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CQC report explained · a residential care home, run by Mr & Mrs S Plevey

Keer Sands Residential Home

Crag Bank Road, Carnforth, LA5 9JA

Outstandingpublished 14 March 2024, 2 years ago

Rated Outstanding: inspectors found the service performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found robust risk management, suitable staffing, safe recruitment and good infection control. They found two minor medicines gaps and missing window restrictors, which were addressed during or shortly after the inspection.
Effective?
Good
This area was not reviewed during this focused inspection. The report says the previous rating was used when calculating the overall rating.
Caring?
Outstanding
Staff were exceptionally caring, knew people well and supported their dignity, independence, communication and relationships. Activities and support were adapted to people's interests and needs.
Responsive?
Good
This area was not reviewed during this focused inspection. The report says the previous rating was used when calculating the overall rating.
Well-led?
Outstanding
Inspectors found strong, accessible leadership, a person-centred culture, effective quality checks and very good communication with families and other professionals.
The latest report, explained

What inspectors found, March 2024

Rated Outstanding overall; inspectors found exceptionally caring, safe and well-led support, with two minor medicines gaps fixed during the inspection.

This was an unannounced, focused inspection on 10 October 2023. One inspector and an Expert by Experience spent one day at the home. They spoke with people, relatives and staff, observed care and checked care plans, staff files and management records.

The home was rated Good for Safe, and Outstanding for Caring and Well-led. Inspectors found people felt safe, medicines were generally managed well, staffing was appropriate and infection control was good. Two minor medicines issues and missing window restrictors were dealt with during or shortly after the inspection.

The overall rating changed from Good to Outstanding. However, this was not a full inspection of all five areas. Effective and Responsive were not reviewed during this visit, so their previous ratings were used when calculating the overall rating.

What inspectors praised
  • Exceptional kindness

    Staff went beyond basic care to support people's relationships, interests, dignity and comfort. They adapted support to individual wishes and needs.

    The whole staff team in the service ensured people were well-treated, supported, and respected.from the report
  • Personalised support

    Staff noticed changes in people's communication, anxiety and interests, then acted quickly to help people stay involved and independent.

    People received person-centred care. Care documentation included clear and detailed information about people's needs, likes, dislikes, and histories, allowing staff to recognise them as individuals.from the report
  • Strong leadership

    The managers were accessible and promoted an open, empowering culture. Families were kept informed through an electronic telephone app group.

    The registered managers ran the home exceptionally well. The registered managers were very experienced and committed to their roles.from the report
  • Well-trained staff

    Staff training was current and closely monitored. Inspectors recorded a 99.1% training completion rate.

    Exceptionally, the completion rate for training was at 99.1%.from the report
  • Safe staffing

    Inspectors found staffing levels appeared appropriate, with people and relatives saying enough staff were available. Recruitment and induction systems were also in place.

    Staffing levels appeared appropriate. People and family members told us there were plenty of staff available.from the report
What inspectors were concerned about
  • Medicines records

    minor

    Protocols were missing for medicines taken occasionally, and one medicine did not have an opening date. The home corrected both issues during the inspection.

    We found protocols missing for medicines people take occasionally. We also found medicine without an open datefrom the report
  • Window restrictors

    minor

    Inspectors found window restrictors missing. The manager ordered them during the inspection and they were installed the following week.

    Health and safety checks were performed, and certificates held for relevant checks, although we noted window restrictors missing.from the report
Questions to ask them, based on this report
  1. 01How are the medicines protocols and opening dates checked now?
  2. 02How do you make sure window restrictors remain in place and working?
  3. 03What were the previous ratings for Effective and Responsive, which were not assessed in this inspection?
  4. 04How do you record and review lessons learned after accidents or incidents?
  5. 05How will you keep families updated about their relative's care and day-to-day life?

This was a focused inspection of Safe, Caring and Well-led only; Effective and Responsive were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 14 March 2024 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 Keer Sands Residential Home

3 rated inspections over 8 years: the service has improved, from Good to Outstanding.

  1. March 2024Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Keer Sands Residential Home

  2. November 2017Goodstayed Good
    Safe: GoodCaring: GoodWell-led: Good

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

  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 23 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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