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CQC report explained · a residential care home

What the CQC found at Klair House

Goodpublished 20 March 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found that risks were assessed and managed, staffing levels were suitable, recruitment checks were safe and medicines were managed safely.
Effective?
Good
Assessments and care plans were comprehensive and regularly reviewed. Staff had relevant training and worked with healthcare professionals to support people's health, recovery and independence.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people's preferences and supported choice, privacy and independence.
Responsive?
Outstanding
Support was highly personalised and adapted quickly when people's needs changed. People were supported with activities, community access, recovery goals and moving towards independent living.
Well-led?
Good
The home had visible and approachable leadership, supportive staff teamwork and effective systems for monitoring quality and learning. It worked with families and healthcare professionals.
The latest report, explained

What inspectors found, March 2019

Rated Good overall; inspectors found exceptionally person-centred care and Outstanding support that responded to people's changing needs.

This was an unannounced, planned inspection on 3 January 2019. One inspector and one assistant inspector spoke with three people living in the home, two relatives, staff and healthcare professionals. They also observed care and checked care plans, complaints records, staff meeting notes and quality checks.

The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found suitable staffing, safe medicines systems, trained staff, good links with healthcare professionals and people treated with kindness, dignity and respect.

Responsive was rated Outstanding. The home provided highly personal support, meaningful activities and help for people to become more independent. Its outreach service continued supporting some people after they moved into their own flats.

The overall Good rating means the home met legal requirements and provided consistently good care. The Outstanding rating for Responsive was an improvement from the previous inspection, while the other ratings stayed the same.

What inspectors praised
  • Highly personal support

    Inspectors found that support was shaped around each person's needs, preferences, goals and recovery. Care plans were detailed and regularly updated.

    “Without exception, people received a highly personalised package of care which not only met their needs and preferences, it meant they were able to live as full and independent a life as possible.” from the report
  • Support to move on

    The home helped people become more independent and supported some people after they moved into their own flats through an outreach service.

    “This meant that staff maintained contact and were able to support people, especially in times of crisis.” from the report
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors saw that staff respected privacy, dignity and people's choices.

    “Staff were exceptionally caring, and treated people with the utmost kindness and compassion and people were positive about the staff's caring attitude.” from the report
  • Well-trained staff

    Staff had mental health training and further training linked to people's individual needs. Inspectors found staff knowledgeable and able to use their training in practice.

    “Staff were competent, knowledgeable and skilled, and carried out their roles effectively.” from the report
  • Activities and community life

    People were offered a wide range of activities and trips, including health walks and visits to local places. These supported wellbeing and social involvement.

    “There continued to be an abundance of life enhancing and interesting events and activities for people to become involved with.” from the report
  • Visible leadership

    The manager was visible and approachable, and inspectors found effective systems for gathering feedback and checking the quality of care.

    “There was exceptionally good leadership in place, and the registered manager worked closely with staff and was always visible” 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 would you assess and record my relative's goals, preferences and changing mental health needs?
  2. 02Would my relative be considered for a transitional unit or the outreach service, and what support would continue if they moved into their own flat?
  3. 03What training and experience do staff on duty have in supporting my relative's specific mental health needs?
  4. 04How would you respond if my relative's mental health deteriorated or they needed urgent extra support?
  5. 05How would you involve my relative and our family in care planning, reviews and decisions about moving on?

This was an unannounced planned inspection of the whole service and all five key questions; the previous overall rating was Good, with Outstanding for Responsive. This explanation was written from the published report of 20 March 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 Klair House

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

  1. March 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Klair House →

  2. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2014

    Report published without a new overall rating.

    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. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 26 January 2011.

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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Care at home

13 live-in carers within about an hour of Norfolk

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 £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.

See live-in carers near NorfolkProfiles, rates and reviews are free to look at.

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.