The inspection took place on 30 August 2016 and was unannounced. A further announced inspection visit was also conducted on the 25 November 2016 to look at the Minor Injuries Unit.

The home provides accommodation for a maximum of 47 people requiring nursing and personal care. There were 45 people living at the home at the time of the inspection. The registered provider also provides treatment for minor injuries to people in the local community with a 'walk in' minor injuries unit.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The home was last inspected in August 2013, during which we did not identify any concerns.

Staff understood how to keep people safe and knew what they should do if they had any concerns. Risks to people's safety were assessed and minimised.

Staff understood people’s health risks and which symptoms were specific to the person and how to keep the person safe.

The provider followed safe recruitment processes to ensure people received care from a staff team who were suitable to support them.

People received their medications safely. People were supported to take their medicines as prescribed.

Staff received regular supervision and training appropriate to their roles.

People made individual choices in their meals and were supported to maintain a healthy diet.

The provider supported people to access a variety of health professionals to ensure they received effective treatment to meet their specific needs.

Staff showed compassion, dignity and respect when supporting people.

People were offered opportunities to pursue their social and spiritual interests.

The provider routinely and actively listened to people to address any concerns or complaints.

People told us the home was well-led and both staff and the management team were very approachable.

Staff also felt supported by the registered manager and felt part of a team.

There were systems in place to gain people’s experiences and to continually monitor the quality of the service provided.

We talked with people who lived in this home and they said that they were well looked after. They said the staff always asked them how they would like things to be done. They said staff were always mindful of their privacy and treated them with respect.

People told us that they felt able to raise any issues with the manager or staff should they have any concerns. Staff spoke of their awareness of how to keep people safe from harm. Staff told us about the training that the home had arranged for them to attend so that they would recognise abuse and how to report it.

People told us that staff were always available when they needed help. They said that the staff were friendly and always acted professionally. One person said, “The staff are polite and helpful” and another said “They are very respectful to people”.

In this report the name of two registered managers appear who were not in post and not managing the regulatory activities at this location at the time of the inspection. Their names appear because they were still Registered Managers on our register at the time.

People said that they were well looked after. They said that the staff always asked them how they would like things to be done, always respected their privacy and treated them with respect. They said staff talked to them about how they liked their support to be provided.

Staff provided health and social care support well. Community services were accessed to support people when necessary.

People told us that they felt able to raise any issues with the manager or staff should they have any concerns. Staff spoke of their awareness of how to keep people safe from harm. Staff told us about the training that the service had arranged for them to attend so that they would recognise abuse and how to report it.

People told us that staff were always available when they needed help. Relatives told us that staff were available to talk to when they visited. They said that staff were friendly and always acted professionally. One person said that, “Nothing’s too much trouble for them” and another said, “They’re all brilliant”.

People we spoke with said their comments were listened to. One person said, “They keep you up to date with what’s going on”.

You can see our judgements on the front page of this report.

People told us that they were happy with the way that the staff at the home care for them and support them. One person told us “they’re all very kind to me” and “they come when I need them”.

We observed staff providing care and support for people in a kind and caring manner. Staff made sure that people understood any instructions and gave people plenty of time. One person told us “they never rush me”.

People told us that they were happy with the care provided at Kington Court. They told us that staff are caring and kind. We saw staff supporting people in a respectful and caring way. However we found areas of concern with the way in which care is provided. Some of these concerns were so serious that we have referred them to the Local Authority under its procedures for the protection of vulnerable adults.