Kingsthorpe Grange

Medicines were administered by trained staff and were ordered, stored and disposed of safely. Electronic records supported stock checks and reduced the risk of errors.

“People's medicines were administered by trained and competent staff and medicines were ordered, stored and disposed of safely.” from the report

Inspectors found enough staff to meet people's needs. People were attended to promptly, and recruitment checks were completed.

“There was enough staff to meet people's needs and keep them safe.” from the report

People and relatives said staff treated people with kindness. Inspectors saw staff protecting people's privacy and dignity during personal care.

“Staff respected people's privacy and dignity when supporting people with personal care.” from the report

Staff worked with GPs, dieticians and other professionals. This led to positive outcomes for some people.

“Staff worked in partnership with other professionals which had resulted in positive outcomes for people.” from the report

The home was clean and free from unpleasant smells. Staff followed infection prevention procedures and protective equipment was available.

“During the inspection the home was clean and odour free.” from the report

Some risks to people's health and wellbeing had not been fully assessed or reduced. This included risks of self-harm or harm from other people.

“Risks to people who were vulnerable from self harm or harm from other people had not been fully assessed and mitigated.” from the report

The home's checks did not reliably identify or fix problems. Inspectors found repeated failures in care records, safety checks, capacity decisions and health monitoring.

“The provider had failed to operate effective systems to assess and monitor the quality and safety of the service to identify and address areas for improvement.” from the report

Relatives reported that clothing and belongings often went missing. Inspectors found unlabelled clothing in the laundry and wardrobes, despite this being a previous concern.

“This meant there was a risk of people wearing other people's clothes and personal belongings going missing.” from the report

Capacity assessments and best-interest records were not always complete. Inspectors found restrictive practices without legal authority, which had negatively affected one person.

“We found evidence of restrictive practices taking place within the service without the legal authority to do so.” from the report

Some care plans lacked personal detail. Staff did not always complete required health observations or take further action when someone showed signs of deterioration.

“Where a person had shown signs of deterioration, staff had not carried out further observations as required.” from the report

People, relatives and staff said there was not enough stimulation or enough activities matched to people's interests. Inspectors also saw missed opportunities for interaction.

“My [relative] constantly tells me she is bored, we are here every day and there is never activities, not enough stimulation.” from the report