10 January 2023
During a routine inspection
About the service
Kimbolton is a residential care home which can support up to 6 people. At time of the inspection 5 autistic people or people living with a learning disability were being supported with personal care. People have their own personalised bedrooms and bathrooms and access to shared communal areas such as a kitchen, lounges and a garden.
People’s experience of using this service and what we found
Right Support:
Reasonable adjustments were made so that people could be fully involved in discussions about their support. Staff communicated with people in their identified and preferred methods.
People benefitted from an interactive and stimulating home environment and were supported not to feel isolated.
Staff supported people to be independent if this was their choice. The management team were continuing to support staff to improve in this area.
People were being supported to pursue their interests and achieve their aspirations and goals. However, these were not always recorded or monitored effectively.
Staff gave people care and support in a clean environment which met their physical needs and people were able to personalise their bedrooms.
The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative.
Staff supported people safely with their medicines.
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.
Right Care:
Staff had the training and knowledge to support people effectively. The management team were improving the way staff members knowledge and competency was being checked.
People’s support plans did not always fully reflect their range of needs and promote their wellbeing and enjoyment of life.
Staff supported people to assess any risks they might face in a safe way and supported people to take positive risks.
Staff promoted people’s equality and diversity and knew them well as individuals. People received kind and compassionate care which fully promoted their privacy and dignity.
Staff were prompting people to try new things which may enhance their wellbeing and enjoyment of life.
Right Culture:
Audits completed at the service by management had not always picked up on areas that could have been improved.
People and those important to them were involved in planning their support.
People received consistent support from a staff team who knew them well. Staff worked hard to achieve good quality care and good outcomes for people.
People received good quality care and support and were supported to lead inclusive and empowered lives for the most part.
Staff were responsive to people’s needs and worked well together to achieve good outcomes for people. Feedback from people and relatives about the service was positive.
The registered manager and staff team were passionate about continually improving the service and supporting people to achieve their goals and aspirations.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 09 August 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider 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.