Kirby Grange Residential Home

Updated 26 March 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector. An Expert by Experience then contacted relatives of people who use the service via telephone on 4 February 2022. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kirby Grange Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Kirby Grange is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and seven relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy manager, one senior care worker and two care workers. We also spoke with the activities coordinator, housekeeper and the maintenance person.

After the inspection

We continued to seek clarification from the provider to validate evidence found and reviewed further evidence the provider submitted.

Updated 26 March 2022

About the service

Kirby Grange Residential Care Home is a care home providing accommodation and personal care to up to 31 people aged 65 and over. At the time of the inspection there were 25 people using the service.

People’s experience of using this service and what we found

People were provided with safe and compassionate care delivered by safely recruited staff who knew them well. Detailed plans of care were in place to identify how people wished for their care to be provided.

All the people and relatives we spoke with told us support was tailored to individual needs and preferences and were complimentary of the care they received.

Risks to people’s health had been identified. These were monitored and managed and reviewed on an ongoing basis to track any change in their needs.

People were protected from the risk of infectious diseases as far as practicably possible. A robust infection control policy was in place and staff followed guidance in relation to COVID-19.

People’s medicines were managed safely. Staff had received training in medicines management and their competency had been checked.

People’s consent to care was obtained. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service was well-led. The registered manager was open and transparent, and systems and processes were in place to ensure people received quality care.

People and relatives held the managers and staff in high regard and felt involved in the service. Managers and staff made themselves available and listened to any concerns raised and took appropriate action to resolve them.

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

Rating at last inspection and update

The last rating for this service was good (published 29 August 2019).

Why we inspected

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

We received concerns in relation to the management of people’s skin care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kirby Grange residential Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.