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CQC report explained · a residential care home

What the CQC found at Kirby Muxloe

Goodpublished 21 February 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 staffing and infection prevention arrangements were safe. This included protective equipment, testing, visiting, cleaning 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, March 2022

Inspected but not rated; inspectors were assured about infection prevention, staffing and COVID-19 safety arrangements.

This was an unannounced, targeted inspection on 28 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting care.

Inspectors found safe staffing levels. Staff had training in infection control and the safe use of protective equipment. Cleaning had increased, and high-touch and shared areas were cleaned regularly.

Inspectors were assured that the home had suitable arrangements for visitors, testing, vaccinations, protective equipment, social distancing, admissions and managing outbreaks. The home had seven people living there at the time, although it can accommodate up to seven.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • Staff training and staffing

    Safe staffing levels were maintained, and staff had completed training in infection prevention and the safe use of protective equipment.

    “Safe staffing levels were maintained at the service. All staff had completed training in relation to infection prevention and control (IPC) and correct use of personal protective equipment (PPE), including how to put it on and remove it safely.” from the report
  • Cleaning

    Cleaning was increased during the pandemic. High-touch areas and shared areas were cleaned regularly using suitable products.

    “Cleaning schedules were in place and frequency of cleaning had been increased throughout the COVID-19 pandemic.” from the report
  • Testing and vaccination checks

    The home was carrying out COVID-19 testing and checking the vaccination status of staff and professional visitors.

    “COVID-19 testing was being carried out for people using the service and staff in line with the latest guidance.” from the report
  • Policies and visiting

    The home had updated infection control policies and clear visiting arrangements. Inspectors said it was meeting the government guidance on visiting.

    “The service had clear visiting protocols in place and information was provided to all visitors to ensure they were familiar with IPC and PPE procedures.” 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 do you currently cover shifts when there are staffing pressures, and has this affected people's care?
  2. 02How often are shared and high-touch areas cleaned now?
  3. 03What are your current rules for visits, protective equipment and infection testing?
  4. 04How do you check that staff and professional visitors meet the current vaccination or exemption requirements?
  5. 05When were your infection prevention policies and risk assessments last reviewed?

This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and other areas of care were not assessed. This explanation was written from the published report of 18 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.

An earlier report, explained

What inspectors found, February 2019

Heathcotes (Kirby Muxloe) was rated Good in all areas, with kind and personalised care and minor gaps in staff knowledge and complaints information.

This was an unannounced inspection on 14 January 2019. One inspector and an expert by experience spoke with one person, four relatives, the manager, three staff members and a visiting occupational therapist. They also observed care and checked care records, medicines records, staff files and management records.

Inspectors found the home safe, effective, caring, responsive and well-led. People were supported by staff who knew them well. Care was tailored to people's communication, routines, choices and interests. Relatives said people were happy and safe, and inspectors saw a homely atmosphere.

There were two areas to improve. Not all staff knew the conditions attached to some legal restrictions on people's liberty. The complaints procedure did not include all relevant information, such as how to contact the local government ombudsman. The home said it would remind staff and amend the procedure.

The overall rating was Good, the same as at the previous inspection in June 2016. This means inspectors found consistently good outcomes and care, but not the highest possible standard in every area.

What inspectors praised
  • Personalised support

    Staff knew people's preferences, communication styles and routines. People were supported to make choices and develop everyday skills.

    “People's care was personalised to their individual needs.” from the report
  • Kind and respectful care

    Inspectors saw people treated with friendliness and respect. Relatives said staff were calm, kind and involved them in care decisions.

    “We observed people being treated with friendliness and respect by staff members.” from the report
  • Safe staffing and medicines

    Inspectors found enough staff to provide individual support. Medicines were stored, given and recorded safely.

    “Medicines systems were organised and people were receiving their medicines when they should.” from the report
  • Support for independence

    People could help with personal care, household tasks, cooking and shopping. The home had also arranged separate accommodation in the grounds to help one person develop skills.

    “People had the opportunity to develop and maintain their independence, such as being encouraged to do some of their personal care and to do some household tasks.” from the report
  • Positive leadership

    The manager carried out checks and sought relatives' views. Inspectors found the home was consistently managed and focused on person-centred care.

    “The service was consistently managed and well-led.” from the report
What inspectors were concerned about
  • Staff knowledge of legal restrictions

    needs fixing

    Not all staff knew the conditions attached to Deprivation of Liberty Safeguards. The manager said staff would be reminded, so ask how this was followed up.

    “Not all staff were aware of conditions of DoLS.” from the report
  • Incomplete complaints information

    minor

    The complaints procedure did not explain all relevant routes for raising concerns, including how to contact the local government ombudsman. The manager said it would be amended.

    “The procedure did not include all relevant information such as how to contact the local government ombudsman.” from the report
Questions to ask them, based on this report
  1. 01What has been done to ensure every staff member knows the conditions attached to any Deprivation of Liberty Safeguards authorisations?
  2. 02Has the complaints procedure been updated to include how to contact the local government ombudsman?
  3. 03How will you record and review my relative's communication preferences, routines and personal interests?
  4. 04How will my relative be supported to build or keep everyday living skills and independence?
  5. 05How do you check that medicines are given as prescribed and that staff have completed the required medicines training?

This was an unannounced inspection covering all five CQC key questions, including the premises and care, but inspectors had limited direct communication with people living in the home because of communication difficulties. This explanation was written from the published report of 21 February 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 Kirby Muxloe

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

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Kirby Muxloe →

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

    Read what inspectors found at Kirby Muxloe →

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

    Read this report on cqc.org.uk

  4. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 8 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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