30 April 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection was completed by one inspector.
Service and service type:
Kimberley residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced.
What we did:
• Before, during and after the inspection we reviewed information we had received about the service since the last inspection. This included:
• Details about incidents the provider must notify us about, such as injuries.
• We sought feedback from a clinical nurse specialist for older people and practice paramedic.
• Providers are required to send us key information about what they do well, and improvements they plan to make. This information helps support our inspections. We looked at the information the provider sent us in October 2018.
• We spent time observing staff with people in communal areas during the inspection.
• We spoke with the provider, manager and four staff.
• We looked at one person’s care records.
• We looked at medicines records.
• We looked at recruitment records for one new staff member.
• We reviewed records relating to the management of the home.
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.
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