Inspection on 07/04/10 for Hampton House

This is the latest available inspection report for this service, carried out on 7th April 2010.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hampton House 08/05/07

Hampton House 27/03/06

Hampton House 28/09/05

Hampton House 08/02/05

Hampton House 20/09/04

Hampton House 15/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Key inspection report Care homes for older people Name: Address: Hampton House 94 Leckhampton Road Cheltenham Glos GL53 0BN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Sharon Hayward-Wright     Date: 0 7 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Hampton House 94 Leckhampton Road Cheltenham Glos GL53 0BN 01242520527 01242573319 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.hamptonhousecare.co.uk Curtis Homes Limited Name of registered manager (if applicable) Mrs Rosalind Elliott Type of registration: Number of places registered: care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Hampton House is a large attractive detached house, which has been adapted and extended to provide accommodation and personal care for twenty-one older people. It is situated in the quiet residential area of Leckhampton, on the outskirts of Cheltenham, within walking distance of the local shops. There are bus services within walking distance to the local area and Cheltenham town. The Care Home provides single accommodation on two floors with en-suite facilities in sixteen of the rooms. There is a staircase and shaft lift for access to the upper floor; the lift is provided for the benefit of those unable to manage the stairs. In addition, a variety of aids and adaptations have been provided throughout the property to assist people. An emergency call system is provided in all rooms and ensuite toilets. There are communal toilets and assisted bathrooms on both floors of the building. The comfortably furnished communal facilities consist of two lounges and a dining room Care Homes for Older People Page 4 of 28 0 Over 65 21 Brief description of the care home plus a conservatory overlooking the attractive enclosed garden. A large selection of garden furniture is provided so that the people may enjoy this area in good weather. Car parking is provided at the front of the property for visitors to the home. The home at the present time does not have waking night staff and therefore people need to be able to manage independently at night time. The weekly fees for Hampton House start at 575 pounds to 685 pounds and this is dependent on the room size and the persons needs. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out by one inspector over one day in April 2010. Before we visited the home we sent surveys to the home in order to obtain the views from people who use the service and staff. The results of these have been used in this report. We requested an Annual Quality Assurance Assessment (AQAA). This was received on time and provided information about what the service feels they do well and any areas they are looking to improve on. The AQAA also contained numerical information called Dataset. We also looked at other information we have received from or about this service from other stakeholders. This includes notifications from the home regarding incidents that effect the well being of those who use the service. We looked at a number of systems the service has in place to include care records, activities, complaints, food provision, ongoing maintenance of the home, staff training, supervision and recruitment. Care Homes for Older People Page 6 of 28 Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? No requirements were issued at the last inspection and the home has continued to maintain high standards of care . Care Homes for Older People Page 8 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective people are not admitted to the home without a full assessment of their needs and assurances they can be met. People who may use the service and their representatives are able to access information about the services provided in the home. Evidence: We did not examine the homes Statement of Purpose and Service Users Guide at this inspection as they have been examined at previous inspections. In the homes AQAA it stated they have a website and we looked at this prior to the inspection. The website contains information about the services provided by the home and has a frequently asked questions page to also help answer any queries prospective residents or their representatives may have. The website also links directly to our website and the homes latest report. One person spoken with confirmed that a member of their family had found the home for them via the internet and had used the homes website. We spoke to a number of people about how they came to reside at Hampton House. All Care Homes for Older People Page 11 of 28 Evidence: had this home chosen for them by a member of their family as they had been unwell. People said they could visit the home prior to moving in and members of their family had also viewed the home. Two people said they knew about the home prior to moving in as one person had lived in the local community and another said a friend was already living at the home. All people spoken with were very happy living at the home. We examined a pre admission assessment of a person who was recently admitted to the home. The assessment was completed prior to them moving into the home and it was undertaken by the Registered Manager. The assessment contained information about this persons care needs and included a list of their medication. Information about this person was also provided on the Enquiry form. As part of the homes admission process a list of peoples likes and dislikes are devised and given to the cook and this also includes what drinks they like to have. An admission checklist for documentation is also in place and this helps to make sure all the homes required documentation is completed, by whom and on what day and this is used as part of their auditing process. The letter confirming the home can meet new peoples needs is sent out with their contract. We asked people in the surveys we sent to the home for them, did you receive enough information to help you decide if this home was the right place for you, before you moved in, all 10 people said yes. Intermediate care is not provided at Hampton House. