About the service: Kingsgate Residential Home is a care home that provides personal care and support for up to 33 people aged 65 and over. There were 25 people living at the service at the time of the inspection.

People’s experience of using this service:

People who live at Kingsgate Residential Home were not always having their needs met by sufficient numbers of staff. Environmental risks and concerns around medicines management were identified which did not ensure people’s safety. Leadership and governance arrangements within the service were of concern, as they were not always identifying shortfalls and making changes to address them. There were breaches of regulation impacting on the quality of service provided to people.

The service was not consistently following advice from healthcare professionals. We identified gaps in recording of care tasks including repositioning people, monitoring of toileting, therefore we were unable to source assurances people’s care and support needs were always met.

People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible; policies and systems in the service were not followed to support good practice.

Service cleanliness was of a consistent standard, making the care environment comfortable. People were accessing activities and where able, people accessed the local community. Staff treated people with kindness and were polite, however did not always maintain people’s privacy and dignity.

Management plans were in place for people needing support at the end of their life. The service had good working relationships with health and social care organisations to ensure people received joined up care.

People and their relatives were encouraged to give feedback on the service, and areas for improvement through satisfaction questionnaires.

Rating at last inspection: This was the first inspection of Kingsgate Residential Home since registering as a change of provider in November 2017.

Why we inspected: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions.

Enforcement: At this inspection, we identified breaches of regulation 11, 12, 17 and 18 and Registration regulation 18. Full information about CQC's regulatory response to any breaches of regulation found during inspections is added to reports after any representations and appeals by the provider have been concluded.

Follow up: We will continue to monitor this service and will reinspect in line with our schedule for those services rated as Inadequate. As an outcome of this inspection, the decision was made for the service to be placed in special measures.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk