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Inspection Summary

Overall summary & rating


Updated 4 April 2019

About the service: Kexborough House provides personal care and accommodation for up to 22 older people. Accommodation is on two floors, access to the first floor is by a passenger lift. There is also a single storey purpose built extension. Kexborough House has large landscaped gardens to the rear of the property, with an accessible patio area. At the time of our inspection there were 18 people using the service.

People’s experience of using this service:

Staff supported people in a caring, responsive and friendly manner. They encouraged them to be as independent as possible, while taking into consideration their abilities and any risks associated with their care. Everyone we spoke with made positive comments about how staff delivered care and how the home was managed.

People received safe care and treatment. People’s needs had been identified, and management plans were in place which respected their freedom and choices. People were safeguarded from the risk of abuse. Accidents and incidents were monitored to identify and address any patterns or trends. People's medicines were managed in a safe way.

There were enough staff employed to meet people's needs in a calm and unrushed manner. People received consistent care from staff they knew.

The service was clean and tidy. Overall people were protected from the risk of infection, however, some areas of the home needed attention. We discussed these with the management team who gave us reassurances plans were already in place to address them.

Recruitment procedures continued to make sure staff employed were suitable to work with vulnerable people. Staff had received the training and support they needed to develop their skills and knowledge. This enabled them to meet people’s needs effectively.

Care and support was planned and delivered in a way that met people’s individual needs and preferences. Where possible, people had been involved in planning their care. People were offered choice over their daily routines and how they lived their lives.

People received a varied and healthy diet which offered choice and met their needs. Everyone we spoke with was complimentary about the meals and snacks available at the home.

People had access to social activities and events which they said they enjoyed. However, there was no activities programme to make sure stimulation was provided on a regular basis.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff made sure they had people’s consent before delivering care and support.

The service had an open and positive culture which encouraged the involvement of people using the service, their families and staff. The registered manager was visible around the home and staff had a clear understanding of their roles and responsibilities.

Checks had been completed to identify areas the service needed to improve. Where areas for improvement had been highlighted, the management team had put action plans in place to address them.

For more details, please see the full report which is on the CQC website at

Rating at last inspection: Good (report published 26 October 2016).

Why we inspected: This was a planned comprehensive inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor the service through the information we receive.

Inspection areas



Updated 4 April 2019

The service was safe

Details are in our Safe findings below.



Updated 4 April 2019

The service was effective

Details are in our Effective findings below.



Updated 4 April 2019

The service was caring

Details are in our Caring findings below.



Updated 4 April 2019

The service was responsive

Details are in our Responsive findings below.



Updated 4 April 2019

The service was well-led

Details are in our Well-Led findings below.