Latest Inspection
This is the latest available inspection report for this service, carried out on 27th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for The Knole.
Annual service review
Name of Service: The Knole The quality rating for this care home is: The rating was made on: two star good service 1 9 1 1 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Paul Chapman Date of this annual service review: 1 2 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 23 Griffiths Avenue St Mark`s Cheltenham Glos GL51 7BE 01242526978 Telephone number: Fax number: Email address: Provider web address:
knole@langleyhousetrust.org www.langleyhousetrust.org The Langley House Trust Name of registered provider(s): Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: All Persons accommodated will be male. Residents must be over 30 years of age. Number of places (if applicable): Under 65 Over 65 4 9 0 7 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Knole is a care home operating within Christian principals that provides registered accommodation for up to nine males who have mental health needs. Four places are registered for learning disabilities and up to seven for service users over 65 years of age. The home is a detached Victorian listed building situated in extensive grounds approximately one mile from the centre of Cheltenham. It has recently undergone major renovation. Information about current fees was not obtained at the inspection.Chiropody and personal toiletries are charged extra. The home makes
Annual Service Review Page 2 of 7 1 9 1 1 2 0 0 8 information about the service, including CSCI reports available to people using the service through a service user guide and statement of purpose available in the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all of the information we have received, or asked for, since the last key inspection was completed. The information used to create this annual service review is based on the following information: The last key inspection report. The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us data about staffing. Surveys completed by people using the service. Any complaints about the service. The notifications received from the home. This is when a service tells us that something significant has taken place. Registered care homes are legally required to tell us about certain important events. What has this told us about the service? The previous inspection site visit was completed on 19/11/2008 and from the evidence we gathered the service quality was rated as good. We judged that the service did the following areas well: The home obtains comprehensive information regarding people before they are admitted. This enables care plans to be drafted that are kept under review with the person and key worker involved in meetings to discuss progress towards meeting goals. People who use the service are able to engage in activities both inside and outside of the home and maintain some social contacts outside of the home. The home has made some progress in finding work for people using the service. There is a range of quality assurance systems in place involving people who use the service at a number of levels including meetings held in the home and a national conference. Staff receive training to equip them in meeting the needs of people who use the service and they are recruited using robust methods to protect people. Reports of visits made to the home by the registered provider were very thorough and included a number of recommendations. The CQC judged that the following areas had improved: - Annual Service Review Page 4 of 7 There have been some improvements to the storage arrangements, management and the recording of administration of peoples medication. Improvements have been made to the condition of a number of toilets. There has been an improvement in reporting certain incidents to the Commission. Window restrictors have now been secured. The CQC judged the home could do the following areas better: Some further improvements are needed to handwritten directions on medication administration records. The home should include in its policy and procedure for the prevention of abuse reference to making contact with the Commission and the local safeguarding adults team. The AQAA used to complete this annual service review was dated 29/10/09 and thoroughly completed by the manager. In the AQAA the manager states that over the past twelve months the following areas have been improved: There has been an overall improvement in the referral process. Protocols with other agencies are being drawn up. There are weekly service user meetings. The home has a service user representative reporting to the weekly staff team meeting to feed information back both ways. The home has arranged for service users to start voluntary work; this has enhanced individuals lifestyle. The manager has implemented new procedures for dealing with the administration of medication on site; this involves daily checks; weekly audits of medication records; logging of temperatures of storage facilities for medication. Staff have completed adult safeguarding Alerters training. A specific policy outlining procedures to be taken in notifying CQC has been updated. Adult Protection information is now on the service users notice board. Outstanding maintenance issues have been addressed and completed, this includes window restrictors now being fully operational. Several staff have completed NVQ level 3 whilst other staff have completed mandatory training in a range of topics. The managers monthly inspection (PMAT) has been improved. This now highlights areas needing attention and provides clear action points. Annual Service Review Page 5 of 7 The AQAA states that the manager is planning the following improvements over the next 12 months: Continue improvement in communication with housing officers. Advertising the home to relevant organisations and institutions. Improve written communication for service users with severe learning disabilities, specifically at regional and national meetings. Develop a working relationship with the GCPA Activity Network to open new opportunities for service users activities in Gloucestershire. To continue to improve in excellence in medication administration. Continued effective and detailed communication with service users. Better use of existing vegtable garden and greenhouses over the next seasons. Continue updating staff training and look at more specific training for staff. Updating the yearly planner when issues are raised that need to be included. We received completed surveys from 2 people living in the home. These confirmed that people felt they were able to make decisions about what they do each day, that they could speak to someone if they were unhappy, they felt they were well treated and the home was clean. In addition, when asked what the home did well? they commented, I am looked after well, Trips and holidays. The CQC has not received any complaints about the service. The AQAA shows that the manager has received 1 complaint in the past 12 months and this was dealt with in 28 days. We have received a number of notifications from the home as required by the Regulations. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 19th November 2010. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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