Knaresborough House improved from Requires Improvement to Good across all five key questions, having remediated previous breaches of regulations 12, 9 and 17 relating to medicines, person-centred care and governance. People and relatives gave largely positive feedback about safe, dignified and responsive care, with only minor mixed feedback noted around communication with families.
Strengths
· Medicines were managed, recorded and administered safely following previous breach of regulation 12.
· Risk assessments and incident/accident recording systems were improved and lessons learnt were shared with staff.
· Staff received regular supervision, appraisals, thorough induction and training including competency reviews.
· Care plans were person-centred, up to date and reflected people's individual needs, preferences and life history.
· Complaints procedures were improved with better record keeping and effective follow-up.
Quality-Statement breakdown (19)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and management; safeguarding; learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control; meeting communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles; quality performance, risks and regulatory requirements; continuous learningGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people, the public and staff; working in partnership with othersGood