Kirksanton Care Centre

Updated 2 November 2023

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 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.

Service and service type

Kirksanton Care Centre 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. Kirksanton Care Centre is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 5 October 2023 and ended on 9 October 2023. We visited the service on 5 October 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 information gathered as part of monitoring activity that took place on 9 August 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

People who lived in the home were living with dementia and were not easily able to share their views with us. We spoke with 6 people who lived in the home and 2 relatives about their experience of the care provided. 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, the administrator and 3 members of the care team. We contacted 5 staff to gather their views.

We looked around the home and reviewed a range of records. This included 3 people’s care records and medicine administration records. We looked at recruitment and training records for 3 staff. We also looked at a variety of records relating to the management of the service.

Updated 2 November 2023

About the service

Kirksanton Care Centre is a care home providing personal care to up to 40 people. The service provides accommodation to older people and people who are living with dementia. The home has three distinct areas; The Croft, which is the oldest part of the property, The Annexe and The Mews. The Annexe was the only part of the property being used to accommodate people when we inspected. The home has 40 single, ensuite bedrooms and there are bathrooms, toilets and communal areas in each area of the home. At the time of the inspection there were 21 people using the service.

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

People were safe and protected from harm and abuse. Risks to people’s safety had been identified and managed. People received the care they needed because there were enough staff to support them. Staff had received training to provide people’s care safely. The registered manager used safe systems when new staff were employed. People received their medicines safely and as they needed. The registered manager had systems to learn and share lessons from incidents. People were protected against the risk of infection.

People 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.

People received person-centred care from staff who knew them well. The service focused on what was important to people and took account of their preferences. The provider and registered manager were committed to the continuous improvement of the service. People valued the service and said they would recommend it. Staff worked well with other services to ensure people received appropriate care which met their needs.

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 12 December 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

The rating for the service had not been reviewed since the inspection in 2017. We undertook a focused inspection to check people continued to receive safe and high-quality care. We reviewed the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.

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 Kirksanton Care Centre 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.