Working at Kingfishers Nursing Home
Fieldhead Gardens, Bourne End, SL8 5RA
Operated by JK Healthcare Limited
35 bedsNursing homes
Workplace Score
3.9/10
AI analysis of latest data
Our AI workplace review
PlainSight AI Review
Last updated: 10 February 2026
Score: 3.9/10
Key Finding
"People and relatives praised the caring staff, but no permanent manager, short staffing and unsafe medicines management are concerns."
Safety & Risk
3/10
✕
Medicines were not always managed safely which placed people at risk of harm. The service had failed to consistently review incidents to determine whether the criteria was met to share information with the local authority safeguarding team.
Staff Culture
5/10
!
People and relatives provided consistently positive feedback about the caring nature of staff. A number of staff told us they had not felt supported or that the registered manager had not been responsive.
Staffing Levels
4/10
!
Some people and relatives told us the service was sometimes short staffed. The service was working to mitigate the impact of staffing vacancies through use of regular agency staff.
Training & Dev
4/10
!
The staff competencies training matrix showed moving and handling competencies for care and nursing staff pre-dated the April 2022 safeguarding concern for 23 of 30 staff who had undertaken this training.
Management
3/10
✕
The registered manager left the service on the first day of our inspection. Some staff and relatives raised concerns regarding the responsiveness of the registered manager.
Programmes
3/10
✕
The service had developed links with the local community. A local church visited fortnightly and a hairdresser regularly attended. A schedule of activities was in place in the run up to Christmas.
Points to consider
No permanent manager in place now, and the previous one was not responsive to staff or families.
The registered manager left the service on the first day of our inspection. Comments from relatives included, 'I always thought [registered manager] was marvellous and listened, but he did not always carry through what he promised'
Not enough staff at times, so call bells take too long and agency workers cover shifts.
People told us staff response times to call bells was variable... Call bell audits showed most calls were attended within 3 minutes, with an audit for the period 17 October to 23 October 2022 showing 779 calls answered within 3 minutes and 72 calls answered in over 5 minutes.
Medication not always managed safely, with missing stock, poor records and no alerts system.
Record keeping of medicines in stock was not up to date. For one person there was no stock available of the topical medicine prescribed to them for pain... There was no process in place to receive and act on medicines alerts.
AI Generated
CQC Inspection Overview
CQC Inspection
Last inspected: January 2023
Requires improvement
Safe
!
Requires improvement
Effective
✓
Good
Caring
✓
Good
Responsive
✓
Good
Management Quality
Well-led: Requires improvement
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- Care Quality Commission (CQC) Inspection Data
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