Archived: Keldgate Manor

Updated 9 February 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 3 December 2015 and was unannounced. The inspection was carried out by one adult social care inspector and an Expert by Experience. An Expert by Experience is someone who has personal experience of using or caring for someone who has used this type of service. The Expert by Experience who assisted with this inspection had experience of supporting older people with dementia and other health problems associated with old age.

Before this inspection we reviewed the information we held about the service, such as notifications we had received from the registered provider and information we had received from the local authority who commissioned a service from the home. The provider was not asked to submit a provider information return (PIR) prior to the inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

On the day of the inspection we spoke with three people who lived at the home in depth and chatted to others. We also spoke with four visitors and three members of staff. Following the day of the inspection we spoke with a three health care professionals and a social care professional.

On the day of the inspection we spent time looking at records, which included the care records for three people who lived at the home, the recruitment records for two members of staff and other records relating to the management of the service, including staff training, health and safety and quality monitoring records.

Updated 9 February 2016

This inspection took place on 3 December 2015 and was unannounced. We previously visited the service on 10 July 2014 and made a recommendation about how staff shared information with people who lived at the home and how specific care needs were met. We visited the service again on 10 March 2015 and made recommendations about managing safeguarding issues and how staff training was recorded.

The home is registered to provide accommodation for up to 35 people who require assistance with personal care, some of whom may be living with dementia. On the day of the inspection there were 19 people living at the home. The home is situated in Beverley in the East Riding of Yorkshire. It is close to the centre of the town and town centre facilities. There is a car park for visitors and staff.

The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager who was registered with the Care Quality Commission (CQC); the registered manager had been in post for many years. 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.

People told us that they felt safe whilst they were living at Keldgate Manor. People were protected from the risks of harm or abuse because the registered provider had effective systems in place to manage any safeguarding concerns. Staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm. Staff also told us that they would not hesitate to use the home’s whistle blowing procedure if needed.

Staff confirmed that they received induction training when they were new in post and told us that they were happy with the training provided for them. The training records evidenced that staff had completed training that equipped them to carry out their roles effectively. Staff had received training on the administration of medication and people told us they were happy with how they received their medicines.

New staff had been employed following the home’s recruitment and selection policies and this ensured that only people considered suitable to work with vulnerable people had been employed. On the day of the inspection we saw that there were sufficient numbers of staff employed to meet people’s individual needs.

People told us that they received the support they required from staff and that their care plans were reviewed and updated as required. People told us that staff were caring and that their privacy and dignity was respected.

People’s nutritional needs had been assessed and people told us they were happy with the meals and refreshments provided. We saw that people were encouraged to drink throughout the day to promote hydration.

There was a complaints policy and procedure in place and people told us they were confident that any complaints or concerns they raised would be listened to. There were systems in place to seek feedback from people who received a service, and this feedback was used to identify improvements that needed to be made.

The quality audits undertaken by the registered manager were designed to identify any areas that needed to improve in respect of people’s care and welfare.