Lee Gordon House
Coventry, CV4 · 0.5 km
Residential
Not yet ratedcare home
CQC report explained · a residential care home, run by Adept Care Homes
The Knowles
6 Duggins Lane, Tile Hill, Coventry, CV4 9GN
Goodpublished 7 October 2025, 10 months ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The latest report, explained
What inspectors found, March 2024
Rated Requires Improvement; inspectors found fire, medicines storage and hygiene risks, with a breach of Regulation 12.
This was an unannounced focused inspection on 16 January 2024. Inspectors reviewed Safe and Well-led only. They spoke with people, relatives, staff and health professionals, observed care and checked care, recruitment and management records.
People said they felt safe and medicines were usually given by trained staff. However, fire doors were not closing properly, another bedroom door had a hole, and a medicines fridge was too cold. Some areas and shower equipment were also not clean. The provider fixed several issues during the inspection.
The home was rated Requires Improvement overall, and also Requires Improvement for Safe and Well-led. The inspection found a breach of Regulation 12 because safety risks in the environment and medicines storage were not managed reliably. The previous overall rating was Good in 2022, but the other three question ratings were carried over because they were not inspected this time.
What inspectors praised
People felt safe
People told inspectors they felt safe with staff. Safeguarding training and reporting arrangements were in place.
“I feel safe, everyone is nice to me.” from the report
Medicines administration
Medicines were given as prescribed by trained staff whose competence was checked regularly.
“I have tablets twice a day, they always wait till I take them, no problems at all.” from the report
Safe recruitment
The provider checked references and completed DBS checks when recruiting staff.
“Staff were recruited safely. The provider sought references and completed DBS checks.” from the report
Supportive staff culture
Staff said managers were approachable and that they received support through individual and team meetings.
“Managers are approachable, you can speak up. There is an open atmosphere, and everyone is respected.” from the report
What inspectors were concerned about
Fire safety delays
seriousSome fire doors were not closing properly and agreed safety measures were not being followed. Other fire risks were missed until inspectors found them.
“Fire safety risks were not always well managed.” from the report
Medicines fridge
seriousThe fridge used for medicines had ice inside, but daily checks had not identified the problem. Medicines stored there may not have been safe to administer.
“Medicines were not always stored safely.” from the report
Cleanliness and hygiene
seriousSome areas were not clean and hygienic. Inspectors also found dirty shower aids with rusty patches.
“Some areas of the home were not always clean and hygienic, and some shower aids were dirty, with rusty patches underneath.” from the report
Weak monitoring checks
needs fixingThe home's audits did not always find safety and cleanliness problems quickly. CQC recommended stronger systems and checks.
“The provider's systems and processes to monitor the service were not always effectively operated or embedded.” from the report
Questions to ask them, based on this report
- 01What has been done to make sure all fire doors close properly, and how are these checks now recorded?
- 02How do you check that medicines stored in the fridge remain within the correct temperature range?
- 03What work has been completed to improve cleanliness and replace or repair the shower aids with rusty patches?
- 04How often are environmental safety checks completed, and who reviews whether problems have been fixed?
- 05What changes were made to staffing after people said they sometimes waited for drinks and breakfast?
This was a focused inspection of Safe and Well-led only; the other three question ratings and the previous overall rating were carried forward from the last inspection. This explanation was written from the published report of 21 March 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of The Knowles
6 rated inspections over 9 years: the service has slipped, from Good to Requires improvement.
- March 2024Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2022Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2019Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- September 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- July 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 December 2010.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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