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Inspection Summary

Overall summary & rating


Updated 8 March 2018

Kirby House is a residential care home that provides care and support for up to 40 older people. At the time of our inspection 40 people were using the service and some people were living with dementia.

At the last inspection on 11 December 2015 the service was rated Good. However, we rated the well-led domain as requiring improvements. This was because they did not have a registered manager in post at the time of the inspection. We asked the provider to make the necessary improvements. At this inspection we found that the required improvements had been made and the service was rated Good overall.

There was a registered manager in place. It is a requirement that the service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People felt safe. Staff understood their responsibilities to keep people safe from avoidable harm. There were a suitable number of staff deployed and the provider had followed safe recruitment practices. Where risks were identified for people while they were receiving support these had been assessed and control measures put in place. People received their medicines in line with their prescription.

Staff had access to the support, supervision and training that they required to work effectively in their roles. Where agency staff were used, induction was provided to make sure that they were able to meet people's needs.

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

People had enough to eat and drink to maintain good health and nutrition. People were supported to access health professionals when required.

People were treated with kindness and compassion. Dignity and respect for people was promoted.

People had care plans in place that focused on them as individuals. This enabled staff to provide consistent care in line with people's personal preferences.

The service had a positive ethos and an open culture. The providers and registered manager provided positive leadership to all staff.

The provider had sought feedback from people and their relatives about the service they received.

The provider's complaints procedure had been followed when a concern had been raised and people felt able to make a complaint if they needed to.

The provider had quality assurance systems to review the quality of the service to help drive improvement.

Inspection areas



Updated 8 March 2018

The service remains safe



Updated 8 March 2018

The service remains effective



Updated 8 March 2018

The service remains caring



Updated 8 March 2018

The service remains responsive



Updated 8 March 2018

The service was well led.

People and their relatives felt that the service was well led.

Staff felt supported by and were clear about their role and responsibilities.

Systems were in place to monitor the quality of the service being provided and to drive improvement.

The registered manager was aware of their legal responsibilities.