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Inspection carried out on 25 April 2018

During a routine inspection

Keble Court provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation, in a shared site or building. At Keble Court this accommodation consists of individual flats in one complex, which have been bought by individuals and is their own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support provided by the service. Not everyone living at Keble Court received regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection the service was providing personal care to five older people with a variety of care needs, including people living with physical frailty or memory loss due to the progression of age.

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.