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Inspection Summary


Overall summary & rating

Good

Updated 13 February 2018

Keefield 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.

Keefield is a purpose-built care facility providing personal care and accommodation for 10 people. The service consists of two bungalows each accommodating five people. At the time of inspection nine people were living at the service.

There was 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.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

We met and spoke to some people during our visit and observed the interaction between them and the staff. People were not able to fully verbalise their views and used other methods of communication, for example verbally, and through physical gestures or body language, electronic tablets and symbols.

People remained safe at the service. People had one to one staffing at all times. Safe recruitment procedures were in places to help ensure staff were suitable to work with vulnerable people.

Staff had a good understanding of risks associated with people's care needs and how to support them. Medicines were stored and administered safely, and people received their medicines as prescribed. Regular audits ensured medicines were managed in line with good practice guidelines.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. The management and staff team understood the principles of the Mental Capacity Act 2005 (MCA) and

Deprivation of Liberty Safeguards (DoLS).

The staff had built strong relationships with people and treated people kindness and compassion and respected their privacy and dignity. People or their representatives, were involved in decisions about the care and support people received.

There was a friendly, relaxed atmosphere and staff were kind and attentive in their approach. People were provided with food and drink that met their individual needs and preferences.

People were supported to take part in a variety of activities and trips out based on their interests. End of life care was co-ordinated and in the best interests of the person.

The registered manager sought feedback about the quality of the service provided from people and/or family members, staff and visiting health professionals. There was an on-going quality monitoring process in place to identify areas of improvement required within the service. Where improvements had been identified, actions were taken.

Inspection areas

Safe

Good

Updated 13 February 2018

This remains good.

Effective

Good

Updated 13 February 2018

This remains good.

Caring

Good

Updated 13 February 2018

This remains good.

Responsive

Good

Updated 13 February 2018

This remains good.

Well-led

Good

Updated 13 February 2018

This remains good.