Kibblesworth

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This was the first inspection for this service. This key question has been rated good. This meant people were safe and protected from avoidable harm.

This service scored 75 (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 had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. The registered manager empowered staff to reflect on their practice and actively sought solutions to even the smallest of issues. Lessons were learnt to continually identify and embed good practice. A relative said, “On the odd occasion where issues have arisen, lessons have been learned and an agreed strategy put in place with input from ourselves and [the registered manager].”

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. The management team had recently supported a person move to a service in London. Due to the person’s needs this had involved a lot of coordination between service providers and planning. To facilitate a smooth transition the registered manager and staff had travelled with the person to London.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The service shared concerns quickly and appropriately. Staff had training and a good understanding of what to do to make sure people were protected from harm or abuse. The management team ensured, DoLS authorisations were sought when needed and any conditions imposed by them were followed.

The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Risks were reviewed when people’s needs changed and staff were proactively monitored whether the actions put in place were effective. A person said, “Staff have been brilliant throughout and we have work together to manage the risks as I have moved forward and become more independent.”

The service detected and controlled potential risks in the care environment. Environmental risks were assessed and addressed. They made sure equipment, facilities and technology supported the delivery of safe care. People were supported to be as independent as possible within the environment. The management team knew who to contact when people might benefit from additional aids or equipment, which staff knew how to use.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. Care packages were only accepted when all were confident the person’s needs could be met and the individual would be at ease in the service. A relative said, “What we see is an excellent example of how care can be delivered with very little turnover of staff which has obvious benefits for the residents and provides a stable and comfortable home. I am very reassured that the staff at Kibblesworth are there because they want to be and are making a real difference to the lives of residents and also to their families.”

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff appropriately followed the required infection control guidelines.

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff who administered medicines had the appropriate training and competency checks.