16 June 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 15 May 2018 and was unannounced.
The inspection was carried out by an inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their area of expertise was in people with a learning disability.
We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We looked at the information held about the provider and the service including statutory notifications and enquiries relating to the service. Statutory notifications include information about important events which the provider is required to send us. We used this information to help us plan this inspection.
We spoke with five people and spent time with others who used the service. The information people were able to provide was limited due to their disability. We spoke with the registered manager and four members of care staff.
We looked at the care plans and records, including medicine records of four people. We looked at the recruitment records of three staff. We looked at staff training records and minutes of meetings for staff. We viewed records in relation to the maintenance of the environment and equipment along with quality monitoring audits.
16 June 2018
The inspection of the service took place on 15 May 2018 and was unannounced.
Knighton Manor Limited provides residential care for 21 people with a learning disability and/or mental health disorder and a range of complex needs, which included physical disabilities and behaviour that challenges.
Knighton Manor Limited is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Knighton Manor Limited does not conform to Building the Right Support and Registering the Right Support guidance. The service accommodates up to 21 people in one adapted building. At the time of our inspection 15 people were in residence.
At the last inspection on 23 and 24 February 2017 we identified that Knighton Manor Limited did not have a registered manager in post. This was a breach of their condition of registration and a requirement notice was issued. A registered manager is now in post.
Knighton Manor Limited had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People’s safety was promoted by observant staff that were present in communal areas which enabled them to provide assistance and support when needed. There was a pro-active approach to promoting people’s safety and independence which was reflected in people’s risk assessments and care plans. People were supported by staff that had been recruited and had checks undertaken to ensure they were suitable for their role. People’s medicine was managed safely and people received their medicine on time.
People’s needs were assessed to ensure the service and staff could meet their needs before they moved to Knighton Manor Limited. People’s needs were met by staff that had the skills and training to provide good quality care. People’s health care needs were monitored, which included their dietary needs and people were supported to access health care services within the community. People were supported to have maximum choice and control of their lives and staff support them in the least restrict way possible; the policies and systems in the service supported this practice.
People were supported by staff that were attentive towards their needs. Staff provided the care and support people required and recognised the importance of promoting people’s independence. Family members were encouraged to visit their relatives and staff supported people to visit their relatives. The registered manager and staff had received thank you cards and letters from people’s relatives about the support and care provided.
People’s views about their care and support were sought and used to develop care plans. A range of documents, including minutes of meetings, fire evacuation plans and the complaints procedure had been produced in easy read, using large prints supported by symbols to assist people in understanding the information. Additional documents detailing people’s care, which included health action plans, was also produced in a way to promote people’s understanding.
The management team, which included the registered manager and two deputy managers, provided staff with support and guidance they needed. Systems were in place to monitor the quality of the care being provided, which included seeking the views of those using the service and their family members. A range of audits were undertaken to evidence the quality of the care and the accuracy of records used to record people’s care and support. There was an open and transparent approach to the management of the service, which included regular team meetings where information was shared and ideas for improvement sought and discussed.