We carried out a review of the data available to us about Keble Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Keble Court, you can give feedback on this service.
This comprehensive inspection took place on 25 April 2018 and was carried out by one inspector. The inspection was announced, which meant the provider and staff knew we would be visiting. We announced the inspection to ensure that people we needed to speak with would be available. At the time of inspection the service was supporting five people, who lived in four different flats. At the time of inspection one person had recently been admitted to hospital for treatment.
The service had a manager in place at the time of our inspection who was not yet a registered manager. 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. The service manager was in the process of completing their registration with CQC.
People were kept safe from harm by staff who knew what to do in order to maintain their safety. Staff promoted people’s independence by discussing any risks to their safety with them and how these could be managed. Risks to people were assessed and action was taken to minimise any avoidable harm. Medicines were managed safely and administered as prescribed, in accordance with current and relevant professional guidance.
The provider operated thorough recruitment procedures to ensure staff were safe to support older people living in their own home. Needs and risk assessments detailed the number of staff required to support each person and there were always enough staff to provide care and support to meet people’s needs safely.
Staff supported people to safely manage the control and prevention of infection by maintaining high standards of cleanliness and hygiene in their homes, particularly in relation to the safe preparation of food.
Staff raised concerns with regard to safety incidents, concerns and near misses. The manager analysed incidents and accidents to identify trends and implement measures to prevent a further occurrence.
The provider had enabled staff to develop and maintain the necessary skills and knowledge to meet people’s needs effectively. People were supported to eat and drink enough to meet their nutritional needs.
Staff supported people to maintain their health and ensured they were referred promptly to appropriate healthcare professionals whenever their needs changed.
The registered manager and staff clearly understood their responsibilities in relation to the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way. People were involved in making every day decisions and choices about how they wanted to live their lives. The provider's policies and procedures supported this practice.
People's independence was promoted by staff who encouraged them to do as much for themselves as possible. Staff treated people with dignity and respect and were sensitive to their needs regarding equality, diversity and their human rights.
People experienced good continuity and consistency of care from staff who were kind and compassionate. People were relaxed and comfortable in the presence of staff who invested time to develop meaningful relationships with them.
The service was responsive and involved people in developing their support plans which were detailed and personalised to ensure their individual preferences were known. People were supported to complete stimulating activities of their choice, which had a positive impact on their well-being.
People were supported by staff to maintain special relationships with relatives to ensure people did not feel lonely and were protected from the risks associated with social isolation.
Arrangements were in place to obtain the views of people and their relatives and a complaints procedure was available for people and their relatives to use if they had the need.
The service was well managed and well-led by the manager who provided clear and direct leadership, which inspired staff to provide good quality care. The manager had developed an open and inclusive service. They had a clear vision and set of values based on social inclusion that the staff fully understood and delivered in practice. Staff felt listened to, supported and involved in the development of the service.
The safety and quality of support people received was effectively monitored and identified shortfalls were acted upon to drive continuous improvement of the service.