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Inspection Summary


Overall summary & rating

Good

Updated 30 April 2019

About the service: Kimberley Residential Home accommodates up to 36 older people who may be living with dementia. At the time of the inspection 31 people were living at the service.

People’s experience of using this service:

• The provider had made improvements to the way staff were recruited but had not ensured that medicines were always stored safely. Therefore, the domain of safe continues to be rated Requires Improvement. The domains of effective, caring, responsive and well led continue to be rated Good.

• One person had not received their medicine as prescribed on one occasion.

• The provider and manager took action during our inspection to make sure medicines were stored at a safe temperature. Medicines were stored securely.

• Medicines were ordered, administered, recorded and disposed of safely.

• Changes in people’s health had been identified and people were supported to see health care professionals when they needed.

• When people were at risk of losing weight they were referred to a dietician and offered a diet fortified with extra calories to reduce the risk of them losing more weight.

• Assessments of people’s needs and any risks to them had been assessed.

• Care had been planned to support people in the way they preferred and to keep them as safe as possible.

• People were supported to remain as independent as possible.

• Staff were kind and caring and treated people with dignity and respect.

• Staff knew the signs of abuse and raised any concerns they had with the manager or provider and action had been taken to keep people safe.

• People were not discriminated against and received care tailored to them.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

• People’s capacity to make specific decisions had been assessed and staff offered people choices in ways they preferred.

• The manager understood their responsibilities under Deprivation of Liberty Safeguards (DoLS) and had applied for authorisations when there was a risk that people may be deprived of their liberty to keep them safe.

• The new manager had been promoted from the role of deputy and provided consistent leadership

• People knew the provider and manager and told us they acted on what people told them.

• Staff told us they felt supported by the manager and were motivated.

• Checks and audits were completed and any shortfalls were addressed.

• The views of people and staff were requested regularly and used to improve the service.

• There were enough staff to care for people.

• New staff were recruited safely and had the skills they needed to meet people’s needs.

• Records were accurate and held securely.

Rating at last inspection:

Good (last report published 16/06/2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 30 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 30 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 30 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 30 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 30 April 2019

The service was well-led

Details are in our Well-Led findings below.