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King Charles Court is a 30 bedded nursing care home located in Falmouth, specialising in general nursing care of older people. The home is situated in a central location, close to all local amenities. King Charles Court was established in 2005 and is an old school. There are magnificent views over the harbour, the docks, Flushing and across to the Roseland from many rooms.
We also observed that on the day of the site visit one person did not receive personal care until 11.30 a.m. People told us about the meals provided at the home, they told us there was enough choice and variety and the standard of the food was good. People told us that ‘You never know what the meals are going to be – it’s always a surprise.
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Good standard of compliance with statutory obligations, industry codes of practice, and minor contraventions of food hygiene regulations. Some minor non-compliance with statutory obligations and industry codes of recommended practice. Every registered care provider in the UK can claim a free listing on Autumna.
King Charles Court provided individualised nursing care and support to people which achieved extremely good outcomes for people who lived at the service. People visiting the service told us they were made welcome by friendly and caring staff and had unrestricted access to their relatives. They told us they were happy with the care provided and had no concerns about their relatives safety.
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We were also told 'the staffing levels go down at the weekends making staff very busy, with no time to help people with their tea and coffee that the kitchen porter delivers, let alone additional fluids'. We saw that it took the management of the service time to organise specialist diet items to support people with specific needs. Those people had to wait a week to have the special diet items they needed. Staff demonstrated a good knowledge of the care needs of the people that lived at the home. Care plans were in place for all the individuals, however they did not always reflect the specific needs of the person.
Meals were appetising and people were offered a choice in line with their dietary requirements and preferences. Where necessary staff monitored what people ate to help ensure they stayed healthy. The service was meeting the requirements of the regulations at that time. Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care.
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People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. King Charles Court is a care home with nursing which offers care and support for up to 30 predominately older people.
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People who use the service that we talked with during the inspection did not have any concerns regarding this. People, who were able, told us that they were happy with the care they received. They told us that staff were kind and helpful, some people told us that staff appeared to be busy all of the time and sometimes they had to wait for care to be given. One person told us ‘They are kind hearted staff but there is not enough of them’. We observed staff talking to the people that were in the home in a respectable manner and that staff knocked on peoples bedrooms.
We did see staff asking people what they wanted to eat for the following day. We looked at the staff files for four people and saw that there was not an effective system in place to formally supervise all staff. One visitor explained that the home had invited them to eat with the person they had been visiting and the food had been “excellent”. We observed staff providing support to people throughout our inspection visit.
The registered manager was supported by a motivated and committed team including the deputy manager, clinincal lead, nurses and the care staff team. The design of the building and facilities were appropriate for the care and support provided. One of two bathrooms was currently being used for storage of equipment. However, the registered manager informed us of the plans to redesign this bathroom in the near future so it is more suitable for people with limited mobility.
The premises were regularly checked and maintained by the provider. Equipment and services used at King Charles Court were regularly checked by competent people to ensure they were safe to use. The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.
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