We carried out a review of the data available to us about Kingston Rehabilitation Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kingston Rehabilitation Centre, you can give feedback on this service.
Kingston Rehabilitation Centre is a residential care home providing personal and nursing care to up to 36 people. The service provides support to to people requiring neurorehabilitation, stroke rehabilitation, post-COVID rehabilitation, complex nursing care and specialist tracheostomy care. This includes older people and those with a learning disability. At the time of our inspection there were 35 people using the service, with 33 of them receiving personal care.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support: Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
Right Culture: People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 10 February 2022).
Why we inspected
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We received concerns in relation to staffing levels, staff conduct and visiting restrictions. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingston Rehabilitation Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Kingston Rehabilitation Centre is a residential care home providing personal and nursing care. The service provides support to people requiring neurorehabilitation, stroke rehabilitation, post-COVID rehabilitation, complex nursing care and specialist tracheostomy care. At the time of our inspection there were 21 people using the service.
Kingston Rehabilitation Centre accommodates up to 36 people in one adapted building.
People’s experience of using this service and what we found
People, relatives and staff were happy with the home and the level of care they provided. We observed, and people told us that the atmosphere was relaxed and positive.
The provider was managing and responding to any COVID-19 risks in line with government guidance. The premises were well maintained, and staff wore suitable personal protective equipment.
Where a required increase in staffing levels had been identified the provider was actively recruiting additional staff and utilising regular agency staff. Medicines were managed safely and in line with people’s needs, staff promptly received training where issues were identified. Staff were recruited safely to ensure they were suitable for their roles.
Safeguarding procedures were robust in guiding staff as to how to make appropriate referrals with a clear line of accountability. Risk assessments covered a range of needs to ensure risks to people were minimised.
People, relatives and staff were positive about the impact management had on the home and the support they offered. The manager was clear on their role and responsibilities and understood their obligations under the duty off candour. Quality assurance checks and audits were regularly carried out across the service to drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for the service at the previous address was Good, published on 31 August 2019.
Why we inspected
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
The inspection was prompted in part due to concerns received about a recent COVID-19 outbreak at the home and a number of safeguarding concerns received in a short period of time. A decision was made for us to inspect and examine those risks.
As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. We were assured the provider had taken appropriate action to mitigate the likelihood of risk. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kingston Rehabilitation Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.