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What the CQC found at Kingly Terrace

Outstandingpublished 27 March 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The latest report, explained

What inspectors found, March 2022

Kingly Terrace was inspected but not rated; inspectors found good infection control, with some cleaning and premises improvements still planned.

Inspectors made an announced, targeted visit on 9 February 2022. They looked mainly at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected people.

The home had systems for visitor booking, testing, vaccination evidence, temperature checks and signing in. Inspectors were assured that PPE, testing, cleaning, isolation and zoning arrangements were being used safely.

Some improvements were still being developed. These included updating cleaning schedules for high-touch areas, considering a staff changing area and uniform, and building work to improve the kitchen and laundry. The service was inspected but not rated, so this report does not provide an overall quality rating.

What inspectors praised
  • Safe visiting

    The home had several measures to help relatives, professionals and other visitors enter safely during the pandemic.

    “Safe arrangements were in place for visitors to the service including relatives and friends, professionals and others.” from the report
  • PPE and testing

    There was enough protective equipment, and regular COVID-19 testing was in place for staff and residents.

    “There was plenty of personal protective equipment (PPE) including masks, gloves, aprons and hand sanitiser available.” from the report
  • Infection control oversight

    The manager had oversight of infection control and regular checks were being used to identify and address improvements.

    “Regular quality assurance checks were undertaken, and identified improvements were being addressed.” from the report
What inspectors were concerned about
  • Cleaning schedule still being updated

    minor

    The cleaning schedule did not yet fully reflect the planned cleaning of high-touch areas at least twice a day.

    “The manager planned to update cleaning schedules to reflect the sanitisation of high touch areas, such as door handles and hand rails, at least twice a day.” from the report
  • Premises improvements still underway

    minor

    Building work was ongoing, and staff changing arrangements and a uniform were still being considered. Ask what has been completed and whether the work affected residents.

    “Building works were ongoing to create an extension.” from the report
Questions to ask them, based on this report
  1. 01Has the cleaning schedule been updated so that door handles and hand rails are sanitised at least twice a day?
  2. 02Have the staff changing area and uniform arrangements been introduced, and how do they reduce cross contamination?
  3. 03What building work has been completed in the kitchen and laundry areas since the inspection?
  4. 04What staffing pressures has the home experienced since the inspection, and what measures are in place if staff are absent?
  5. 05How can relatives visit safely now, and what testing or vaccination checks are currently required?

This was an announced, targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was inspected but not rated and did not assess the other four key questions. This explanation was written from the published report of 1 March 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.

An earlier report, explained

What inspectors found, March 2018

Rated Outstanding; inspectors found exceptionally responsive and well-led care, with safe, effective and kind support.

This was an unannounced, comprehensive inspection on 27 November and 1 December 2017. Inspectors looked at the home, care records, medicines, staffing, training, equipment, complaints and management systems. They spoke with people, staff and professionals, and observed care.

The home supported up to eight people with complex needs mainly linked to acquired brain injury or neurological disability. Inspectors found enough trained staff, safe medicines management, clean premises, suitable equipment and good support with health, food, choices and consent.

The strongest findings were about rehabilitation and independence. Staff worked with each person and their family to develop creative ways to improve communication, confidence, daily living skills and quality of life. The home was also praised for strong leadership, teamwork and regular checks on the quality of care.

The overall rating was Outstanding. Safe, effective and caring were rated Good. Responsive and well-led were rated Outstanding. This was the first comprehensive inspection of the home, so there was no previous rating to compare.

What inspectors praised
  • Rehabilitation and independence

    The home focused on helping people relearn skills and take more control of everyday life. Inspectors saw people making progress through personalised rehabilitation.

    “People increasingly benefitted from achieving higher levels of independence in their day-to-day lives through a programme of rehabilitation that they fully engaged with.” from the report
  • Creative personal support

    Staff worked with people and families to find individual solutions to difficult challenges. Activities were adapted to people's interests, abilities and communication needs.

    “The staff worked proactively in partnership with people and their families so that they were fully consulted, empowered, listened to and valued.” from the report
  • Kind and respectful staff

    Staff knew people well and respected their choices, privacy and dignity. People could choose which staff supported them with personal care.

    “People were treated with kindness and were shown respect. Their personal care support was discreetly managed and they were treated with compassion and in a dignified way.” from the report
  • Safe staffing and care

    There were enough trained and experienced staff, with a policy of avoiding temporary agency staff so people had continuity from staff they knew.

    “People were cared for by sufficient numbers of staff.” from the report
  • Strong leadership

    Management promoted teamwork, learning and continuous improvement. Feedback from people and relatives was used to review care and make changes.

    “There was a particularly strong emphasis on continuous improvement.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess my relative's abilities, rehabilitation goals and support needs before admission?
  2. 02What progress would you expect my relative to make, and how would you measure and review it?
  3. 03How would you support my relative's particular communication needs if they could not speak or communicate easily?
  4. 04How would my relative and our family be involved in care planning, reviews and decisions about daily support?
  5. 05How do you maintain continuity of staff, and what happens if familiar staff are unavailable?

This was an unannounced comprehensive inspection covering all five key questions, the premises and the care provided; it was the first comprehensive inspection of the home. This explanation was written from the published report of 27 March 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.

The story over the years

Every inspection of Kingly Terrace

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Kingly Terrace →

  2. March 2018Outstanding
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Kingly Terrace →

  3. November 2016

    Registered with the Care Quality Commission on 28 November 2016.

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.

Next steps

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