Kibworth Court

Updated 20 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and an Expert-by-Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kibworth Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Kibworth Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We gave the provider time to share this information as part of this inspection.

During the inspection

We spoke with 7 people and 1 relative to gain their views about the service. We also spoke with 8 staff members including the provider, the registered manager, the maintenance person, a cook and care staff. We reviewed 4 people's care plans and checked a sample of people's medicines and records. We also reviewed recruitment files for 3 staff, staff training records and range of records relating to the day to day management of the service, including key policies and procedures.

Updated 20 January 2023

About the service

Kibworth Court is a residential care home providing personal care and accommodation for up to 45 older people in one adapted building. At the time of our inspection there were 35 people using the service, many of whom were living with dementia.

People’s experience of using this service and what we found

There were systems and processes in place to safeguard people from potential harm. Staff completed training about safeguarding and knew how to identify and report abuse. Risks to people were assessed and measures were put in place to reduce them.

People were supported by sufficient numbers of staff to meet their needs and keep them safe. People received their medicines safely and as prescribed. Staff understood their responsibilities and followed safe practices to protect people from the risk of infections. There were systems in place to ensure lessons were learned when things went wrong, so that improvements could be made to the service and the quality of care provided.

Staff underwent training to ensure they had the skills and knowledge to meet people's needs and provide personalised care. People were supported to maintain good health and well-being. They were encouraged to maintain a balanced diet and their nutritional needs were met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service had governance systems in place to ensure the service and quality of care provided were continuously assessed and monitored. A range of audits were in place to monitor the quality and safety of service provision. People, relatives and staff were consulted about the service and feedback used to drive improvements and develop the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and follow up

The last rating for the service was Requires Improvement (published on 11 September 2021). We found breaches of Regulations 12 and 17 and issued a Warning Notice. We undertook a focused inspection on 12 January 2022 (published 10 February 2022). Although we did not change the rating of requires improvement, we found the provider had met the requirements of the Warning Notice and was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.