Kimberley House

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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.

Right Care: People received kind and compassionate care. Staff protected people's privacy and dignity. They understood and responded to individuals needs in a way they were comfortable with. People had access to health care professionals when they needed them. Medicines were administered safely; however, we found inconsistencies in some records relating to the management of medication. Following our inspection, the provider shared additional evidence to demonstrate these issues had been addressed with staff and amendments had been made to records to promote consistent record keeping.

We have made a recommendation the provider monitors these improvements to ensure they are embedded.

Right Culture: People received quality care and support because staff worked closely with the registered

manager and demonstrated a commitment to positive outcomes for people. Staff received regular supervision and staff were identified by the registered manager to be mentored as team leaders. The provider's difficulties in recruiting and retaining staff had caused some staff to have not completed all their training. This was also impacted, due to the provider sourcing a BSL interpreter for staff who were deaf to complete their mandatory training. However, we saw clear evidence the provider was proactive in their plan to bring compliance with all training up to date. People and relatives praised the service, it's staff and the registered manager for supporting people to achieve things they had not done in the past; this included, accessing community based activities, working in local shops and promoting healthy and positive relationships with friends, staff and partners.