CQC report explained · a nursing home
What the CQC found at Kingfisher Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection prevention and control arrangements were in place. This included safe visiting, testing, personal protective equipment, cleaning, admissions and outbreak management.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection.
What inspectors found, March 2021
Inspected but not rated; inspectors were assured that infection prevention and control measures were in place.
This was a targeted, announced inspection on 03 March 2021. It focused on how the home was preventing and controlling COVID-19 infections.
Inspectors found that visitors were screened, had temperature checks, used hand gel and wore personal protective equipment. Family visits were arranged in advance, with rapid testing, guidance and protective equipment.
The home was clean and hygienic. Staff followed distancing and protective measures, cleaning schedules were completed, and infection control audits were carried out. Inspectors were assured about visitors, shielding, admissions, equipment, testing, hygiene and managing outbreaks.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or a rating for the other four areas of care.
Visitor safety
Visitors were screened, had their temperatures checked, used hand gel and wore personal protective equipment.
“Visitors were screened and had their temperatures checked by staff on arrival.” from the report
Family visits
The home arranged screened family visits in an adapted communal lounge, with scheduled times, rapid testing, guidance and protective equipment.
“Rapid tests for COVID-19 were completed by all visitors with guidance and PPE provided.” from the report
Cleanliness
Inspectors saw that the home was clean and hygienic, with cleaning schedules completed throughout the building.
“The service was clean and hygienic. Cleaning schedules were in place, which were methodically completed throughout the service.” from the report
Risk assessment
Risks to people and staff linked to health, safety and wellbeing had been assessed. Staff also had training and management support.
“Risks to people and staff in relation to their health, safety and wellbeing had been thoroughly assessed.” from the report
Infection control audits
The home carried out regular infection prevention and control audits and acted promptly when issues were found.
“Regular infection prevention and control audits were completed with action promptly taken to address any issues identified.” from the report
Inspectors raised no specific concerns in this report.
- 01How are family visits arranged now, and what testing or protective equipment is required?
- 02How often are infection prevention and control audits carried out, and what recent actions have followed them?
- 03How do you make sure new residents are admitted safely?
- 04What support, training and financial assistance are available to staff if they become unwell?
- 05How do you prevent and manage infection outbreaks?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other four questions or give an overall service rating. This explanation was written from the published report of 12 March 2021 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, November 2019
Rated Outstanding; inspectors found safe, kind care, highly personalised support and exceptional leadership.
The inspection was unannounced and took place on 21 October 2019. One inspector spoke with six people, four relatives and nine staff. They observed care and reviewed care, medicine, recruitment, training and management records.
The home was rated Good for Safe, Effective and Caring. Inspectors found people were protected from abuse, had enough suitably skilled staff, received their medicines safely and were supported with food, health care and decisions.
Responsive and Well-led were rated Outstanding. Inspectors found that people had an unusually strong say in daily life, activities were shaped around their interests and the management team promoted openness, learning and improvement. The overall rating improved from Good at the previous inspection.
Personal choice
People had a strong say in how the home operated and were supported to take on meaningful roles. Their care plans included their history, wishes and aspirations.
“People were firmly placed at the centre of how the home functioned.” from the report
Activities and relationships
Staff helped people continue past interests and created new opportunities for social contact. Activities were based on what mattered to each person.
“Various opportunities for engagement were provided in the home based on people's individual wishes.” from the report
End-of-life care
Staff recorded people's final wishes and provided extra emotional and practical support. The home worked with health services to support people nearing the end of life.
“People were treated with compassion, kindness and respect at the end of their lives.” from the report
Leadership and improvement
Inspectors found strong leadership, supportive staff management and a culture of reflection. The provider used audits, feedback and new ideas to improve care.
“The service was exceptionally well-led.” from the report
Safety and medicines
Risks were reviewed, staffing was considered sufficient and staff were trained to administer medicines. Weekly tablet checks helped reduce the risk of errors.
“The provider had a robust audit system in place which meant all tablets in the home were counted and verified weekly.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's care plan after they move in?
- 02How would you support my relative's particular interests, relationships and preferred activities?
- 03How would you monitor my relative's food, drink and weight, and when would you involve dieticians or speech and language therapists?
- 04How would you support my relative's communication needs, including if they cannot communicate easily?
- 05How would you record and follow my relative's wishes about end-of-life care?
This was an unannounced planned inspection that looked at the care provided and the premises, and rated all five key questions. This explanation was written from the published report of 16 November 2019 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 Kingfisher Nursing Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Outstanding.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- April 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 February 2011.
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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