Updated 1 December 2017
We rated Knightsbridge House as good overall because:
- The level of care and commitment from staff towards patients was outstanding. There was a real sense of community spirit at Knightsbridge House. Where possible, patients were actively supported to take ownership of their lives, care and treatment. A ‘this is me’ system was in place which held details specific to each individual patient’s needs. A recovery tool called life star was being introduced, that promoted independence, choice and wellbeing. Staff were also being trained in person centred care planning. There was a ‘my day’ system in place that offered patients the opportunity to make recreational plans outside of their usual routine. Staff who were new or unfamiliar with the patients held prompt cards on their person to guide them as to each patient’s needs. Some patients had assumed roles within the building, supporting staff in their daily activities. This helped build confidence and strengthen independence.
- The leadership within Knightsbridge House was visible and accessible. Governance procedures were in place to ensure a high standard of care delivery at all times. Medicine management arrangements were good as were all legal requirements surrounding the MHA and MCA. There was easy read information available, including information about the MHA and MCA. Where restrictions were in place, this was clinically justified and risk assessments completed, sometimes with the assistance of patients.
- The environment was clean and inviting. Cleaning schedules and environmental assessment were in place. All patients had their own bedroom and bathroom facilities where they were supported by staff to take care of their own personal space. All patients had a personal emergency evacuation plan in place.
- However:
- Although overall, statutory and mandatory training completion rates for staff were good, there were some subjects, including infection control and life support training, that many staff had not completed training in. This was due to the transition between one company to another as some training requirements had changed. However, staff were now booked onto training. Not all staff had received regular supervision but this was being addressed.