Background to this inspection
Updated
8 March 2019
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. 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.
Inspection team
The inspection was completed on 28 November 2018. The inspection team consisted of two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. This included experience of looking after someone with dementia.
Service and service type
Kimberley Care Village 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 care home can accommodate 68 people in one adapted building. It has a secure dementia wing to provide care to people living with dementia.
The service had a manager registered with the Care Quality Commission. This means that 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
The inspection was unannounced.
What we did
• Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, and local authorities.
• Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
• We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the registered provider is required to tell us about.
• We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
• We spoke with the registered manager, a deputy manager, the manager brought in to oversee the development of the facilities, a care worker and a member of the domestic staff. We also spoke with an external health care professional from the community nursing team.
• We spoke with six people living at the home and three relatives who visited during the inspection.
• We looked at a range of documents and written records including 10 people’s care files and two staff recruitment records. We also looked at information relating to the administration of medicines and the auditing and monitoring of service provision.
• Following the inspection the registered manager sent us information about the training and support offered to staff.
Updated
8 March 2019
About the service:
Kimberley Care Village is a residential care home, it is registered to provide personal care for up to 68 older people some of who may be living with dementia. There were 56 people living at at the home at the time of the inspection.
People’s experience of using this service:
• People told us they were happy living at the home and that staff were kind and friendly. One person told us, “They are all nice to me and so friendly and they are kind to all of us. This is not just a job to them. They definitely want to support us as best as they can and make it a pleasant environment.”
• Relatives were also happy with the care provided. They spoke about how caring the staff were and well led the service was. One relative told us, “I always arrive unannounced. When mum first moved here I thought maybe she should move nearer to us, but the care is so good and I have visited others. I have 100% trust in the care here.”
• There were enough staff to meet people’s needs and they received the training and support needed to provide safe care to people in line with best practice. Recruitment processes ensured that staff were safe to work with people living at the home.
• Care plans contained all the information staff needed to provide care that was tailored to people’s individual needs. Risks to people were identified and care was planned to keep them safe. Where needed equipment was in place to support people’s well-being. Medicines were safely managed, and the environment was clean.
• The provider had recently introduced home cooked food into the home and people told us that this had improved the quality of the food. The success of this was reflected in the decrease in people at risk of malnutrition.
• The provider was refurbishing the home to improve the environment for people. Areas of the home which had been completed were of a high standard and supported people’s well-being. The dementia unit was planned to be refurbished and the provider was aware of best practice in providing a dementia friendly environment for people.
• Systems in place to monitor the quality of care provided and to drive improvements in care were effective. The registered manager ensured that they stayed up to date with changes in legislation and best practice guidance and worked with other healthcare providers to improve people’s experience of care.
Rating at last inspection:
At the last inspection the service was rated as Requires Improvement (report published 07 July 2017). At this inspection we found the provider and registered manager had made the necessary improvements.
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about this service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.