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care people receive is based on their individual needs and care records support this. The principles of respect, dignity and privacy are put into practice. Evidence: A case tracking exercise was not undertaken at this key inspection as people who use this service have minimal care needs. We did examine a number of peoples care records and speak to people about the care they receive. Each person has an overview devised by the Registered Manager. This document is a very detailed description about the person and includes their care needs, how to meet them, their choices, likes and important information about them that is relevant in the home meeting their needs. We felt this document is very beneficial to the care staff due to information it contains as it based on a holistic approach. Care plans are in place for any assessed needs and these are reviewed monthly by the deputy manager with each person and people sign to state they are in agreement. A risk assessment profile is in place for each person and this includes moving and handling and these are also reviewed monthly. We suggested that to assist the home in maintaining and Care Homes for Older People Page 13 of 28 Evidence: continuing to improve their standards that they should look at linking peoples care plans and the risk assessment profile to the overview for each person. We discussed ways in how the Registered Manager and deputy manager could do this. In each persons care records is a list of who provides any health care for them, for example, chiropodist, optician and dentist and record is kept of each visit. Individual reviews of any accidents and incidents takes place for each person so that the care staff can monitor if a person is falling frequently and take appropriate action. The Registered Manager explained how this worked for one person who was having a number of falls and they were able to use this form to audit and see if a pattern was forming. This person is still being monitored but is not having any further falls. Weight charts are in place for people and these monitored for weight loss and gain. People are asked about is they wish to be resuscitated whilst living at the home and all forms indicated that people had not requested not to be resuscitated. The Registered Manager said that these are purely for use by the home but we would suggest that these are checked to make sure they meet the recommendations of the Mental Capacity Act 2005. We also discussed how the home would manage the situation if a person said they wish to be resuscitated if they had a heart attack. Each person also has a final wishes form that records information about funeral directors and any instructions that the person and if appropriate their family would like the home to be aware of. One person has a catheter and a care plan is in place for the management of this. We saw records that the Registered Manager or deputy manager check that care staff are competent in the management of this catheter. This is good practice. The community nurses support the home in managing this persons catheter. We spoke to a number of people about the care they receive and some people said they only need help to get in and out of the bath. All people said the staff maintain their privacy and dignity at all times. We observe staff knocking on peoples doors prior to entering. People are allocated a member of care staff as their key worker and a checklist for the tasks each key worker needs to undertake for each person is in place and we examined several of these. We examined the system the home has in place for managing peoples medication. All care staff that undertake this have training provided by an outside training provider and then the Registered Manager or deputy manager monitors their competencies on a frequent basis. This is good practice. A specimen signature and initials list in in place. The home has a medication policy and procedure in place that is reviewed at least annually. We did not examine this at this inspection. A medication trolley is used to transport the medication securely around the home Care Homes for Older People Page 14 of 28 Evidence: during administration. The home has the majority of peoples medication provided in blister packs. Dates of opening were seen on eye drops, creams and any liquid medications. We examined all Medication Administration Records (MAR) and found that there were no gaps in the recording of medications administered. Records were also in place for medication received into the home and for any that needed to be returned to the local pharmacy. We would recommend that if people are administered pain relief that the actual time of administration is recorded along with the amount and this is to make sure that people have the required time in between each dose. Care plans are also needed for people who are prescribed prn or as required medication to make sure all care staff follow the