Care Home: Knightwell House

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well People said they were happy living at the home. Each person had a care plan so that staff know how to support them. The people living there were asked and helped to make choices about their lives so they can do the things they want to do. The people living there were helped to keep in touch with their family and friends.Relatives said they were always made welcome when they visited the home. People living there said they liked the food. They said that they chose the menus so they have the foods they like. Staff make sure that people`s health needs are met so that they can be well. Staff have worked there for a long time so they know the people living there well and how to help them. Relatives and people living there said, "The staff are fantastic." The home is homely, comfortable, clean and safe so it is a nice place to live. Staff make sure that people have the medication they need at the right times to help to keep them well. What has improved since the last inspection? People`s care plans had been reviewed more often to make sure that people`s needs could be met. The people living there helped to review their care plan. The bathroom and toilet on the first floor of the home have been redecorated so it is clean and comfortable for people to use. When staff start working at the home they have an induction so they know how to help the people living there so they are well and do the things they enjoy. The home has a quality assurance system that asks the people living there how to improve the home so it is a better place to live. Staff have had training in fire safety so they know how to keep the people living there safe. The electrical wiring in the home had been tested to make sure that it was safe. What the care home could do better: The manager must make sure that all the required checks had been made on all staff so that the people living there are safe. The hole in one person`s bedroom wall should be repaired so their bedroom is comfortable and safe.All staff should have training in autism so they know how to support all the people living there to make sure they are well. CARE HOME ADULTS 18-65 Knightwell House 734 Washwood Heath Road Ward End Birmingham West Midlands B8 2JD Lead Inspector Sarah Bennett Unannounced Inspection 21st February 2008 10:05 Knightwell House DS0000016890.V360081.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 Knightwell House DS0000016890.V360081.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. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knightwell House Address 734 Washwood Heath Road Ward End Birmingham West Midlands B8 2JD 0121 327 3623 F/P 0121 327 3623 tracysarmstrong@btopenworld.com 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) Ms Trina Smith Mr Brian Armstrong Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 24th January 2007 Brief Description of the Service: Knightwell House is registered to provide care and accommodation to 13 adults with a learning disability. The home is staffed on a 24-hour basis. Knightwell House is a large three-story building and includes seven single and three double bedrooms. Communal rooms comprise of a small lounge and dining room with an adjoining sitting area. There are toilet and bathing facilities on each floor. The home has limited off road parking. There is a large and well-maintained garden located at the rear of the property. The home is located near to main shopping facilities and main bus service to Birmingham City Centre. The statement of purpose stated that the fees charged to live there are the current basic DSS rates. They include full board, washing and ironing and heating. Fees do not include phone calls, toiletries, hairdresser, chiropody, clothing, transport and meals out. The information included in this report applied at the time of inspection and the reader may want to obtain more up to date information from the care service. The CSCI inspection report is available in the home for visitors who wish to read it. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The visit was carried out over one day; the home did not know the inspector was going to visit. This was the homes key inspection for the inspection year 2007 to 2008. The focus of inspections that we, the commission undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and the manager completed a questionnaire about the home – Annual Quality Assurance Assessment (AQAA). Two people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. The people who live at the home, relatives of the people living there, the manager and the staff on duty were spoken to. A tour of the premises took place. Care, staff and health and safety records were looked at. Eight of the people living there and two of the staff who work there completed the ‘Have your say’ questionnaires about the home and their views are included in this report. What the service does well: People said they were happy living at the home. Each person had a care plan so that staff know how to support them. The people living there were asked and helped to make choices about their lives so they can do the things they want to do. The people living there were helped to keep in touch with their family and friends. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 6 Relatives said they were always made welcome when they visited the home. People living there said they liked the food. They said that they chose the menus so they have the foods they like. Staff make sure that people’s health needs are met so that they can be well. Staff have worked there for a long time so they know the people living there well and how to help them. Relatives and people living there said, “The staff are fantastic.” The home is homely, comfortable, clean and safe so it is a nice place to live. Staff make sure that people have the medication they need at the right times to help to keep them well. What has improved since the last inspection? What they could do better: The manager must make sure that all the required checks had been made on all staff so that the people living there are safe. The hole in one person’s bedroom wall should be repaired so their bedroom is comfortable and safe. