Inspection on 29/12/05 for Knighton Manor

This inspection was carried out on 29th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Knighton Manor 25/03/09

Knighton Manor 05/10/06

Knighton Manor 04/11/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Knighton Manor Ltd 31 Knighton Drive Stoneygate Leicester Leicestershire LE2 3HD Lead Inspector Kim Cowley Unannounced Inspection 11:45 30 December 2005 th Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Knighton Manor Ltd Address 31 Knighton Drive Stoneygate Leicester Leicestershire LE2 3HD 0116 244 8455 0116 287 2676 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Knighton Manor Limited Under Application Care Home 11 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (5), Physical disability (5) of places Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No person to be admitted to the home in categories PD or LD(E) when 5 persons in total of these categories/combined categories are already accommodated in the home. No person in the category PD shall be admitted to the home when there are already five people in that category accommodated. No person in the category PD shall be admitted to the home unless they are also in the category LD - i.e. dual disability. No person in the category LD(E) shall be admitted to the home when there are already five people in that category accommodated. Persons in the category PD and LD(E) are accommodated only in the five bedrooms on the ground floor. 4.11.05 Date of last inspection Brief Description of the Service: Knighton Manor is a home for younger adults with learning disabilities, some of whom also have physical disabilities. It opened in 2005 and is situated in a quiet residential area of Stoneygate. The property is large and detached with accommodation on two floors. There are eleven bedrooms, all with ensuite facilities, and a lounge on both the ground and first floors. The ground floor and gardens are wheelchair accessible. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ two residents. This means the inspector checked their care records and met with them. In addition the inspector talked to the Manager and one of the carers. Further care and other records were examined. What the service does well: What has improved since the last inspection? Care records showed evidence of residents becoming more independent since being in the home. The programme of residents’ activities has expanded and improved. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were inspected on the last inspection on 4.11.05. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 Action should be taken with regard to the care of one resident. Another resident needs a risk assessment for a particular activity. EVIDENCE: These Standards were inspected at the last inspection on 4.11.05. However two issues arose under this section. It was identified that a resident with challenging behaviour might benefit from input from a specialist agency, for example the Outreach team. The Manager agreed to try and organise this. It was also identified that another resident needs a risk assessment for a particular activity. The Manager agreed to write one. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were inspected on the last inspection on 4.11.05. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Staff treat residents with dignity and respect their privacy. EVIDENCE: Residents’ personal care needs and how they are to be met are set out in their care plans. These have been agreed in consultation with residents and their families/carers, and are regularly reviewed. The Manager said ‘We try to help residents make choices about their daily lives. For example, what would they like to wear? Staff can open the wardrobe doors and get them to choose for themselves.’ Staff are trained to treat residents with dignity and to respect their privacy. Written policies on this are available in the office. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The complaints procedure would benefit from some improvement. Staff are knowledgeable about protecting residents from abuse. EVIDENCE: The Manager said staff are working to develop a culture of openness in the home where residents are able to speak out, or let staff know in other ways, if they are not happy about something. She said ‘We are a small home and all the staff get to know all the residents well. If there’s something wrong with a particular residents we can usually tell and then we can work with them to find out what it is.’ There is a written complaints procedure. This is given to residents (and their representatives) at the point of admission. One resident said he thought the procedure was difficult to follow and the print was too small. It is recommended that the procedure is made more user-friendly and easy to read/understand. A pictorial version could also be created for residents who cannot read written English. The procedure also needs updating as it currently refers to the NCSC, which no longer exists. And it should be displayed prominently in the home. Polices and procedures are in placed to protect vulnerable adults from abuse and staff on duty were knowledgeable about these. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were inspected on the last inspection on 4.11.05. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 The staff team are warm and caring. Recruitment policies and procedures are generally good, although some improvement is needed to staff files. Staff are encouraged to take up training opportunities. EVIDENCE: The staff team consist of the Manager, the Responsible Individual (RI), the Manager, three senior carers and nine carers. The RI is actively involved in the running of the home, visits every day, and is on call. One of the Directors, who has considerable experience in care, acts as a consultant to staff at the home. There are no ancillary staff as care staff are responsible for cleaning and laundry, helped by residents where possible. Staff were observed interacting with residents in a warm and caring manner. One resident said, ‘The staff are brilliant. If there’s a problem they’re quick to deal with it and you can talk to them about anything. They aren’t just here for money – they’re all caring and you can have a laugh with them too.’ Recruitment policies and procedures were inspected and found to be generally good, although some improvement is need. Staff files do not currently contain all the required documentation. The files must be audited and missing Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 15 documentation put in place in order to meet Regulation 19/Schedule 2. This will contribute to the safety of residents in the home. NVQs are already established in the home. The Manager and the Responsible Individual are studying for Level 4, and care staff are studying for Levels 2 or 3. Staff have been on a number of short training courses, including medication administration. One of the Directors, who is an NVQ Assessor, co-ordinates the staff training programme. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The Manager is experienced and caring. The home is run in the best interests of residents. Good systems are in placed to maintain the health and safety of residents and staff. EVIDENCE: The Manager has 15 years professional experience in caring for people with learning disabilities and mental health needs. During the inspection she was observed as having a good rapport with both staff and residents. The Responsible Individual is actively involved in the running of the home and visits on a daily basis. One resident commented, ‘Russell is very good and very active in the home. He has gone out of his way to help me. ’ The Manager said residents are encouraged to do things for themselves, make choices, and become more independent. At present residents meetings are not held as staff of the view they would not be effective for the current resident group. Instead residents are asked for their views on a one-to-one basis via Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 17 the key worker system. The Manager and Owner also spend time everyday talking to residents and ensuring they are settled and happy in the home. There is a range of policies and procedures in place to maintain health and safety in the home. Good records were available to show the home is properly maintained. Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Knighton Manor Ltd Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000065608.V275439.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation Requirement Timescale for action 30/03/06 19/Schedule Staff files must be audited and 2 missing documentation put in place in order to meet Regulation 19/Schedule 2. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations Specialist input should be organised for a resident with challenging behaviour. One resident should have a risk assessment for a particular activity identified at the inspection. The complaints procedure should be more user-friendly and displayed prominently in the home. 2 YA9 3 YA22 Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Knighton Manor Ltd DS0000065608.V275439.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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