- Care home
Kibblesworth
Report from 4 October 2024 assessment
Contents
Ratings
Our view of the service
Date of Assessment: 10 to 24 October 2024. Kibblesworth is a residential care home providing personal care for up to 16 people who have sustained an acquired brain injury or are affected by a degenerative neurological condition. When we visited 15 people used the service. Staff had received training around the Mental Capacity Act 2005 and associated code of practice. However, they needed more guidance around how to complete capacity assessments and ‘best interests’ decisions. Care records detailed people’s needs; we discussed enhancements that could be made to people’s life histories and the support plans; the management team were invested in improving them. An effective quality assurance system was in place. Staff were extremely positive about the management team and how well they were supported. They felt the service had a good learning culture and people could raise concerns. The provider routinely celebrated successes. The service was a finalist in the NR Times award for going the extra mile and the registered manager had been nominated for an award for person-centred practice. Staff had also won awards to enhance the garden. People found staff treated them with dignity and kindness. Staff sought people’s views about how to support them and, when appropriate, relatives were included in discussions. Staff understood people's needs and how to manage any presenting risks. People reported the service had really enhanced their quality of life. Recently, exceptionally good practice had been provided when people had reached the end of their lives. Staff worked closely with other professionals such as physiotherapists. Professionals told us they were impressed by how staff ensured people received consistent support. The registered manager enabled staff to deliver person-centred care. There were enough staff with the right skills, qualifications and experience to meet people’s needs. Staff managed medicines well and involved people in planning any changes.
People's experience of this service
People were overwhelmingly positive about the quality of their care. Everyone we spoke with told us how extremely caring and supportive the staff were and how they often went the extra mile to ensure people’s needs were met. One person said, “The staff are fantastic and have really done wonders. I wouldn’t have been able to manage this lovely flat if the staff had not helped me relearn things and get my independent living skills back up.” Some individuals had very limited verbal communication skills. We used a structured observation tool to assess whether they received good care. This approach showed people were included and listened to and staff consistently interacted positively with them. We observed staff worked with people in a sensitive, caring and considerate manner. They encouraged people to be as independent as possible and really encouraged them to reach their full potential. People felt safe and their dignity and human rights were fully promoted. They were encouraged to make decisions. People and their relatives told us about the positive impact the service had had on their lives. A relative said, “Without the support, care and assistance of Kibblesworth Care Home our lives and more importantly our [person’s name] life would look very different, and I hope that they are able to continue to provide this excellent care for a long time to come.” People told us they felt listened to and consulted around how their care and support should be provided. One person had recently moved to London and to ensure this was a smooth transition the management team had closely planned the trip and accompanied them to their new home. People felt able to complain and were confident action would be taken and improvements would be made. One person said, “We are like a big, happy family and staff are lovely.”