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 7 All staff should have training in autism so they know how to support all the people living there to make sure they are well. 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. The summary of this inspection report can be made available in other formats on request. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 8 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 Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need so they can make a choice as to whether or not they want to live there. EVIDENCE: The statement of purpose included the relevant and required information so that prospective service users would have the information they need to know what the home provides and make a choice about whether or not they want to live there. The service users guide included the information that the people living there need about the home that included their rights and responsibilities when living there. It was produced using pictures making it easier to understand. The manager said there had been no referrals for years and no people had been admitted since the last inspection. Therefore, the standard relating to assessment was not assessed at this inspection. There were eleven people living there so there is a vacancy for two people. The AQAA stated that the home would not admit a person whose needs could not be met there. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need in individual’s care plan and risk assessments so they know how to support them to meet their needs and ensure their safety and well being. The people living there are supported to make choices and decisions about their day-to-day lives. EVIDENCE: The records of two of the people living there were looked at. They included an individual care plan. The care plan detailed how staff are to support the individual to meet their needs and achieve their goals. They included pictures making them easier to understand. The AQAA stated family and friends of the person are encouraged to join in the care plan. The AQAA stated we need to develop the care plans to include more information on individual’s history, medication, health needs, history of past medical problems, sexuality, behaviour and communication. The manager said he is updating and reviewing Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 11 care plans to include these areas and ensure they include more detail so that staff know how to support individuals. Care plans are reviewed regularly and updated where people’s needs have changed. Each person has a key worker. Records included discussions between the individual and their key worker about what clothes they buy, their bedroom, how to make a complaint if they are unhappy with the service provided. Records showed that the people living there met together to discuss what goes on in the home. They talked about the day-to-day running of the home, the staff, what they wanted to do at holiday times including Christmas and what activities they wanted to do. The manager said that meetings are not always formal, as this does not suit the people living there but that people are given an opportunity to make decisions about what goes on in the home. Staff said and observations showed that “The service caters for the individual as well as the group.” Records sampled included individual risk assessments that stated what support the person needed to ensure that any risks are minimised as much as possible so ensuring their safety and well being. They detailed what action staff need to take to ensure the risks of the person going out alone, going to restaurants and pubs, trips and falls, road safety, fire, the person’s behaviour and their personal care. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that the people living there experience a meaningful lifestyle. The people living there are offered a healthy diet that ensures their well being. EVIDENCE: Most of the people living there go out to day centres, work placements, colleges or do voluntary work. Some people travel to centres and work placements on their own. Staff have supported them to do this so they are safe and can travel independently. Some people travel to the day centre by transport provided by the centre. Some people do not go out during the day but do activities in the home, as this suits their needs and lifestyle. One person said they work on the allotment project and grow potatoes. The manager said that some people used to go to evening classes but the funding for these had been withdrawn by the City Council and they had closed. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 13 Records sampled showed that people go to the cinema, go to visit their friends and family, watch TV and listen to music. Records stated when people were asked if they wanted to do an activity but refused to show that people are offered a range of activities but have a choice as to whether or not they want to do them. Some people go to a Gateway Club in the evenings. These are social clubs for people who have a learning disability where they can go and meet their friends. At weekends people said they go shopping, go to watch football matches, do the recycling and watch TV. SKY TV is provided in both lounges and people said they enjoyed watching the wrestling, football and the soaps. Some people said they enjoy listening to music. Some people said they play darts on Friday evenings and sometimes they play bingo. The people living there said they go out for a Christmas meal together and last year some people went for a Chinese instead as they had been out for several traditional Christmas meals. People said when it is their birthday they go to the local pub. Each year there are two different group holidays to Butlins. Sometimes they go to Bognor