minor“Surveys seeking staff views had been circulated and staff had the option to return these anonymously, no completed staff surveys had been returned at the time of our inspection.”
critical“Knighton Manor Limited has not had a registered manager in post for the regulated activity 'personal care' since November 2015.”
minor“the policy and procedure did not include information as to the process for the destroying of controlled drugs. This was amended by the assistant manager during the inspection.”
person centred care
2 findings
minor“People's care plans however did not reflect people's goals and aspirations, and the role of staff in providing the necessary support for these to be achieved.”
minor
“a majority of people sat in chairs where their view of the television was obscured. Staff sat with people but there was minimal interaction by staff and those using the service.”
infection control
1 finding
minor“We identified some rooms required cleaning, as there was significant dust on lampshades and cobwebs in some of the rooms.”
record keeping
1 finding
moderate“People's records and care plans did not clearly identify the services being commissioned and the hours allocated to ensure people's needs were met.”
care planning
1 finding
moderate“People's initial assessments who resided within the supported living complex did not fully reflect people's need and recognise the promotion of their independence and choice.”
medication management
1 finding
critical“People's representatives informed us that medicine errors had occurred when their relative commenced with the services of Knighton Manor Limited...medicine had not been administered and in some instances the incorrect dose had been given.”
complaints handling
1 finding
moderate“People using the services and their representatives who resided with the supported living complex were not familiar with the complaints policy and procedure.”
communication with families
1 finding
moderate“They had been provided with very limited written documentation about the services to be provided by Knighton Manor Limited. They informed us that a majority of information had been provided verbally.”
consent capacity
1 finding
moderate“People's assessments of their needs had not taken into consideration their capacity to make informed decisions about key aspects of their care.”
supervision appraisal
1 finding
minor“The manager acknowledged supervisions did not take place as often as they would like them to be, and that a programme for supervisions for the year was being put into place.”
staff competency
1 finding
moderate“They told us that their relative's assessment had identified that they displayed behaviour that challenged...staff struggled to provide the appropriate support.”