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CQC report explained · a nursing home

What the CQC found at Kilfillan House Care Home

Goodpublished 18 January 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were being followed. This included protective equipment, testing, safe admissions, hygiene and outbreak management.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, August 2020

Kilfillan House Care Home was inspected but not rated; inspectors found strong infection control arrangements during the coronavirus pandemic.

This was an announced, targeted inspection on 12 August 2020. It looked only at infection prevention and control, as part of a national review during the coronavirus pandemic.

Inspectors found good arrangements for visits, including appointments, protective equipment, social distancing and a separate visiting area. The home also helped people keep in touch with family and friends through phone and video calls.

Inspectors were assured that the home was managing infection risks, including use of protective equipment, testing, admissions, cleaning and outbreak planning. The service was inspected but not rated, so this report does not provide an overall quality rating.

What inspectors praised
  • Managed visiting

    Visits were organised by appointment, with protective equipment, social distancing and staff support to reduce infection risks.

    “The service was receiving visitors to the service with robust infection control procedures in place.” from the report
  • Keeping people connected

    The home took steps to reduce loneliness by supporting phone and video calls with family and friends.

    “The provider had activated all telephone lines into people's bedrooms with any usual fees waived, provided additional mobile phones and staff had supported telephone calls and videos calls with family and friends.” from the report
  • Clear infection guidance

    The provider had policies and guidance for infection control, which inspectors said had been put into practice.

    “The provider had developed a robust package of policies, procedures and guidance for locations which the registered manager had successfully implemented at the location.” from the report
  • Risk assessment and staff support

    Health, safety and wellbeing risks were assessed. Staff also had access to additional support and benefits.

    “Risks to people and staff in relation to their health, safety and wellbeing had been thoroughly assessed.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visits arranged now, and what infection control measures are visitors expected to follow?
  2. 02How do you currently support residents who feel lonely or cannot see family in person?
  3. 03How are people and staff tested for infections, and what happens if someone tests positive?
  4. 04How do you manage new admissions safely?
  5. 05How often are your infection prevention and control policies reviewed?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 28 August 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, January 2019

Rated Good; inspectors found safe, kind and well-managed care, with activities needing more variety.

This was an unannounced inspection on 21 November 2018. One inspector and an expert by experience spoke with people living at the home, staff and managers. They also observed care and checked care plans, medicines, staff files and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found clean surroundings, enough staff, safe medicines systems and suitable staff checks and training.

People had detailed care plans that reflected their needs and choices. Staff were described as kind, respectful and supportive. People received help from health professionals when needed, and managers used audits and feedback to monitor the service.

The rating stayed Good, as it had been at the previous inspection in April 2016. A few people wanted more varied activities and trips outside the home.

What inspectors praised
  • Clean and welcoming

    Inspectors found the environment clean, well cared for and homely.

    “The environment was well cared for and was clean in all areas.” from the report
  • Safe medicines

    Medicines were given by trained staff, with accurate records and regular checks.

    “Medicine administration records (MAR) were completed accurately and audits were in place to ensure that all medicines were administered correctly.” from the report
  • Kind and respectful care

    Staff supported people patiently while protecting their dignity, privacy and independence.

    “Staff respected people's dignity and ensured they remained as independent as possible.” from the report
  • Good oversight

    Managers were approachable and used audits, meetings and feedback to check the quality of care.

    “The provider's representative continued to visit the service and undertake a quality audit on a monthly basis.” from the report
What inspectors were concerned about
  • Activities could be broader

    minor

    Some people wanted a more varied programme, especially trips outside the home. The manager said they would consider how to improve social stimulation.

    “Although, a few people told us that they would like the activity programme to be further developed to offer a more diverse range of activities, particularly in relation to trips out of the home.” from the report
Questions to ask them, based on this report
  1. 01What activities and trips outside the home are now available?
  2. 02How do you make sure activities reflect each person's interests, including people who do not enjoy the main programme?
  3. 03How many staff are planned for each shift, and when are bank or agency staff used?
  4. 04How are care plans and risk assessments reviewed when a person's needs change?
  5. 05How are families involved in care reviews and updates about changes in care?

This was an unannounced inspection covering all five CQC questions, and the overall Good rating remained unchanged from April 2016. This explanation was written from the published report of 18 January 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Kilfillan House Care Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. August 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Kilfillan House Care Home →

  2. January 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Kilfillan House Care Home →

  3. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 15 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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