• Care Home
  • Care home

Karibu Place

Overall: Good read more about inspection ratings

37-39 Mulfords Hill, Tadley, Hampshire, RG26 3HY (0118) 981 2244

Provided and run by:
Liaise (South) Limited

All Inspections

15 November 2021

During an inspection looking at part of the service

About the service

Karibu Place is a residential care home providing personal care to 6 people aged 18 and over at the time of the inspection. The service can support a maximum of 6 people. Each person has their own flat, that consists of a kitchen, living room, bathroom and bedroom. In addition, Karibu Place offers one large communal dining facility, a large garden and an multi-use room that is utilised as a sensory room as well as an activities room. Staffing is based upon the needs of people, with a minimum of 1:1 staffing provided to people in addition to surplus staff on site. Offices are located in one wing of the complex.

People’s experience of using this service and what we found

People were not always protected from the risk of harm by staff ensuring sufficient quantities of medication were on site and administered at the correct times. We made a recommendation about using best practice guidance on medicine management. People were not always protected from the risk of infection as the premises were not always kept clean. We made a recommendation that the provider work with external agencies specifically to manage this issue. The provider did have a re-decoration plan in place that they were working towards implementing. Risk assessments were robust and least restrictive. They encouraged and empowered people to access activities and daily living skills. Incidents were analysed and lessons were learnt to manage similar occurrences. Staff were trained in positive behaviour support as well as all relevant training associated with the social care. Agency staff were not trained in physical interventions training until they had worked at Karibu Place for three months. Although it was unclear if this impacted on people and safety, we did make a recommendation about training.

All aspects of people’s physical, emotional and social needs were assessed, and plans were in place to achieve good outcomes for them. Staff were effectively supported to acquire the required skills and knowledge to support people. All agency staff were given a comprehensive induction that included working in the ethos of the service. We saw evidence of people being supported to eat and drink frequently. Management worked with external health professionals and families to try and ensure people’s care and treatment was in line to their changing needs.

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.

The management team promoted a caring, person-centred culture where people were at the centre of care delivery. Staff felt supported. The registered manager understood their responsibilities to inform the necessary agencies and people when things went wrong and the importance of conducting thorough investigations to identify lessons learnt to prevent reoccurrences. Audits were in place to monitor the service, and focus on how to develop the service on a continuous premise.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right support:

• The model of care focused on using positive behaviour support to ensure people were supported in the least restrictive way and enabled to retain choice. The flats were designed to promote people’s independence and control of the environment.

Right care:

• We saw evidence of documentation that was person centred care, that promoted people’s dignity and human rights. We observed that some areas of care were reflective of promoting right care. The management were seeking assistance from external health providers to support them in this area.

Right culture:

• People were encouraged to engage with the community, and access services and provisions that empowered their lives and promoted inclusivity.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 08 March 2019).

Why we inspected

The inspection was prompted in part due to concerns received about areas of concern in relation to poor care and treatment, that placed people at risk. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Karibu Place on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

26 August 2020

During an inspection looking at part of the service

Karibu Place is a six bedded service for people with a learning disability and autism. Each person has their own flat with bedroom, lounge and bathroom. Some flats also have a kitchenette. There is also a communal dining and living area, kitchen and garden.

We found the following examples of good practice.

• All visitors completed a health questionnaire and risk assessment before entering the building. Each person (staff or visitor) had their temperature recorded on entry. If the temperature was raised, entry was not permitted. There was a washroom, toilet and PPE donning/ doffing area in the entrance hall.

• Social stories and encouraging people to handle and explore masks assisted them to understand and lessened the anxiety of seeing staff wearing them, and wearing a mask themselves when out in the community. People were observed to be very comfortable with staff wearing PPE.

• Social stories were also used to assist people to understand and agree to being tested. All people could refuse a test, however all complied. Significant support had been provided to staff to assist them to understand the risk and minimise anxiety.

Further information is in the detailed findings below.

7 February 2019

During a routine inspection

About the service: Karibu place is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided. Both were looked at during this inspection. At the time of our inspection there were five people living in the service.

The service supported people with learning disabilities, autism and people who displayed behaviours which challenge. Staff did not wear anything that suggested they were care staff when coming and going with people.

For more details, please see the full report which is at the CQC website at www.cqc.org.uk.

People’s experience of using this service:

We received positive feedback about the service and the care people received. The service met the characteristics of Good in all areas.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways:

¿ People were encouraged and supported to make choices about their care and support. Staff used individualised communication techniques to support people to express themselves.

¿ People were supported and encouraged to maintain their independence through engaging in activities of their choice.

¿ People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

¿ People received safe care. Medicines were managed safely and there were enough staff to support people and keep them safe both in the home and in the community.

¿ People were supported by skilled staff with the right knowledge and training.

¿ Staff had respectful caring relationships with people they supported. They respected people’s dignity and privacy, and promoted their independence.

¿ People’s care and support met their needs and reflected their preferences. The provider upheld people’s human rights.

¿ Effective quality assurance processes were in place to monitor and improve the quality of the service. There was a positive, open and empowering culture.

Rating at last inspection:

This was the first inspection of the service.

Why we inspected:

This was a planned, first inspection of the service.

Follow up:

We did not identify any concerns at this inspection. We will therefore re-inspect this service within the published timeframe for services rated Good. We will continue to monitor the service through the information we receive.