same instructions for its use. We randomly selected a number of medications to audit and this includes counting the number of medication left against how many have been given as recorded on the MAR and we found they were all correct. At the time of this inspection the home did not have any person requiring controlled medication. The required storage for this medication is in place if it is required. We examined the recording of creams that are prescribed for people and the Registered Manager explained that people are asked what time they would like them. We discussed how this could be incorporated into other medication following the principles of the Mental Capacity Act 2005. People are able to self medicate following an assessment of need and the appropriate secure facilities are provided in peoples rooms. At the time of this inspection one person was self administering and they were on respite care, records were in place of the medication they came into the home with. Auditing of the medication system takes place on a frequent basis and we discussed ways on how this could be further improved. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyle, have access to an recreational programme that meets their expectations, needs and abilities. Evidence: All care staff are responsible for providing activities and a list is devised for each month and displayed around the home. People spoken with were very happy with the provision of activities and several people told us about specific ones they enjoy and these included scrabble and skittles. Some people are able to go out and visit the local shops which are close by. Other people told us about the outings the home provides and these include monthly pub lunches which are very popular and trips to the theater. Several told us they enjoy knitting and watching television. We observed a number of people enjoying the exceptionally well maintained gardens as the weather was warm. The Registered Provider have recently purchased new seating, tables and sun parasols for outside so that people can eat their meals outside if they wish. People we spoke with confirmed that they are having their religious needs met and there is a monthly Holy Communion service held at the home. We asked people in the surveys we sent them, does the home arrange activities that you can take part in if you want, nine people said always and one person said Care Homes for Older People Page 16 of 28 Evidence: never. We also have a section of the survey that asks what does the home do well and one person said activities. We were told by the Registered Manager than visiting to the home is not restricted and people confirmed this. We observed several people receiving visitors during the inspection. During the tour of the home we observed in the rooms we visited with people that their personal belongings are on display and this included photographs of their family and friends and ornaments. People said they are able to choose what they do each day. One person said that after they have had their breakfast which they have brought up on tray each morning that they do as they please. We asked people in the surveys we sent them, do the staff listen and act upon what you say, six people said always, three people said usually and one person did not answer the question. The home has an intercom system that they use to inform people for example about mealtimes, activities and when hot drinks are being served. However we were informed that people can choose where they have their meals and hot drinks. We spoke to the cook about the homes menus and they operate on a 4 weekly cycle but they can be altered. Food records are in place. We did not inspect the kitchen or health and safety checks as the kitchen has recently been inspected by the local Environmental Health Department and they were awarded 5 stars, which is excellent. People are offered choices at each mealtime and alternatives. The cook said she speaks to people about the food provision. We joined people for lunch in the dining room and a menu board is in place and this had the choices for lunchtime recorded. People spoke about the lovely surroundings and how well the tables are laided. Staff offered people a selection of cold drinks to have with their meal. The cook informed us that the vast majority of food she prepares is home made and this includes the afternoon cakes people have with tea. We chose the chicken and leak pie with roast potatoes, cabbage and cauliflower which was the same as other people on our table. We were very impressed with the high quality of food provided and it tasted delicious. The people on our table also felt the same and they said the food is always this good. Staff bring round a selection of puddings on a trolley for people to choose and the home made desert was also delicious. We observed the mealtime to be a very sociable event with people talking to each other. We salso poke to other people who also praised the food provision in the home and the choices they are offered. The Registered Manager said that people are asked about the menu choices they would like and these are then included in the menus. Care Homes for Older People Page 17 of 28 Evidence: We asked people in the surveys we sent them, do you like the meals at the home, eight people said always and two people said usually. In the section of the survey that says what could the home do better one person had commented occasionally long waits between courses at mealtimes. The Registered Manager said that some people take longer than others to eat and they wait for all people to finish each course before moving on to the next. Care Homes for Older People Page 