Regis, others have been to Minehead with staff. The people living there said they like going to Butlins and were talking about the good holidays they had there. The AQAA stated in the next year they are going to get the people living there to become more involved with the planning of holidays. Records sampled showed and people said that they are supported to keep in contact with their family and friends. This can be through visits to them, visits from them and telephone calls. One person went out for a meal with his relatives during the day. Some people go on holiday with their relatives. People said they can go to bed and get up when they want to, although sometimes during the week they have to get up earlier to go to centres or work placements. The AQAA stated we encourage all the people living there to maintain all their skills by encouraging each individual to do as much as possible for themselves. We encourage people to access daily activities outside the home to help promote independence skills and friendships. At lunchtime the people living there had soup and rolls and were offered a choice of drinks. People take a packed lunch to the day centre and have a main meal when they come home. On Fridays people said that they sit together and choose the menu for the coming week. Tea was served about 4pm. After people said ‘nice dinner- had corned beef hash and pop.’ People said they have fish and chips from the chip shop on Friday evenings. People said they like the food and they like the porridge that one of the staff makes. One person said “ We had kippers the other day, I love kippers. Have nice curries here.” Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 14 Menus sampled showed that a varied, nutritious diet is offered that included fruit and vegetables. A record is kept of what the people living there eat to ensure that people have a nutritious diet to ensure their health and well being. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 15 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. 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 this service. Arrangements ensure that health and personal care needs of the people living there are met so ensuring their well being. The management of the medication ensures people get their prescribed medication at the right time so ensuring their health needs are met. EVIDENCE: The people living there were well dressed and it was evident that attention had been given to their personal care. People had individual styles of hair and dress that were appropriate to their age, gender, the weather and the activities they were doing Each person living there has a health action plan. This is a personal plan about what a person needs to stay healthy and what healthcare services they need to access. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 16 All the people living are registered with a local GP. The AQAA stated that each person living there has an annual health check with the GP. A chiropodist visits the people living there every eight weeks to ensure their feet are well looked after. Where appropriate health professionals are involved in the care of individuals. These include the psychiatrist, psychologist, community nurses, massage therapist, diabetic clinic, Speech and Language Therapist and ophthalmologist. Records sampled showed that people have regular dental check ups and regular eye tests. Staff ensure that the people living there are weighed regularly and a record of this is kept so that staff can monitor whether people are maintaining the weight that is right for them, This is important as losing or gaining a significant amount of weight can be an indicator of an underlying health need. Records sampled showed that where people needed to lose weight they had been supported to do this gradually. Records of health appointments were recorded. This detailed the outcome of these and any advice given so that staff could help to ensure that individual’s health needs are met. Records showed that staff had helped individual’s by following advice as health professionals stated they were pleased with individual’s progress. The AQAA stated that in the next year they plan to expand the health needs of the people living there in the care plans to include their medical history and why they are using the medication they are prescribed. This will help staff have all the information they need so they know how to support individual’s to meet their health needs. Medication is prepared by the local pharmacist and put into packs for each individual in a pack so that staff know what to give each person. The pharmacist prints each person’s Medication Administration Record (MAR) so that it is clear what each person is prescribed and this does not have to be handwritten, which could cause errors. MAR sampled showed that staff had signed these appropriately, as they had given medication to individuals. These cross-referenced with each person’s medication pack indicating that medication had been given as prescribed. One person is prescribed insulin for diabetes. This is kept in a separate locked fridge. The person is able to give the insulin to them selves using a pen that is set at the amount that the person needs. A protocol was in place for how this is given to ensure that there is no risk of this being given incorrectly, which could have a serious impact on the person’s health. There was information available for staff on diabetes so they know how to help the person to meet their health needs. A running total of medication that is not prescribed for individuals such as painkillers and cold remedies is kept. Individual records of when people take Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 17 this are kept that include why it is given and when. This ensures that this is given appropriately and not misused. One person said they had a headache and staff asked them if they wanted a painkiller to which they said ‘yes’. Staff ensured that they had this, which helped them feel better. The AQAA stated and staff said that they are trained in the safe handling and administration of medicines so they know how to give medication to people as needed. