The Knowles

At the time of the inspection there were 37 people living at the home. The provider was previously in breach of the legal regulation in relation to safe care and treatment. At this inspection, the service had made improvements in the way risks associated with people’s care needs, and the environment were managed and were no longer in breach of this regulation.

People’s risks were identified and actions taken to mitigate those risks through regular review and checks. However, we found some improvements were still needed, such as better documentation of assessing people’s capacity to make specific decisions and how staff recorded some people’s daily activities. People received their medicines from trained staff and medicines were stored safely. We did find some improvements were required, for example the storage and administration of eye drops and how staff applied transdermal patch medicines.

Staff understood what was expected of them and were supported to provide good care. Staff knew people well and could adapt their approach with the care they provided to people, so it reflected what was important for that person. Staff told us they worked well as a team to help people achieve good outcomes.

The service had made improvements in the way the home was managed. The provider had improved their quality assurance systems however some further development is required to ensure issues like we identified are highlighted by the provider through their own checks. The provider used external consultants to help reinforce their quality assurance.

Staff were confident any concerns or feedback they gave at team meetings or to management, would be acted on. The provider told us they had spent time improving the culture at the home which in turn improved the experiences of those people living in the home. The provider invested in their staff and staff felt valued. There were enough staff to support people and staff received training and had experience relevant to their roles and responsibilities. Safe recruitment checks made sure staff were suitable to care for people.