18 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a robust complaints procedure. Systems are in place to help safeguard people from possible abuse or harm. Evidence: Since the homes last key inspection in May 2007 we have received 1 concern and 1 anonymous complaint and both of these were received in 2008. The home completed thorough investigations and sent us detailed responses to both. Following this no further action was taken. The Registered Manager informed us they have not received any complaints. A complaints procedure is in place and people we spoke with said they have no concerns or complaints. In the surveys we sent to the home for people we asked is there someone you can speak to informally if you are not happy and all ten people said yes. We also asked do you know how to make a formal complaint, nine people said yes and one person said no. The home has policies and procedures in place for staff to follow in relation to safe guarding people. All these have been reviewed this year by the Registered Manager. The home AQAA and the Registered Manager confirmed that all staff have completed the local County Councils training in the Alerters guide. The Registered Manager has also completed the Enhanced course. Some staff have completed training in Mental Capacity Act 2005 and Deprivations of Liberty and plans are in place for all staff to undertake this training. The home has not made any referrals to the local Adult Care Homes for Older People Page 19 of 28 Evidence: Protection Unit. The Registered Manager is very confident that all staff know how to recognise if they observe poor practice by another member of staff. The Registered Manager said that because staff have frequent checks on their competencies by herself and the deputy manager they would identify any issues and address them promptly. The Registered Manager said the home does not use any form of restraint. We asked staff in the survey we sent to the home for them to complete, do you know what to do if someone has concerns about the home, all nine staff said yes. One person who uses the service had comment in the section of the survey that asks what does the home do well I feel secure. The Registered Manager confirmed that people are able to vote in the planned general election and one person was able to show us that they have a postal vote. Care Homes for Older People Page 20 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Hampton House is not a purpose built care home however people live in a well maintained, comfortable and safe environment. Evidence: Hampton House is not a purpose built care home but aids have been provided to assist people and these include a shaft lift and assisted bathing facilities. We toured parts of the home and viewed peoples rooms with their consent. The home is maintained to high standards and the Registered Manager spoke about their ongoing plans for refurbishment of the home. The parking area and the front of the home are well maintained and this provides a good impression of the home. The rear gardens where the majority of people like to sit are also exceptionally tidy and people said a lovely place to sit. We viewed a number of bathrooms and found that in some cases locks are not provided on the doors. The standard of cleanliness in the home is also very high and people spoken with also agreed. The laundry area was not inspected but people said on the whole the their clothes are well looked after but things can go missing. The Registered Manager said that as part of the key workers role they have to check that peoples clothing is marked. A contract is in place for the safe removal of continence products. Staff have attended training in infection control. We asked people in the surveys we sent to them, is the home clean and fresh nine people said always and one person said usually. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is confident that the staffing competencies and levels are meeting the needs of people who use the service. Evidence: The staffing levels for care and ancillary tasks were discussed with the Registered Manager who felt that they are sufficient to meet the needs of people who use the service. She said that staffing levels can be altered to reflect the changing needs of people if necessary. Care staff undertake some other tasks to include activities, laundry and serving the evening meal but the Registered Manager felt that as the dependency levels of people are low this does not impact on people having their personal care needs met. We asked people in the surveys we sent them, are the staff available when you need them eight people said always and two people said usually. People we spoke with during the inspection all praised the staff and comments included they are very good and helpful, wonderful staff and very caring staff. Comments we received in the survey include staff have a gentle kind way with the people and the home employs very good staff to deal with the caring jobs we require. The feedback we received from staff is that they enjoy working at the home and they feel supported by the management. All staff felt they look after people who use the service very well and one member of staff commented Hampton House is a very warm and inviting home and all needs of residents and staff are number one priority. The AQAA states that nine staff have left the home in the last Care Homes for Older People Page 22 of 28 Evidence: 12 months and the Registered Manager explained it because the staff are not meetings the competencies set by the home. Several staff had commented about this in the surveys. The homes AQAA states that they are below the recommended 50 percent