Inspection on 04/11/05 for Knighton Manor

This inspection was carried out on 4th November 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Knighton Manor 25/03/09

Knighton Manor 05/10/06

Knighton Manor 29/12/05

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 4th November 2005 11:00 Knighton Manor Ltd DS0000065608.V262607.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.V262607.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.V262607.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.V262607.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. Not applicable Date of last inspection Brief Description of the Service: Knighton Manor is a newly opened home for younger adults with learning disabilities, some of whom also have physical disabilities. It 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.V262607.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’ three residents. This means the inspector checked their care records and met with them. In addition the inspector talked to the Acting Manager, the Owner, and one of the carers. Further care and other records were examined. The premises were commended. One recommendation was made. What the service does well: Knighton Manor opened in July this year. There are already four residents accommodated and further referrals have been made. The home has a warm and friendly atmosphere and staff are welcoming and professional. The residents have made themselves at home. Their bedrooms are personalised and homely, and they are already taking part in a range of activities and trips out. The premises are spacious and have been refurbished to a high standard. One resident commented, ‘This is the nicest looking home I’ve ever been in. It makes a change to live in such a beautiful house and the decoration and furnishings are top class.’ The premises are commended. Both the Acting Manager and the Owner are well organised, and enthusiastic about the new home. In discussions they demonstrated a good understanding of the needs of the resident group, and a commitment to giving them choice and independence. The Acting Manager and the Owner are currently studying for NVQ Level 4. In discussions two residents were able to give their views and the following comments were made: ‘Matt (the Owner) and Janet (the Acting Manager) are really good people.’ ‘There’s really something special here. This is the most positive home I’ve ever been in.’ ‘The staff treat you like an adult and an equal.’ ‘If I’ve got a problem Janet will sort it out.’ ‘I’ve never found so much caring as there is here.’ ‘I find Janet and Matt very open, very communicative, and they don’t speak for us – they let us speak for ourselves.’ Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 6 ‘My key worker is perfect. He likes everything I like and we get on like a house on fire.’ ‘I like it here and I want to stay.’ What has improved since the last inspection? 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.V262607.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.V262607.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): 2, 4 Residents’ needs are fully assessed prior to admission and prospective residents have the opportunity to visit the home before moving in. EVIDENCE: The Acting Manager explained the home’s admission policy to the inspector. Most admissions begin with a telephone enquiry and at this stage basic details about the prospective resident are taken. The Owner and Acting Manager then visit the prospective resident in their own home, or in hospital, to carry out a written assessment of their needs. Other parties, including friends/family/social workers/nurses are consulted where necessary and asked to contribute to the assessment. Prospective residents are then invited to visit the home, and to stay overnight if they wish, to get a feel of what living in the home is like. If they choose to move in there is a four weeks trial period. The home provides care for both privately and social services funded residents. Knighton Manor Ltd DS0000065608.V262607.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, 7, 9 Care plans and risk assessments are generally of good quality but would benefit from improvement in some areas. EVIDENCE: Residents are encouraged to contribute to their care plans, and are able to see them if they wish. Records of residents’ preferred routines are in place, including getting up times and bedtimes, dietary preferences, and general likes and dislikes. Care plans are comprehensive and of good quality, but should be dated so residents’ progress can be monitored. Records show that staff seek advice from GPs and psychiatrists with regard to challenging behaviour. One risk assessment (identified to the Acting Manager during the inspection) is basic, and would benefit from being expanded and improved to include risk to staff and other residents. In addition, a risk assessment should also be in place for a resident who goes out unaccompanied, and this should be agreed to and signed by the resident in question. Knighton Manor Ltd DS0000065608.V262607.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): 11, 12, 13, 14, 15, 16, 17 A varied programme of activities is in place and further activities are planned. Residents are encouraged to determine their own lifestyles. Meals are wholesome with plenty of choice for residents. EVIDENCE: A programme of activities has been organised and has so far included shopping, trips to the park, swimming, and weekly discos. Residents make use of local amenities and transport links. The Acting Manger has contacted local colleges and is arranging educational and vocational courses for those who want them including art, computers, and cookery. Care records showed that staff are consulting with residents to find out what activities they would most enjoy. The home has a people carrier, which takes four residents, a wheelchair, and the driver. Residents are encouraged to determine their own lifestyles and to develop group living skills so they can live harmoniously together. Contact with families is supported, and residents can make free telephone calls. The Acting Manager Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 11 is also happy to have families contact her by telephone or in person to discuss their relative’s progress and any issues that arise. A wholesome and varied menu is provided with choices at every meal. Care staff do the cooking helped by the residents. On the day of inspection one resident had made a lasagne with staff, this was served for lunch. One resident commented, ‘There is a set menu with lots of healthy things and vegetables. The food is good and there are always alternatives. The staff are very flexible with the meals and you can pretty much have what you want.’ Residents’ friends and families are welcome to join them for meals. One resident has a friend who stays for dinner once a week. Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 12 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): 19, 20 Residents’ health care needs are met. Medication systems are in place and staff are being trained appropriately. EVIDENCE: Residents are registered with a local GP surgery. District nurses provide continence support and catheter care. Chiropody and dental services have been established and the Acting Manager is in the process of arranging appointments for residents at a local optician. Medication systems have been set up in consultation with the home’s contract pharmacist, and are safe and well organised. At present only senior staff administer medication and all have their ‘Safe Handling of Medication’ certificates. Medication training for all staff is booked for 14.11.05. None of the current residents self medicate although the Acting Manager said some may be encouraged to as they become more independent. Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: These Standards will be inspected at the next inspection. Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 14 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): The premises are of a high standard, being spacious and well decorated and furnished. All areas inspected were clean and tidy. EVIDENCE: The premises are spacious and of a high standard, having recently been refurbished. Residents’ bedrooms have been personalised to suit their needs, for example shelves have been put up for one resident who has an extensive video collection. One resident commented, ‘This is the nicest looking home I’ve ever been in. It makes a change to live in such a beautiful house and the decoration and furnishing are top class.’ The premises are commended. The ground floor has full disabled access and there is a wheelchair ramp at the front and rear of the premises. The garden has been landscaped and provides a safe area for residents to use. All areas of the home inspected were clean, fresh and tidy. Care staff are responsible for the cleaning and they encourage residents to help if they want to. Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: These Standards will be inspected at the next inspection. Knighton Manor Ltd DS0000065608.V262607.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): EVIDENCE: These Standards will be inspected at the next inspection. Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 17 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 3 X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Knighton Manor Ltd Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000065608.V262607.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NA 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. Standard Regulation Requirement Timescale for action 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 YA9 Good Practice Recommendations Residents’ care plans and risk assessments are in need of improvement and should be reviewed, rewritten, and dated where necessary. Knighton Manor Ltd DS0000065608.V262607.R01.S.doc Version 5.0 Page 19 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.V262607.R01.S.doc Version 5.0 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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