Kingswood House Nursing Home

Improvements were needed to the management of risk to ensure people received safe care and support. Incidents and accidents whilst recorded on an incident form were not reflected in peoples' care plans. There was no analysis of cause, trends or themes, therefore, opportunities of learning from accidents and incidents had been missed. 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.

People received support from staff who had been appropriately recruited, and trained to recognise signs of abuse or risk. One person said, "I am safer here than anywhere." Medicines were being given to people by trained and knowledgeable staff, who had been assessed as competent. There were enough staff to meet people's needs. Safe recruitment practices had been followed before staff started working at the service. The home was clean and hygienic.

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.

People, their relatives and health care professionals had the opportunity to share their views about the service. The provider and manager were committed to continuously improve and had developed structures and plans to develop and consistently drive improvement within the service.