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CQC report explained · a nursing home

What the CQC found at Kings Park Nursing Home

Goodpublished 21 May 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and reviewed, equipment and the environment were checked, and medicines were generally stored and managed safely. They noted some waiting for support at busy times and incomplete detail for covert medicines.
Effective?
Good
This question was not inspected during this visit. Its rating was carried over from the previous comprehensive inspection.
Caring?
Good
This question was not inspected during this visit. Its rating was carried over from the previous comprehensive inspection.
Responsive?
Good
This question was not inspected during this visit. Its rating was carried over from the previous comprehensive inspection.
Well-led?
Good
Inspectors found that managers used checks, audits, meetings and incident reviews to oversee the home and drive improvements. A couple of statutory notifications had not been submitted to CQC, but this was immediately addressed.
The latest report, explained

What inspectors found, May 2022

Rated Good; inspectors found people were generally safe and well cared for, but some medicine records and staffing pressures needed attention.

This was an unannounced inspection on 27 April 2022. Inspectors observed care, checked the home, spoke with relatives and 12 staff, and reviewed care and management records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found that risks were assessed, equipment was maintained, medicines were generally managed safely, and the home was clean and tidy.

There were some areas to watch. People could wait for support at busy times, records for covert medicines did not always contain enough detail, and the laundry layout was still being reviewed. A few required notifications had also not been sent to CQC, although this was addressed during the inspection.

The previous overall rating was Requires Improvement, published in August 2019. The report says the overall rating changed to Good based on this inspection. The other three question ratings were carried over from the previous comprehensive inspection because they were not inspected this time.

What inspectors praised
  • People looked well cared for

    Inspectors saw pleasant interactions between people and staff. Relatives spoke positively about the care and felt their family members were safe.

    “People looked well cared for. Relatives spoke positively about the service and staff and felt their family members were well cared for.” from the report
  • Risks and equipment were monitored

    Individual and environmental risks were assessed and reviewed. Equipment and the environment were checked and maintained.

    “There were checks of the environment and equipment and these were serviced and maintained as needed.” from the report
  • Medicines were generally managed safely

    Medicines were securely stored and administration records were generally clear. Staff handling medicines had been trained and assessed as competent.

    “Medicines were being securely stored and records of administration maintained by staff who were trained and had been assessed as competent to do this task.” from the report
  • Open management and communication

    Relatives and staff said managers were approachable and that they could raise concerns. Meetings helped keep families and staff updated.

    “Staff and relatives felt able to raise concerns and were confident that any issues would be addressed.” from the report
What inspectors were concerned about
  • Some waiting at busy times

    needs fixing

    Staff were generally busy, and inspectors said people might have to wait for support at times such as mealtimes. Call bells were responded to quickly.

    “We found that staff were generally busy and there were times of the day, such as mealtimes where people may have to wait for support.” from the report
  • Incomplete covert medicine records

    needs fixing

    Records for people taking medicines covertly, hidden in food or drink, did not always include enough detail or clinical advice. The manager was seeking appropriate advice.

    “However, people who were supported to take their medicine covertly, hidden in food and drink, did not always have the necessary level of detail and pharmacological input in the records.” from the report
  • Laundry layout still under review

    minor

    The home had considered changes to the laundry area after a previous recommendation, but the layout remained under review because changes were structurally difficult.

    “At this inspection the provider had considered options, but this was structurally difficult and continued to be under review.” from the report
  • Some notifications were missed

    needs fixing

    Inspectors found that a couple of incidents had not been notified to CQC as required. The manager addressed this immediately, but the process was due to be reviewed.

    “We found a couple of incidents for which statutory notifications had not been submitted to CQC.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure people get prompt support during busy times, especially at mealtimes?
  2. 02If my relative needs covert medicines, what clinical advice and written instructions will be recorded?
  3. 03What changes are planned for the laundry area, and when will you review whether infection risks have been reduced?
  4. 04How do you check that all incidents requiring notification are reported to CQC?
  5. 05What progress has been made with the planned redecoration and wider improvements to the home?

This was a focused inspection of Safe and Well-led, including infection prevention and control; the Effective, Caring and Responsive ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 21 May 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, December 2020

Inspected but not rated; inspectors found good infection control arrangements during the Covid-19 review.

The CQC visited the home on 2 December 2020. This was an announced, targeted inspection during the coronavirus pandemic. It looked at infection prevention and control.

Inspectors found supplies of PPE, regular Covid-19 testing, staff training and detailed risk assessments. They were assured that the home was managing visitors, admissions, social distancing, cleaning and possible outbreaks safely.

The home was clean and uncluttered. A separate area was available for new admissions, and alternative visiting arrangements such as video calls were being used because of local restrictions.

This was not a full inspection of the home. The service was inspected but not rated, so the report does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • PPE and testing

    The home had PPE available for staff and visitors, with regular Covid-19 testing taking place.

    “There were supplies of PPE readily available to staff and visitors.” from the report
  • Staff training

    Staff had been trained in infection control tasks, including handwashing, social distancing and putting on and removing PPE.

    “Staff had received training in social distancing, handwashing, donning and doffing and infection prevention and control.” from the report
  • Safe visiting

    The home had health screening and PPE arrangements for visits. Video calls were being used while local visiting restrictions applied.

    “Arrangements were in place for ensuring safe visits, this included health screening and use of PPE.” from the report
  • Clean environment

    Inspectors found the home clean and free from clutter, with cleaning procedures and furniture arrangements supporting infection control.

    “The environment was very clean and clutter free.” 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. 01What infection prevention and control arrangements are in place now, and how have they changed since this inspection?
  2. 02How are visits arranged now, and is the visiting pod still being used?
  3. 03How often are residents and staff tested for infections, and how are the results managed?
  4. 04How are new residents admitted safely, including any separation or isolation arrangements?
  5. 05Can you show me the latest full CQC report, since this inspection was not a full assessment of the home?

This was a targeted inspection of infection prevention and control during the Covid-19 pandemic; the service was inspected but not rated and the report does not give ratings for the other areas. This explanation was written from the published report of 17 December 2020 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 Kings Park Nursing Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. May 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Kings Park Nursing Home →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Kings Park Nursing Home →

  3. August 2019Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. January 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2011

    Registered with the Care Quality Commission on 31 October 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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