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Keb House Residential Home Requires improvement

We are carrying out a review of quality at Keb House Residential Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating

Requires improvement

Updated 14 January 2020

About the service

Keb House Residential Home is a care home in the village of Appleby. It is registered to provide accommodation and personal care to 18 older people, some of whom may be living with dementia. At the time of our inspection, 12 people lived at the service.

People’s experience of using this service and what we found

People were at risk of not having their medicines as prescribed. Relevant guidance was not in place to support staff with administering medicines and records were not always accurate. The safety of the service was not always maintained as safety certificates had expired. Systems were not in place to monitor and address quality shortfalls in the service.

Some furniture was not clean and appropriate hand washing facilities were not always available. We have made a recommendation about the cleanliness of the environment. Recruitment processes were safe, though records were not thorough. We have made a recommendation about recruitment processes. Records did not always accurately show the care people received.

The management team ensured staff were supported in their roles with supervision, appraisals and regular staff meetings, though not all staff had up to date training. We have made a recommendation about staff training and development. People and their relatives were happy with the management team as they were approachable and addressed problems.

People were happy with the care and support provided by staff. Staff respected people as individuals and supported people to maintain their independence. There was enough staff to meet people’s needs and people told us staff maintained their privacy and dignity.

People were supported to access healthcare services and staff followed professional advice. People’s rooms were personalised, and signs were used to help people find their way around. Activities were available for people and visitors were welcome at any time. People were complimentary of the choice and quality of the food and staff ensured options were tailored to people’s requirements.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were included in the development of the service and where possible changes were made in line with people’s requests.

For more details, please see the full report which is on the Care Quality Commission website at

Rating at last inspection

The last rating for this service was good (published 21 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.


We found the provider failed to notify us of nine specific incidents which had occurred at the service since the last inspection which the provider is legally required to inform us of. More information is in detailed findings below. We have also identified breaches in relation to the safe management of medicines, maintaining the safety of the service and the systems for monitoring and addressing quality shortfalls at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 14 January 2020

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 14 January 2020

The service was not always effective.

Details are in our effective findings below.



Updated 14 January 2020

The service was caring.

Details are in our caring findings below.



Updated 14 January 2020

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 14 January 2020

The service was not always well-led.

Details are in our well-Led findings below.