How do you make sure medicines temperature records, opening dates and photographs are completed every time?
- 03What changes have been made to audits so that problems with medicines, mental capacity records and environmental risks are found promptly?
- 04Has regular feedback from people, relatives and other stakeholders restarted, and how will you act on the results?
- 05How will relatives receive regular updates about tests and changes in their family member’s care?
This was a focused inspection of Safe and Well-led only; the other three key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 18 June 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2018
Kingdom House is rated Good; inspectors found safe, kind and personalised care, with previous medicines and management problems improved.
The inspection took place on 23 April 2018 and was announced at short notice. The inspector spoke with four people, five staff members and two relatives. They observed care and checked care plans, medicine records, staff records, incidents, complaints, maintenance and quality checks.
The home supports up to eight people with learning disabilities, autism, physical or sensory impairments, mental health issues and complex needs. Seven people lived there during the inspection. Inspectors found suitable staffing, safe medicines systems, trained staff, good support with food and drink, and good links with health professionals.
People were treated with kindness and respect. Their care plans were personalised and regularly updated. They had varied activities and were involved in decisions about their care. The home had systems for complaints and quality checks, and inspectors found the management had made improvements.
The overall rating was Good. All five areas were rated Good. This was an improvement from Requires Improvement at the previous inspection in December 2016, particularly for safety and leadership.
Safe medicines
Medicines were stored, administered and recorded safely. Staff who gave medicines had regular competency checks.
“We found medicines were stored and disposed of safely.” from the report
Kind and respectful care
People appeared valued and staff supported their privacy, dignity and independence.
“The relationships between people who used the service and staff were warm and friendly.” from the report
Personalised support
Support plans explained what people could do for themselves, what help they needed and their personal goals.
“The plans were personalised and detailed how the person needed and preferred care and support to be delivered.” from the report
Activities and choice
People were supported to take part in varied activities, go out and make choices about their routines and lifestyle.
“There was an individual programme of social activity available to people, which they thoroughly enjoyed.” from the report
Improved leadership
Inspectors found that management checks and records had improved since the previous inspection.
“Managers had implemented clear improvements in the service and had detailed and effective systems of audit to ensure this continued.” from the report
Small gaps in staff files
minorInspectors found some missing information in staff records. The manager began correcting this on the inspection day and later confirmed that all staff files had been reviewed and corrected.
“We found some small gaps in the information required to be kept for all staff.” from the report
- 01How do you now check that all staff files contain the required information?
- 02How are medicines checked when people are away from the home, such as visiting family or going on holiday?
- 03What percentage of staff training is currently up to date, and how do you follow up any missed training?
- 04How are changes in a person's needs reflected in their risk assessments and support plan?
- 05How do you use people's and relatives' feedback to decide what improvements to make?
This was an announced comprehensive inspection covering all five key questions; the previous overall rating was Requires Improvement in December 2016. This explanation was written from the published report of 18 May 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Kingdom House
5 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.
- June 2022Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- March 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2016Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Registered with the Care Quality Commission on 14 July 2014.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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97 live-in carers within about an hour of Rotherham
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Most charge £980 to £1,260 a week. 80 can care for a couple. 11 years' experience on average.
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