Last updated: 9 February 2026
"Enough staff and good training, but no registered manager yet and poor incident tracking weaken oversight."
Risks to people were not consistently managed well. There was a lack of follow up to incidents... Incidents relating to people's safety were not being analysed by staff to identify trends and themes. Staff were not monitoring the overall effectiveness of pain relief medicine or looking at the times as and when needed medicine (PRN) requests were made for trends or themes
The management team though new was strong, open and transparent. They were committed to improvement. We saw records of staff meetings that had been held monthly over the past six months. Minutes showed that care was discussed and staff were invited to contribute
There were enough staff to support people safely. Staffing levels were assessed based on people's support needs. These levels were reviewed on a daily basis. Staff said, 'Staffing levels are good, we were stretched during the recent COVID-19 outbreak, but all staff are now back at work.'
Per 2019 comprehensive inspection: There was an ongoing training plan and staff were encouraged to develop their professional practice. Training that reflected the complex needs of people living at Kingswood House was also arranged. Such as understanding challenging behaviour and using distraction to reduce it; mental health awareness
The service did not have a manager registered with the Care Quality Commission. The provider had successfully employed a manager who had been in post since the beginning of May 2022 and whom was in the process of registering with CQC. Although there were systems to monitor the running of the service, they were not always effective
Per 2019 comprehensive inspection: An activity programme was being developed. Although the activity organiser was not working on the day of the inspection there was evidence of art and craft work, there were games available for people to participate in if they wished, CDs and DVDs
No permanent manager in post yet, so oversight systems are not spotting issues like poor incident tracking.
The service did not have a manager registered with the Care Quality Commission. The provider had successfully employed a manager who had been in post since the beginning of May 2022 and whom was in the process of registering with CQC
Accident records not analysed for patterns or trends, and as-needed painkillers not monitored properly.
There was a lack of overview, analysis and follow up to prevent a re-occurrence or to mitigate risk. Staff were not monitoring the overall effectiveness of pain relief medicine or looking at the times as and when needed medicine (PRN) requests were made for trends or themes
Only basic activities like arts, crafts, games and outings, no regular structured programme to make the role more varied.
Per 2019 comprehensive inspection: evidence of art and craft work, there were games available for people to participate in if they wished... people chose to sit outside in the garden, go shopping, go out for lunch or just for a walk
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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