Archived: Kilburn Care Centre

Updated 16 June 2018

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.

This comprehensive inspection took place on 16 May 2018 and was unannounced. The inspection visit was carried out by two inspectors.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

The inspection was also informed by other information we had received from and about the service. This included statutory notifications. A notification is information about important events, which the provider is required to send us by law. We also received feedback from the local authority who commission services from the provider.

Some people due to their needs were unable to talk with us about the support they received. To enable us to understand the experiences of people, we observed the care and support provided to people and how the staff interacted with them.

During the inspection, we spoke with six people that used the service, four people’s relatives, the registered manager and deputy manager, who was also the nurse on shift on the day of our visit. We also spoke with one senior carer, two care staff and the activities leader.

We looked at the care records for four people. We checked that the care they received matched the information in their records. We also looked at records relating to the management of the service, including quality checks and staff files.

Updated 16 June 2018

Kilburn Care Centre is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Kilburn Care Centre is registered to accommodate 49 people. At the time of our inspection 45 people were using the service. The service accommodates people in one building over two floors. The home is divided in to two areas; the main nursing unit and a 10 bedded residential unit. Both had separate adapted facilities with lounge and dining areas on each unit. A garden and enclosed patio were also available that people could access.

The service had a registered manager in post. 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.

Our last comprehensive inspection was undertaken in November 2015 and the service was meeting the regulations that we checked and was rated as good.

The local authority advised us they were investigating concerns regarding the safety of two people using the service at the time of our inspection. We saw that the registered manager had worked with them and taken action to enhance the safety of these two people.

There was sufficient staff to support people and people told us they felt safe at the home. Staff had knowledge about people’s care and support needs to enable support to be provided in a safe way. Staff were supported by the management team and provided with the relevant training to ensure people’s needs could be met.

Staff understood what constituted abuse or poor practice and systems and processes were in place to protect people from the risk of harm. Medicines were managed safely and people were given their medicine as and when needed. Thorough recruitment checks were done prior to employment to ensure the staff were suitable to support people.

Assessments that identified risks to people’s health and safety were in place and care plans directed staff on how to minimise identified risks. Plans were in place to respond to emergencies; to ensure people were supported in accordance with their needs. Staff had the equipment needed to assist people safely and understood about people’s individual risks. The provider checked that equipment was regularly serviced to ensure it was safe to use.

Staff gained people’s verbal consent before supporting them and helped people to make their own decisions. Where people were unable to do this; decisions were made in people’s best interests. People received food and drink that met their nutritional needs and preferences, and if required were referred to healthcare professionals to maintain their health and wellbeing.

People were supported to socialise and take part in activities to promote their wellbeing. People liked the staff and their dignity and privacy was respected by the staff team. Visitors were made welcome and staff were approachable and friendly.

Staff listened to people’s views and people knew how to make a complaint or raise concerns. There were processes in place for people and their relatives to express their views and opinions about the service provided. People felt the service was well managed and they were involved in decisions related to the planning of their care. There were systems in place to monitor the quality of the service to enable the manager and provider to drive improvement.