Inspection on 05/10/06 for Knighton Manor

This inspection was carried out on 5th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 29/12/05

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 5 October 2006 11:30 th Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 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.V303708.R01.S.doc Version 5.2 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.V303708.R01.S.doc Version 5.2 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 Mrs Janet Rose Carr 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.V303708.R01.S.doc Version 5.2 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. 30.12.05 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. Current fees range from £332 to £800 per week. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted five hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by meeting with the residents themselves; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also met with the Manager and two carers. The premises and the staff team were commended. What the service does well: Knighton Manor is a well run home which provides good care for people with learning disabilities. A dedicated and caring staff team encourage residents to live as independently as possible and to determine their own lifestyles. Commenting on the home, one resident said, ‘I like it here. The whole home’s fantastic.’ The premises are spacious and of an excellent standard, having been fully refurbished in 2005. All areas inspected were clean, fresh and tidy. Residents’ comments about the environment included, ‘The staff encourage me to clean my room’, ‘Every day the staff mop and vacuum’, and, ‘If I need anything doing – like a shelf putting up – they will do it.’ Residents at Knighton Manor are encouraged to contribute to their own care plans. Staff use the PCP (Person Centred Planning) approach to help to ensure the service is user-led. One resident said, ‘I can get up when I want. There’s no fixed routine here and I decide what I do each day.’ He added, ‘This home gives me my individuality. Jan (the Manager) doesn’t restrict me. There are hardly any rules for me here.’ Staff appeared to have excellent relationships with residents and to interact with them in a warm and friendly manner. Residents’ comments about the staff included, ‘The staff are nice and they all help me’, and, ‘If I’m upset the staff talk to me.’ The Manager said, ‘I have a great staff team. They communicate well with each other, and they all want to train more so they can increase their skills.’ Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 6 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.V303708.R01.S.doc Version 5.2 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.V303708.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: Most admissions begin with a telephone enquiry and at this stage basic details about the prospective resident are taken. The Responsible Individual (RI) and Manager then visit them 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. On the day of inspection a potential resident was visiting the home with a view to moving in. He was seen having a meal, taking part in activities, and meeting other residents and staff. The Manager said he had visited every day that week and was building up to an overnight stay. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents care needs are met. 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. Staff have used the PCP (Person Centred Planning) approach to complete care plans to help to ensure the service is user-led. One resident confirmed that he could determine his own lifestyle while in the home. He said, ‘I can get up when I want. There’s no fixed routine here and I decide what I do each day.’ He added, ‘This home gives me my individuality. Jan doesn’t restrict me. There are hardly any rules for me here. Jan lets me do pretty much what I want.’ Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 10 Records showed that staff seek advice from GPs, psychiatrists, and the Outreach service with regard to challenging behaviour. All residents have risk assessments in place and are encouraged to take responsible risks with staff support where necessary. One resident commented, ‘When I’m in my room the staff check to see if I’m OK.’ Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents are encouraged to lead full and active lives. EVIDENCE: A programme of activities is in place including: crafts, board games, hair and beauty, cookery, exercise classes, shipping, DVDs, trips out to the country, cafes, and car boot sales. One resident said, ‘I like to do art here with the staff.’ The Manager is in contact with local colleges, and educational and vocational courses are available where appropriate. Two residents currently attend college and day centres. Residents have exclusive use of a people carrier, which takes four residents, a wheelchair, and the driver. A new popular evening activity is a weekly ‘game show’ night when residents take part in activities based on popular TV programmes. One resident said, ‘The game show nights are fantastic. We’ve done “Play Your Cards Right” and “Blind Date”.’ The Manager said all the residents have been involved in this activity. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 12 Residents are encouraged to develop group living skills so they can live harmoniously together. Contact with families is supported, and residents can make free telephone calls. The Manager is also happy to have families contact her by telephone or in person to discuss their relative’s progress and any issues that have arisen. Some residents keep a pictorial diary of their week to show relatives at weekends. A wholesome and varied menu is provided with choices at every meal. Care staff do the cooking helped by the residents. Residents’ friends and families are welcome to join them for meals. Residents’ comments about the food included: ‘There’s a set menu but we can have alternatives.’ ‘They ask every day what we want to eat.’ ‘They’ve never refused me anything.’ ‘I liked my lunch today. I had scrambled eggs on toast.’ Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 13 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, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and personal care needs of residents are met. 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. Staff are trained to treat residents with dignity and to respect their privacy. Written policies on this are available in the office. One resident said, ‘I try and do things for myself but if I need help I just call for the staff. They know what to do.’ Residents are registered with a local GP surgery. District nurses provide continence support and catheter care. Chiropody and dental services have been established. Records showed that residents’ with specific health needs are referred to specialist services and monitored appropriately. Medication systems were set up in consultation with the home’s contract pharmacist, and were safe and well organised. All staff who administer medication have completed a ‘Safe Handling of Medication’ course. None of the Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 14 current residents self medicate although the Manager said some may be encouraged to as they become more independent. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: Since the last inspection a pictorial version of the home’s complaints procedure has been produced to help residents understand what to do if there’s something they’re not happy about. This is displayed on the home’s notice board (along with the written procedure) and given to residents and their representatives at the point of admission. One resident said, ‘If something was wrong I’d tell the staff straight away.’ Residents are encouraged to approach staff with any concerns they may have, however small, or to talk to the RI who visits the home daily. Polices and procedures are in placed to protect vulnerable adults from abuse and staff on duty were knowledgeable about these. There have been no complaints since last inspection. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 16 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): 24, 30 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 been fully refurbished in 2005. 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. 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. Residents’ comments about the environment included: ‘We have a cleaning rota for the care staff.’ ‘The staff encourage me to clean my room.’ Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 17 ‘Every day the staff mop and vacuum.’ ‘If I need anything doing – like a shelf putting up – they will do it.’ The quality and cleanliness of the premises was commended. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Friendly and professional staff meets residents’ needs. EVIDENCE: The staff team consist of the Manager, the Responsible Individual (RI), senior carers and 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 appeared to have excellent relationships with residents and to interact with them in a warm and caring manner. Residents’ comments about the staff included, ‘The staff are nice and they all help me’, and, ‘If I’m upset the staff talk to me.’ The Manager said, ‘I have a great staff team. They communicate well with each other, and they all want to train more so they can develop their careers in care.’ Records showed that the home’s recruitment policies and procedures help to ensure that residents’ are safeguarded. All staff have CRB checks and written references in place. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 19 The majority of staff have NVQs Level 2 or above, and the Manager and the RI are studying for Level 4. One of the Directors, who is an NVQ Assessor, coordinates the staff training programme. Currently staff are having traning in dealing with challenging behaviour to help them to meet the needs of particular residents. Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 20 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 16 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 and to have extensive knowledge of the needs of the residents accommodated at the home. One resident commented, ‘I couldn’t say a bad word about Jan – she’s amazing.’ 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 are 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 the key worker system, and records are kept of their likes and Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 21 dislikes. 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. One resident said, ‘The staff are very good with health and safety. They make me take a member of staff with me when I go to the bank.’ Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 3 34 X 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Knighton Manor Ltd DS0000065608.V303708.R01.S.doc Version 5.2 Page 24 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. 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