Archived: Kimberley Residential Home Limited

Updated 30 June 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

We undertook an unannounced focused inspection of Kimberley Residential Home on 31 May 2017. This inspection was carried out to check that improvements to meet legal requirements planned by the provider after our 12 December 2016 inspection had been made. We inspected the service against one of the five questions we ask about services: is the service Safe? This is because the service was previously not meeting a legal requirement. This inspection was carried out by one inspector.

Prior to the inspection we reviewed information we held about the service, we looked at the previous inspection report and any notifications received by the Care Quality Commission. A notification is information about important events, which the provider is required to tell us about by law.

During the inspection we reviewed people’s records and a variety of documents. These included three people’s risk assessments and medicine records, two staff recruitment files, staff rotas, accident and incident reports and servicing and maintenance records.

We spoke with two people who were using the service, two relatives, the registered manager and two members of staff.

We asked the registered manager to send us additional information after the visit. We asked for the photographs of the bathroom floorings when they were completed to be emailed to us. The information we requested was sent in a timely manner.

Updated 30 June 2017

The inspection was carried out on 31 May 2017 and was an unannounced inspection.

Kimberley Residential Home provides accommodation and personal care for up to 22 older people. At the time of the inspection there were 21 people living at the service. There were eight single rooms and seven double shared rooms. Many people were independently mobile or needed the assistance of one staff member, some were frail with poor mobility and some people were living with the early stages of dementia. The home was set in an urban area, close to shops and public transport. There was an enclosed garden and paved seating area.

At the last Care Quality Commission (CQC) inspection, the service was rated overall Good, and Requires Improvement in the 'Safe' domain.

We carried out an unannounced comprehensive inspection of this service on12 December 2016. We found two breaches of legal requirements in relation to medicine management and poor maintenance and decoration of the premises. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach of Regulation 12, Safe care and treatment and Regulation 15, Premises and equipment, of the Health and Social Care Act Regulated Activities Regulations 2014. We undertook this focused inspection to check that they had followed their plan and to confirm that they have now met the legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Kimberley Residential Home on our website at www.cqc.org.uk

At this inspection we found the service remained Good overall and is now rated Good in the Safe domain.

The provider had dealt with the priorities identified at the last inspection to make the premises safe and more visually pleasing. However, more work needed to be carried out to ensure an even safer and more pleasant environment for people living at the service. We have made a recommendation about this.

People now received their medicines safely and when they should. There were systems in place to ensure medicines were stored and recorded correctly and safely.

People and relatives told us the staff were good and did their best at Kimberley Residential Home.

Staff knew their responsibilities in keeping people safe and had raised concerns appropriately with the local authority.

Risks were assessed and staff took steps to keep people safe while at the same time being aware of people’s rights. Accidents and incidents were recorded and appropriate action taken to reduce the risk of further occurrences.

People had their needs met by sufficient numbers of staff. People were protected by safe recruitment procedures.