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 18 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. 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 this service. Arrangements ensure that the views of the people living there are listened to and acted on. Sufficient arrangements are in place to ensure that the people living there are protected from abuse, neglect and self-harm. EVIDENCE: There had been no complaints received by the home and no complaints had been lodged with us since the last inspection. The AQAA stated that the people living there have a copy of the complaints procedure in their personal file. Through meetings with the people living there and one to one meetings all concerns are listened to and acted upon whenever necessary. The people living there said that if they were unhappy with the service provided they would know how to make a complaint. The manager is the appointee for all the people living there except one whose relative is their appointee. Each person has a post office account. Money is held securely in the home and as people are given their personal allowance they sign for it to agree that they have received it. The manager said that as most of the people living there have lived there for money years they are on the old contracts with the City Council. This means that they do not have money provided in their contracts for holidays so they have to pay for these from their own money. Two people’s finance records were looked at. Money in Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 19 their individual tins cross –referenced with their records indicating that their money is spent appropriately. Receipts are kept of all purchases. These showed that their money was spent on personal items and not on things that should be paid for by the home as part of the fees they pay. Records showed that people have their benefits paid into their account each week. All staff had received training in adult protection and the prevention of abuse. This ensures that they know how to keep the people living there safe and what action they need to take if they suspect that any person living there is being abused. Some people living there can display behaviour that challenges the service. The AQAA stated that any person living there who shows signs of aggression has a written protocol, which is read and complied with by all staff. Records sampled included where appropriate a protocol for challenging behaviour towards the other people living there and staff. This informed staff how to deal with incidents and what to do if the person becomes aggressive. It included using diversion techniques and talking to the person once they had calmed down to look at ways in which they may behave differently in the future. The protocol was signed by the person and all the staff to show they agreed to it. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are generally sufficient to ensure that people live in a safe, clean and comfortable home. EVIDENCE: The home was generally well maintained and decorated so that the home is comfortable and safe for the people living there. On the ground floor there is a lounge, dining room/lounge, kitchen/ utility room, shower room/WC, staff WC and a pantry. SKY TV is provided in both lounges on the ground floor so that people have a variety of programmes to watch and can watch the sports they enjoy. Outside in the garden there is a brick built office. There is a large garden to the rear of the home with tress, shrubs and grassed areas. There is a large covered patio seating area and the manager said they have barbecues in the Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 21 summer. On the lower ground floor there is a staff room where the person doing the sleep-in duty sleeps. Bedrooms were personalised according to the tastes and interests of the individual. The manager said all bedrooms are going to be redecorated and some bedrooms were being redecorated at the time of the visit. The manager said that one person’s bedroom carpet was to be replaced as it was stained. One person’s bedroom had a hole in the wall. The manager said that this would be repaired. There are two shared bedrooms and people said that they were happy sharing a bedroom. The people living there were talking about their bedrooms being decorated and how they wanted this done. The AQAA stated that the people living there are encouraged to choose the colours and décor for their bedrooms. The AQAA stated that in the last twelve months the following improvements have been made: Refurbishment of two bathrooms, replaced the dining room ceiling and two smoke detectors have been renewed. It stated in the next twelve months the following improvements would be made: Repainting of bedrooms, refurbishment of hall and landings, resurfacing of front drive, some outside painting of the property and general maintenance of the garden and out buildings. The home was clean and free from offensive odours. Staff said that sheets and duvets are sent to the laundry. The rest of people’s washing is done at the home. