CQC report explained · a nursing home
What the CQC found at Kirkley Manor
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks were identified and managed, medicines were administered safely, and inspectors found enough staff to meet people's needs. The home was clean and had procedures to reduce infection risks.
- Effective?
- Good
- Staff had suitable training and support. People received suitable food and drink, help with health appointments, and care that followed mental capacity and least restrictive practice requirements.
- Caring?
- Good
- Staff were observed being kind, caring and respectful. People and their representatives were involved in care planning and decision-making.
- Responsive?
- Good
- Care records included people's preferences, interests and needs. The home offered activities and handled the complaints reviewed appropriately, while end of life care planning was still being improved.
- Well-led?
- Good
- The home had effective audits and action plans. People, relatives and staff were able to give feedback, and managers followed up identified improvements.
What inspectors found, September 2018
Kirkley Manor was rated Good; inspectors found kind, safe and personalised care, with some improvements still in progress.
Inspectors visited without warning on 22 and 28 August 2018. They spoke with people living there, relatives and staff, observed care, and checked care records, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, received their medicines safely, and had enough staff to meet their needs.
People were treated kindly and respectfully. Care was personalised, people had choices about food and activities, and relatives and residents could help shape care plans and service improvements.
The home was still improving its end of life care planning. Some parts were being redecorated, and the service was seeking another activities staff member.
Safe care
Inspectors found that risks were assessed and managed, medicines were safely administered, and there were enough staff to meet people's needs.
“The service continued to protect people from the risks of abuse or avoidable harm and risks to people were identified and planned for.” from the report
Kind and respectful staff
Staff knew people well and treated them with kindness, dignity and respect.
“We observed that staff interacted with people in a kind, caring and personalised way.” from the report
Personalised support
Care records included people's likes, dislikes, hobbies and interests. People and relatives were involved in planning care.
“Care records were individualised and were person centred to include detail about people's likes, dislikes, hobbies and interests.” from the report
Good oversight
The service used audits and action plans to identify issues, make improvements and check that changes were completed.
“Records demonstrated that where issues were identified action plans were put into place and improvements made.” from the report
End of life planning
minorThe home was still working to improve how end of life care was planned and recorded.
“The service was in the process of making improvements to end of life care planning.” from the report
Activities staffing
minorThe home had one activities staff member and was advertising for another to improve activities provision.
“The registered manager told us they were currently advertising for another member of activities staff to improve the provision of activities.” from the report
Decorating work
minorSome areas were being redecorated, and stimulating items such as pictures had not yet been returned to the walls.
“At the time of our visit some parts of the service were being redecorated and we were told that stimulating items such as pictures would be placed back on the walls once this was complete.” from the report
- 01What progress has been made with the improvements to end of life care planning?
- 02Has another activities staff member been recruited, and what activities are now available?
- 03Have the decorating works been completed, including replacing pictures and other stimulating items?
- 04How will you involve my relative and our family in reviewing and updating the care plan?
- 05How do you check that staffing levels continue to meet people's needs on every shift?
This was an unannounced comprehensive inspection covering all five key questions, and the previous Good ratings from 4 February 2015 were reviewed. This explanation was written from the published report of 27 September 2018 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 Kirkley Manor
2 rated inspections over 3 years: the service has held its Good rating throughout.
- September 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
23 live-in carers within about an hour of Suffolk
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 £1,020 to £1,260 a week. 17 can care for a couple. 7 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.