Kibblesworth

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This was the first inspection for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Assessments were used as the basis for the care records. A professional said, “[The management team] and their staff team of carers have provided excellent care to [person’s name]. They have worked closely with [person’s name] multi-disciplinary team (MDT) to ensure that their care is seamless and have been significant contributing factors in [person’s name] rehabilitation progress resulting in them now transitioning to move on from the service to their own property.”

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Staff ensured people’s health needs were monitored and they received a nutritious diet, which when needed followed the Speech and Language Therapy team and dietitian guidance. A staff member said, “I have found that by working with residents frequently, you can sometimes see things that are improving or on the other hand deteriorating and this can lead to changes to their care plans and also risk assessments.”

The service always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once. Staff worked closely with other agencies and professionals such as physiotherapists, Speech and Language Therapy teams and occupational therapists to support people reach their potential. Both relatives and professionals found the staff had effectively supported people to make improvements to their quality of life. A relative said, “Since [person’s name] moved here we have seen such a positive difference. The previous care home didn’t have the links with external professionals Kibblesworth do and because of this they didn’t get the same level of intensive support. I can’t believe the progress [person’s name] has made and each day they get a little better.” A professional said, “My clients at Kibblesworth are at early stages of a long road of rehabilitation but the progress they have made since being residents at the home is fantastic. The teams working relationship with wider therapies makes for an extremely effective service where I am confident clients can flourish in their rehab.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. On the whole the care records clearly detailed people’s health care needs. Care plans contained information about the person’s health, medicines and their wishes or decisions about the level of emergency care they should receive. We discussed enhancements that could be made, for example providing more guidance around how to work with people when they were distressed. The registered manager immediately took action to make these enhancements. The staff routinely checked people were satisfied with the service and whether any needs had changed.

The service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Since the change of ownership, the service had re-emphasised its focus on rehabilitation. Staff liaised with external health and social care professionals and other rehabilitative services to ensure people received consistent care and support. They advocated for people to ensure they could access the most appropriate healthcare services for their needs. This meant people were seen by the neuro-rehabilitation teams in the local area, obtained equipment that promoted their recovery and worked with people to accept any limitations they may have. We received numerous case examples and people discussed how individuals had been supported by the team to become more independent, which for some meant they moved into more independent living environments. A person said, “Without Kibblesworth I wouldn’t be as good as I am now the staff have really gone above and beyond getting me all the help I need. Here you can easily the physio and that, whereas the place I was at before you never saw anyone. Because I have got so much better I’m now able to move back home.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. However, the best interest decision template created by the provider did not adhere to best practice guidance. Staff generally understood the requirements of the MCA. However, they needed more guidance around how to complete capacity assessments and ‘best interests’ decisions. Some external professionals found staff needed more training around dealing with complex situations and support to become more aware of the need to make all attempts to seek the individual’s views, including approaching advocates, prior to making a decision.