Kexborough House Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service. This key question has been rated Good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had systems in place to assess people’s needs, however they were not robust and did not always ensure care plans and risk assessments were updated with key information regularly. Some care plans were not fully reflective of people’s needs, or they contained outdated information. For example, one person’s risk assessments lacked information regarding their risk of choking. This meant staff did not have enough information on risk to support this person safely.

The provider planned people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People at the service had sufficient food and drink to prevent malnutrition and dehydration. Kitchen staff were aware of people’s specific dietary needs and how to meet them, adapting meals for people where necessary. However, we advised the provider to record and provide more detail in care plans around people’s specialised diets, including the monitoring of fluids.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff told us they felt able to communicate effectively with professionals about the people’s needs at the service and were updated by managers about changes in people’s care. We observed effective handovers between staff which ensured information was shared appropriately. People told us that they felt confident that they could access health professionals if they required them. One person told us, “They [staff] would always get a doctor if I needed one, I only have to ask."

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People told us staff balanced provision of support, whilst also empowering people to maintain their independence as much as possible. One staff member told us, “We are here to guide, but not take over. We let people do what they can for themselves first.” Activities took place which stimulated people physically, mentally, emotionally and socially.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. Information in some people’s care plans required improvement to ensure people’s health and well-being was being routinely monitored and risks for people were highlighted and managed effectively.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the importance of obtaining consent before delivering care and had received up to date training around the Mental Capacity Act (MCA). One person told us, “The staff are very nice; they don’t order you to do things, they always knock on my door and talk to me about what they’re doing before they do it.” However, we did ask the provider to explore consent where capacity was in doubt for one person in relation to the management of their finances.