This was an unannounced inspection, we carried out on 13 January 2015.
We last inspected Kibblesworth in March 2014. At that inspection we found the service was meeting all its legal requirements.
Kibblesworth Care Centre is registered to provide care and treatment to a maximum of 16 adults aged 18-65 with complex physical care needs, as a result of acquired brain injuries. The centre
provides long term and, respite care and also provides rehabilitation to help a person become more independent.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People said they felt safe and they could speak to staff as they were approachable. Comments included; “There always seem to be plenty of staff.” And; “I feel safe living here, if I need to I can talk to the staff.” We found there were enough staff on duty to provide individual care and support to people and to keep them safe.
People were protected as staff had received training about safeguarding and knew how to respond to any allegation of abuse. When new staff were appointed thorough vetting checks were carried out to make sure they were suitable to work with people who needed care and support.
People received their medicines in a safe and timely way.
The necessary checks were carried out to ensure the building was safe and fit for purpose.
Staff knew people’s care and support needs and detailed care plans were in place to help staff provide care to people in the way they wanted. Information was available for people with regard to their individual preferences, likes and dislikes.
People said staff were kind and caring. Comments included; “The staff are friendly and try their best.” And; “This is the best place I’ve been in years and I’ve been around. I’m not easy to deal with.” However, we saw staff did not interact and talk with people when they had the opportunity.
Menus were varied and a choice was offered at each mealtime. Staff were sensitive when assisting people with their meals and the catering staff provided special diets which some people required.
Kibblesworth was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). Staff had received training and had a good understanding of the Mental Capacity Act 2005 (MCA) and Best Interest Decision Making, when people were unable to make decisions themselves.
Staff were not all provided with training to give them some knowledge and insight into the specialist conditions of people in order to meet their care and support needs.
People had access to health care professionals to make sure they received appropriate care and treatment. Staff followed advice given by professionals to make sure people received the treatment they needed.
People had the opportunity to give their views about the service. A complaints procedure was available. People told us they would feel confident to speak to staff about any concerns if they needed to. The provider undertook a range of audits to check on the quality of care provided.
We found that staff had not received training to give them knowledge into some specialist needs of people. This was in breach of regulation 23 of the Health and Social Care Act 2008(Regulated Activities) Regulations 2010, which corresponds to regulation 18(2) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
You can see what action we told the provider to take at the back of the full version of the report.