of care staff with an NVQ 2 or above in health and social care. The Registered Manager said they are encouraging care staff to undertake this training and two care staff have started NVQ 2 training and two more are planning to start shortly. The Registered Manager has made some changes to their recruitment procedure since the last inspection to help them when appointing staff and this includes obtaining three references. We looked at the recruitment records of three staff who were most recently appointed. All three had the required pre employment checks in place but we found that one member of staff had one gap in their employment history but the other two were all correct and we saw evidence that one was checked at interview. All three staff had an Independent Safeguarding Authority Adult first check in place and Criminal Records Bureau Disclosure (CRB). Best practice would suggest that new staff do not start working at the home until the CRB is received by the home and this was the case for one member of staff. We looked at the homes induction prgramme and it is based on the Skills for Care Common Induction Standards and there is also section which is pertinent to the home. Each new member of staff is allocated a mentor and for care staff this is either the Registered Manager or the deputy manager. A record is maintained of this. We saw that new staff are supernumerary and the period is dependent on the individual member of staff. We also saw evidence that new staff are supervised whilst the home is waiting for the return of their CRB. The Registered Manager or deputy manager undertake observed practice on new staff and we saw records of these. We asked staff in the surveys we sent, did your induction cover everything you needed to know to do the job when you started, all nine staff said very well. A training matrix is in place and this has information about when staff undertook training and when it is due again. The home does some in house training and staff have access to external training. Staff undertake training in mandatory subjects to include moving and handling, first aid, fire, infection control. Other training includes medication and abuse. We saw a number of training certificates for staff. The feedback we received from staff is that they have access to ongoing training. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of this home is based on openness and respect. They have an effective quality assurance system that has been developed by a qualified and competent management team. Evidence: Hampton House is owned by Mr and Mrs Elliott. Mrs Elliott is also the Registered Manager. They have been running this home for over 11 years. Mrs Elliott has completed the Registered Managers Award and NVQ 4. She also undertakes other training pertinent to her role and to keep up to date with any changes in legislation. The deputy manager has been in post for 2 years and has over 10 years experience in care. People spoken with were very complimentary about the management team. In the feedback we received from the staff they said they are very well supported by the management team and felt they run the home in the best interests of people who use the service. The management team told us that they feel it is important to encourage the staff to provide ideas that could improve the home and they have a reward scheme in place if any ideas from staff are implemented. Care Homes for Older People Page 24 of 28 Evidence: We received the homes AQAA on time and it contained detailed information about what they feel they do well and any areas they are looking to improve on. The AQAA also contains numerical information called Dataset. As the Registered Provider is also running the home on a day to day basis with the Registered Manager they do not have to undertake unannounced Regulation 26 visits. We looked at the homes quality assurance system they have in place and this includes questionnaires for people who use the service and audits. The results of recent questionnaires sent to people by the home were seen and these were complimentary . The management team undertake a number of audits on a frequent basis and records were seen of these. The home do not store or manage peoples monies for them as people are provided with lockable facilities in their rooms. The home has recently started a shopping service for people who do not have friends or family to assist them. Details records and receipts are kept. We looked at the system the home has in place for supervision of staff. Both the Registered Manager and deputy manager undertake supervision sessions. Competencies of staff are also checked frequently and detailed records are maintained of this. Appraisals for staff take place at about 6 monthly intervals once their probationary period has been completed. The home exceeds the recommended 6 sessions per year. Records were seen of ongoing servicing and maintenance of equipment. The AQAA also provided some of this information. We saw checks on water temperatures to make sure they are within safe limits, checks for Legionella and all fire checks were in place. We did recommend that a risk assessment for Legionella could be beneficial. A fire risk assessment is in place and we suggested ways on how they could improve this. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 Care plans should be in place for all people who are prescribed prn or as required medication as this will help to make sure care staff follow the same instructions when using it. For people who are prescribed pain relief the actual time and number of tablets should be recorded on the MAR. 2 9 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!