CQC report explained · a residential care home
What the CQC found at Kirby Grange Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, medicines were managed safely, staffing levels were suitable and infection controls were in place.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found open management, detailed care plans, regular audits and systems for listening to people and relatives.
What inspectors found, March 2022
Kirby Grange Residential Home is rated Good; inspectors found safe, compassionate care and strong management.
This was an unannounced, focused inspection on 10 February 2022. Inspectors looked mainly at safe care and how the home was managed. They also checked infection control and COVID-19 vaccination requirements.
People and relatives said they felt safe and that care was tailored to individual needs. Inspectors found that risks, medicines, staffing, recruitment and infection control were managed safely. They found no evidence that the concern about skin care had put people at risk of harm.
The home was rated Good overall. Safe and well-led were rated Good. The other three areas were not inspected during this visit, so their previous ratings were carried forward from the last comprehensive inspection in 2019.
Personalised care
Care plans described how people wanted their care to be provided. People and relatives said support was tailored to individual needs and preferences.
“People were provided with safe and compassionate care delivered by safely recruited staff who knew them well.” from the report
Risk management
The home assessed and reviewed risks such as pressure ulcers, falls and poor nutrition. Inspectors found evidence that staff followed a person's repositioning plan and checked specialist equipment.
“Care plans and risk assessments were thorough to ensure risks were monitored safely, such as pressure care, falls and nutritional risks.” from the report
Safe medicines and staffing
Medicines records and stock checks showed medicines were given as prescribed. Inspectors also found enough suitably trained staff and safe recruitment checks.
“Staff were trained in the safe administration of medicines and received regular competency checks.” from the report
Open management
Managers were visible and approachable. Audits, an action plan and feedback from people and relatives were used to monitor and improve the service.
“Several audits including those for care plans, medicines and accidents and incidents were undertaken and used to identify any areas for improvement or concern.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's risks, including pressure care, falls and nutrition?
- 02How will you keep my relative safe from infections, and what are the current visiting arrangements?
- 03How do you check that medicines are given correctly and that any errors are acted on?
- 04How will you involve my relative and our family in care planning and changes to their care?
- 05What information can families see through the online portal, and how quickly are problems followed up?
This was a focused inspection of Safe and Well-led, including infection prevention and COVID-19 vaccination requirements; the Effective, Caring and Responsive ratings were carried forward from the 2019 comprehensive inspection. This explanation was written from the published report of 26 March 2022 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.
What inspectors found, August 2019
Rated Good in all five areas; inspectors found kind, personalised care and strong management, with some mixed views about staffing levels.
This was an unannounced planned inspection on 17 July 2019. Two inspectors and an Expert by Experience spoke with seven people, four relatives and six staff. They reviewed care, medicine and management records, staff files, training data and policies.
Inspectors found that people felt safe and were treated with kindness and respect. Care plans were detailed and personalised. Staff supported people's independence, choices, health needs, eating and drinking, activities and relationships.
The home was clean and well maintained. Medicines were managed safely. Inspectors found strong systems for monitoring quality, investigating incidents and making improvements. All five areas were rated Good, the same as at the previous inspection published in December 2016.
Personalised care
Care was planned around people's backgrounds, preferences, health and social needs. People and relatives were involved in deciding how care would be provided.
“People's care and support had been outstandingly planned in partnership with them with a proactive and holistic approach.” from the report
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors saw staff respond to a distressed person with patience, dignity and kindness.
“We saw positive and kind interactions, for example we observed staff treat a distressed person -who was disrobing in the reception area- with dignity, patience and kindness.” from the report
Choice and independence
People were supported to make choices and remain as independent as possible. They could choose where and when to eat and which activities to join.
“People had the choice to participate in group or one to one activities as well as day trips outside the home.” from the report
Strong health and nutrition support
Healthcare support was proactive and timely. Staff and kitchen workers understood individual dietary needs, and people at risk of malnutrition received extra support.
“People experienced outstanding effective, safe and timely healthcare support which met their needs.” from the report
Mixed views about staffing
needs fixingSome people thought the home was short staffed or were unsure whether there were enough staff. The manager monitored staffing and changed numbers when people's needs changed.
“People had mixed opinions on the numbers of staff, but all agreed the staff were friendly.” from the report
Meal picture guide could be clearer
minorSome people living with dementia used a cartoon picture book to help choose meals. Staff said real photographs of the meals would work better.
“some people who were living with dementia were supported in choosing their meals by use of a cartoon picture book, however staff told us this would be more effective if it were real photos of the actual meals.” from the report
- 01How do you decide the staffing levels for my relative's needs, and what happens if staff are absent?
- 02How will you help my relative choose meals if they have dementia or communication difficulties?
- 03How will you involve my relative and our family in care plan reviews and decisions?
- 04What activities would match my relative's interests, and how would you support one-to-one activities?
- 05How would you support my relative's end of life wishes if their needs changed?
This was an unannounced planned inspection covering all five CQC questions, the premises and the care provided; the previous Good ratings were carried forward as unchanged. This explanation was written from the published report of 29 August 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.
Every inspection of Kirby Grange Residential Home
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- March 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Kirby Grange Residential Home →
- August 2019Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Kirby Grange Residential Home →
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 17 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.
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At least 100 live-in carers within about an hour of Leicestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Together Earther and I supported her to die at home with great dignity and compassion and him to continue with life.”
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