Kirby Care Ltd

“The provider was in breach of legal regulations relating to safe care and treatment and good governance. ​”

“There was a lack of effective leadership oversight and governance arrangements. Systems and processes did not provide leaders with sufficient oversight of the quality and safety of the service. This meant a number of concerns identified during the inspection had not been recognised through the provider's own governance and quality assurance arrangements.”

“Risks were not always supported by appropriate risk assessments or clear guidance for staff. Care records were not always reviewed or updated to reflect people's current needs and the care being provided. Medicines records and systems had not been effectively monitored to ensure people received their medicines safely and in accordance with prescribed instructions.”

“Staff did not always have the training, skills and oversight required to consistently meet people's needs. The provider had also not ensured people's mental capacity was appropriately assessed where required, and there was insufficient evidence decisions had been made in people's best interests or that consent had been sought in line with the Mental Capacity Act 2005.”

“Despite these concerns, people and their relatives consistently described staff as kind, respectful and supportive. People were supported by a consistent staff team. Staff received regular supervision and told us they felt supported in their roles.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward. We have asked the provider for an action plan in response to the concerns found at this assessment.”