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CQC report explained · a residential care home, run by Ivolve Group

Kirklands

Kirklands, Rooms Lane, Morley, Leeds, LS27 9PA

Goodpublished 3 January 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People were safeguarded from abuse and avoidable harm. Risks, staffing, medicines, infection control and visiting arrangements were managed safely, although some records were not always written in person-centred language.
Effective?
Good
This key question was not inspected in detail in this report. Its rating was carried forward from the previous inspection.
Caring?
Good
This key question was not inspected in detail in this report. Its rating was carried forward from the previous inspection.
Responsive?
Good
This key question was not inspected in detail in this report. Its rating was carried forward from the previous inspection.
Well-led?
Good
The home had a positive and open culture, effective management systems and good communication with health care professionals. People, relatives and staff were involved in running the home.
The latest report, explained

What inspectors found, January 2024

Rated Good; inspectors found safe, kind and well-managed care, with some records needing more person-centred language.

The home provides accommodation and personal care for up to six people with learning disabilities and complex needs. Six people were living there during the inspection.

The inspection was unannounced. Inspectors visited on 20 and 22 November 2023. They observed care, spoke with people, relatives and staff, and checked care, medicine, recruitment and management records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found people were protected from abuse, supported by enough staff, and received medicines safely. The home was clean and visits were not restricted.

Inspectors also found a positive culture and effective management systems. They noted that some care plans and risk assessments did not always use person-centred language. They also asked the home to make sure people understood what their medicines were for, where possible, and the manager took immediate action.

What inspectors praised

  • People felt safe

    People and relatives told inspectors that people felt safe and supported. Staff knew people well and risks were assessed and managed.

    “People were safeguarded from abuse and avoidable harm. People told us they felt safe and supported.” from the report

  • Kind and unrushed support

    Inspectors saw staff supporting people in a caring, friendly and unrushed way. Staff focused on people’s needs and wishes.

    “Throughout our inspection we observed staff supporting people in a caring, friendly and unrushed way.” from the report

  • Safe medicines and clean surroundings

    Medicine records were complete, and medicines were stored and given safely. The home was clean and infection control systems were in place.

    “Medicines records were complete, and medicines were stored and administered safely.” from the report

  • Open management

    Inspectors found effective systems for monitoring care and learning from incidents. Relatives described the manager as approachable, open and transparent.

    “The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” from the report

  • Unrestricted visiting

    Family and friends could visit when they wanted to. The home treated the service as the person’s home.

    “There were no restrictions on visiting and people's family and friends were able to visit when they wanted to.” from the report
What inspectors were concerned about

  • Care records were not always person-centred

    needs fixing

    Care plans and risk assessments were detailed, but some of the language did not always describe people in a person-centred way. The manager planned to update them after the electronic recording system was embedded.

    “Care plans and risk assessments were very detailed, however used language not always person-centered.” from the report

  • Medicine information for people

    needs fixing

    Inspectors highlighted that people should be told what their medicines were and what they were for, in a way they could understand where possible. The manager took immediate action.

    “We highlighted that people should be informed what their medication is and what for in a way they could understand, if at all possible.” from the report
Questions to ask them, based on this report
  1. 01How have you updated care plans and risk assessments to make their language more person-centred?
  2. 02How do you explain each person’s medicines and what they are for in a way that person can understand?
  3. 03What activities and choices are currently available for the person I am considering placing here?
  4. 04How do you involve relatives and people living at the home in reviews and decisions about care?
  5. 05How do you monitor incidents and make sure lessons learned are shared with staff?

This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the previous inspection in January 2018. This explanation was written from the published report of 3 January 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 Kirklands

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Kirklands →

  2. January 2018Goodstayed Good
    Safe: GoodWell-led: Good

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

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

    Read this report on cqc.org.uk

  4. December 2014

    Registered with the Care Quality Commission on 3 December 2014.

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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