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Inspection Summary


Overall summary & rating

Good

Updated 25 October 2019

Kirklands is a residential care home for up to 40 older people, some of whom may be living with dementia. There has been a recent change of ownership but the home has the same registered manager, management team and staffing. Amendments to policies and procedures were underway.

The home is divided into four distinct areas, each with access to a small kitchen and a lounge/dining area. People have single bedrooms with ensuite facilities. There are suitable shared facilities and a pleasant garden. The home does not provide nursing care.

People’s experience of using this service

People, or their relatives, told us they felt safe and staff had received suitable training about protecting vulnerable adults. Good arrangements were in place to ensure that new members of staff had been suitably vetted and were the right kind of people to work with vulnerable adults. Accidents and incidents were responded to appropriately and their causes analysed.

Staff were appropriately inducted, trained and developed to give the best support possible. Team members understood people's needs and had suitable training and experience in their roles. Staffing rosters were reviewed if people's needs changed. The service employed enough staff by day and night to meet people's needs.

People saw their GP and health specialists when necessary. Medicines were suitably managed with people having reviews of their medicines on a regular basis. Staff took the advice of nurses and consultants. The staff team had good working relationships with local GP surgeries. Nutritional planning was in place and special diets catered for appropriately. People told us they really enjoyed the food provided.

Kirklands was a modern building specially designed to provide accommodation for older people and people living with dementia. The house was warm, clean and comfortable on the day we visited. The home had equipment in place to support care delivery.

The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us the staff were caring. We observed kind and patient support being provided. Staff supported people in a respectful way. They made sure confidentiality, privacy and dignity were maintained.

Risk assessments and care plans provided detailed guidance for staff in the home. People in the service or their relatives, as appropriate, had influenced the content. The registered manager ensured the plans reflected the person- centred care that was being delivered.

Staff could access specialists if people needed communication tools like sign language or braille.

People told us they enjoyed the activities, interests and hobbies on offer. The home encouraged involvement in local activities.

The service had a quality monitoring system and people were asked their views in a number of different ways. Quality assurance was used to support future planning.

The registered manager understood how to manage concerns or complaints appropriately. She was supported in this by the provider and there was a suitable policy in place.

Records were well organised, easy to access and stored securely. Care plans had been moved to a digital recording system.

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

Rating at last inspection:

The last rating for this service was good (published 24 May 2017). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up

We will continue to monitor intelligence we receive about th

Inspection areas

Safe

Good

Updated 25 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 25 October 2019

The service was effective

Details are in our effective findings below.

Caring

Good

Updated 25 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 25 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 25 October 2019

The service was well-led.

Details are in our well-led findings below.