Last updated: 10 February 2026
"Staff enjoy a positive culture with good activities programmes, but serious training gaps and poor infection control put safety at risk."
We were not assured the provider had effective arrangements in place to ensure the home and its equipment was properly cleaned and maintained... The provider was failing to ensure people were protected from the risk of infection. This is a breach of regulation 12.
Staff felt supported by management and enjoyed working at the service and felt staff morale was positive. Staff we spoke with were enthusiastic about their jobs and showed care and understanding for the people they supported.
There was significant use of agency staff at Kingfisher Court. However, the provider assured us agency staff had been booked well in advance, when possible, to ensure staff were known to Kingfisher Court and were familiar with people they supported.
The provider's training records evidenced not all staff had received adequate training in a timely way to equip them to carry out their roles safely and effectively. For example, some gaps were noted in the completion of manual handling, first aid and specific physical intervention training.
Whilst some audits had been undertaken to monitor the quality and safety of the service, these had not been fully effective. They had not identified the concerns we found during this inspection, including but not limited to concerns about medicines management, staff training and the management of infection control.
The service had an activity programme which covered most days with 1 or 2 activities a day. Activities included, baking, arts and crafts, karaoke, and fitness exercises. An activity coordinator had been in place since December 2022.
Staff miss key training like moving people safely, first aid, and handling challenging behaviour, leaving everyone at risk.
some gaps were noted in the completion of manual handling, first aid and specific physical intervention training... staff were not trained to follow the risk management plan which could put people and staff at serious risk of harm.
Infection control is poor with dirty areas and not enough cleaners, so care staff end up helping with cleaning.
domestic staffing levels were not adequate and had resulted in the home looking dirty in areas and put people at risk of infection... 'The home needs more cleaners as it is big and only the basics are taken care of, no extras.'
Medication safety has gaps like missing risk checks and storage issues, making it harder to give meds confidently.
Risk assessments were not always in place where needed... Medicines were not always appropriately stored in line with guidance and recommendations... We recommend the provider should ensure that medicines are appropriately assessed to mitigate potential risks.
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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