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing, their support and development are generally sufficient to ensure that they meet the needs of the people living there. The recruitment practices are not sufficient to ensure that the people living are safeguarded. EVIDENCE: The AQAA stated that 75 of staff have achieved or are working towards National Vocational Qualification (NVQ) level 2 or above. This exceeds the standard that at least 50 of staff have this qualification and ensures they have the skills and knowledge to work with the people living there. Some staff have completed the Learning Disability Award Framework (LDAF) so they have specific knowledge of how to work with people who have a learning disability. The manager said that no staff had left since the last inspection and there were no staff vacancies. This ensures that the staff know the people living there well and how to support them to meet their needs. Rotas showed that minimum staffing levels are met at all times so there are sufficient staff to support the Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 23 people living there. Staff meetings are held every month and minutes of these are kept. The AQAA stated that all staff are employed on the basis of good references and satisfactory Criminal Records Bureau (CRB) checks as well as their interaction with the people living there. All staff have had CRB checks. It also stated that each member of staff has a probation period of six months before they will be offered a permanent contract with the home. The manager said that the staff recruitment records were not available as these were being audited for the quality audit and were held at the Head Office. Evidence that satisfactory references have been received and CRB checks have been undertaken must be available in the home to show that the staff are ‘suitable’ to work with the people living there. Staff said that a CRB check was undertaken before they started working at the home. Records showed and the AQAA stated that staff received an induction when they first started working at the home so they know how to meet the needs of the people living there. Staff training records were sampled. These showed that staff had received training in the Safe Handling of Medicines, the Mental Capacity Act, adult protection, epilepsy, fire safety, food hygiene, first aid and diabetes. Some people living there have been diagnosed as having autism. The manager said that staff have information about autism but they have not had any specific training on it. The AQAA stated that they plan to access a training course on autism for the staff. This will help staff to know how to ensure they meet individual’s needs. Staff said, “Up to date training is always an ongoing policy.” Records sampled showed that staff had regular supervision so they are supported to work with the people living there. All staff have an annual appraisal to ensure they are performing well in their job role and have the training they need to support the people living there. The AQAA stated in the next twelve months staff will be given ongoing training, supervision and six monthly appraisals. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements ensure that the people living there benefit from a well run home. Improvements had been made to ensure the people living there are confident that their views underpin all self-monitoring, review and development by the home. Arrangements ensure that the health, safety and welfare of the people living there is promoted and protected. EVIDENCE: The AQAA stated the manager has been in post for twelve years and has all the relevant qualifications. The manager has NVQ level 4 and the Registered Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 25 Managers Award. The manager has several years experience of working with people who have a learning disability. Since the last inspection a quality assurance system has been implemented. The Quality Administrator is based at the Head Office and was undertaking a quality audit of the home at the time of this inspection. The manager said in the AQAA that they plan to do questionnaires for the people living there, relatives and health professionals who work with the people living there. This will get their views so the home can improve the service based on these. The AQAA stated that family and friends always comment about the quality of care their friends or family members receive. The provider visits the home monthly and completes a report of their visit that is available in the home. These showed that the provider looked at care plans, talked to the people living there and staff and ensures the environment is well maintained. Fire records showed that staff regularly test the fire equipment to make sure it is working. An engineer regularly services the fire equipment to ensure it is well maintained and would work well to alert people if there were a fire. Regular fire drills take place so that staff and the people living there would know what to do if there was a fire. Staff test the water temperatures regularly in the baths to make sure they are not too hot, which could put people at risk of being scalded. Records showed that these were within the recommended limits so that people are not at risk. The manager said that all showers in the home are fitted with a cut out device so if they get too hot the temperature is lowered. A Corgi registered engineer completed the annual test of the gas equipment in July 2007 and stated that it was safe to use. An electrician completed the five yearly test of the electrical wiring installation in March 2007 and stated that it was in a satisfactory condition. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 26 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 3 2 X 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 3 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 1 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 27 No Are there any outstanding requirements from the last inspection? 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 19 Schedule 2(5)(8) Requirement Evidence that appropriate checks have been completed prior to new staff commencing employment must be available to ensure the people living there are safeguarded. Timescale for action 30/04/08 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. 2. Refer to Standard YA26 YA35 Good Practice Recommendations The hole in one person’s bedroom wall should be repaired to ensure their bedroom is comfortable and safe. All staff should receive training in autism so they know how to support all the people living there to ensure their well being. Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Knightwell House DS0000016890.V360081.R01.S.doc Version 5.2 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!