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What the CQC found at The King William Care Home

Goodpublished 9 August 2019, 7 years ago

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

The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors were assured about infection control and arrangements to keep people and visitors safe.

This was an unannounced, targeted inspection on 24 February 2022. It focused on infection prevention and control during COVID-19 outbreaks, and asked about staffing pressures.

Inspectors were assured that the home was using personal protective equipment safely, arranging testing, managing visitors and admissions safely, and following shielding and social distancing rules. The infection prevention and control policy was up to date.

The home kept relatives informed about visiting. Some people had essential care givers, and staff supported one-to-one activities for people isolating in their rooms.

The home was inspected but not rated. This means the report does not give an overall quality rating or a rating for the other four questions.

What inspectors praised
  • Family contact

    The home kept in touch with relatives and supported different ways for people to stay connected, including essential care givers, video calls and mobile phones.

    “The provider followed government guidance in relation to visitors in the care home.” from the report
  • Support during isolation

    Staff provided individual activities for people isolating in their rooms, to help reduce the effect of being separated from others.

    “Staff supported one to one activity to happen for people who were isolating in their rooms to reduce the impact of isolation.” from the report
  • Staff infection control checks

    The home checked staff competence in hand hygiene and putting on and removing protective equipment. Staff also confirmed they had read COVID-19 updates.

    “Staff competence checks were completed to ensure safe practices in hand hygiene and donning and doffing of PPE.” from the report
  • Infection prevention measures

    Inspectors were assured that the home used several measures to prevent and manage infection, including enhanced disinfection.

    “The provider implemented the regular use of a disinfecting fogging machine throughout the service for enhanced disinfection” 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 do you currently manage visiting and essential care giver arrangements?
  2. 02How do you check that staff are still competent in hand hygiene and using PPE?
  3. 03How do you manage COVID-19 testing and any infection outbreak now?
  4. 04What staffing pressures are you experiencing, and how could these affect my relative's care?
  5. 05How do you support residents who need to isolate in their rooms?

This was a targeted inspection of infection prevention and control and staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 17 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, August 2019

Rated Good; inspectors found kind, safe care and improvements since the previous Requires Improvement rating.

This was an unannounced inspection on 9 July 2019. One inspector visited for one day, spoke with people, relatives and staff, observed care and checked care, medicines, recruitment, training, complaints and safety records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were safe, treated with kindness and respect, supported by trained staff and given personalised care.

The previous inspection, published in July 2018, rated the service Requires Improvement. The provider had been in breach of Regulation 15 about the premises. Inspectors found that the required improvements had been made and the provider was no longer in breach.

What inspectors praised
  • Safe care and medicines

    Inspectors found that risks were reviewed, medicines were stored and administered safely, and staff knew how to respond to incidents and safeguarding concerns.

    “People remained safe at the service and risks about their well-being were assessed, recorded and regularly reviewed.” from the report
  • Kind and respectful staff

    People and relatives spoke positively about staff. Inspectors saw friendly interactions and support that respected people's dignity and independence.

    “Staff always treated people with kindness and respect and were passionate about providing a quality person centred service.” from the report
  • Personalised support

    People and relatives contributed to care plans. Staff understood people's individual needs and updated information when those needs changed.

    “Care plans were sufficiently detailed, giving members of staff and external professionals relevant up to date information for people who used the service.” from the report
  • Improvements to the building

    The home had addressed problems found at the previous inspection, including odours, sluice rooms and the laundry. Several bedrooms had also been redecorated and carpets replaced.

    “On this inspection we found the required improvements had been made and the provider was no longer in breach of regulation 15.” from the report
  • Positive leadership

    Inspectors found clear leadership, regular quality audits and a friendly, open culture. People, relatives and staff spoke positively about the management.

    “We found an open and transparent culture, where constructive criticism was encouraged.” from the report
What inspectors were concerned about
  • Some renovation was still unfinished

    minor

    Bathroom and toilet renovation was continuing at the time of the inspection. Families may want to ask which areas remain to be completed.

    “Toilets and bathrooms were in the process of renovation and some were fully completed.” from the report
Questions to ask them, based on this report
  1. 01Which bathrooms and toilets still need renovation, and when will the remaining work be completed?
  2. 02How are people's individual fall risks assessed and reviewed if their needs change?
  3. 03How are relatives involved in reviewing and updating care plans?
  4. 04What activities are currently available, and how are they adapted for people living with dementia?
  5. 05How are people's end of life wishes recorded and put into practice?

This was an unannounced planned inspection covering all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 9 August 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.

The story over the years

Every inspection of The King William Care Home

2 rated inspections over a year: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at The King William Care Home →

  2. August 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The King William Care Home →

  3. July 2018Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2016

    Registered with the Care Quality Commission on 22 December 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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Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.

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