Kingfisher Court received a Good rating across all five key questions at its November 2016 inspection, with staff demonstrating strong safeguarding knowledge, consistent person-centred care, and effective quality assurance systems. The main areas for ongoing improvement were reducing medication administration errors and formalising the recording of all complaints and concerns.
Concerns (3)
moderate
Medication management
: “there had been eight errors occurring in the management of people's medicines”
minorComplaints handling: “only formal written complaints had been recorded. However, improvements were being made to record all complaints and concerns.”
minorPerson-centred care: “some weeks I have between 9 and 12 different carers in a week... Agency staff are not conversant with their duties, this can cause distress”
Strengths
· Staff were knowledgeable about safeguarding, able to identify signs of harm and appropriate reporting authorities
· Robust pre-employment checks including DBS, references and right to work verification
· Staff well-trained and supported through regular supervisions, spot checks and workplace observations
· People's dignity, privacy, independence and choice consistently respected by kind and caring staff
· Up-to-date, personalised care plans involving people and relatives in reviews
Kingfisher Court, an extra care housing service in Peterborough providing personal care to 37 people, was rated Good across all five key questions at its May 2019 inspection. The service demonstrated consistent strengths in safe care delivery, multidisciplinary working, person-centred practice and supportive leadership, with only a minor governance gap noted around the thoroughness of medication administration audits.
Concerns (1)
minorGovernance: “Medication administration audits undertaken did not always find all areas requiring improvement. The registered manager told us they would make the necessary improvements.”
Strengths
· People felt safe and staff were trained to recognise and report abuse and harm
· Individual risk assessments were in place and regularly updated to reflect current needs
· Staff recruitment included thorough checks including DBS, references and proof of identity
· Medicines were administered safely by trained staff with competency checks by senior staff
· Staff received regular training, spot checks, supervisions and appraisals to develop their skills
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; staff working with other agenciesGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles and understanding quality performance and risksGood
well-led: Continuous learning and improving careGood