Inspection on 22/11/05 for 27 Hamilton Road

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

27 Hamilton Road 05/11/08

27 Hamilton Road 15/11/06

27 Hamilton Road 07/06/05

27 Hamilton Road 05/01/05

27 Hamilton Road 27/07/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 27 Hamilton Road Reading Berkshire RG1 5RA Lead Inspector Robert Dawes Unannounced Inspection 22nd November 2005 10:45 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 27 Hamilton Road Address Reading Berkshire RG1 5RA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0118 935 1762 0118 9268214 Paramount Housing Association Limited Mrs Pauline Gregg Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13) of places 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users not to be admitted who are over 65 years of age. Date of last inspection 7th June 2005 Brief Description of the Service: 27, Hamilton Road is a care home providing personal care and accommodation for thirteen adults with mental disorders, excluding learning disability or dementia, three of whom are over sixty-five. Hamilton Road was the first care home opened by Paramount Housing Association in July 1988. It is a detached house built at the turn of the century, located on the east side of Reading close to Palmer Park. The area provides excellent facilities for all kinds of leisure pursuits and there are many local shopping amenities either within walking distance or on local bus routes. The house comprises three floors and a basement area, providing accommodation in the form of thirteen single bedrooms. Service users share bathrooms and toilets. Washbasins are provided in each room. The communal area is spacious and there is a large rear garden. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which was carried out between 10.45 am and 1.45 pm on Tuesday 22nd November 2005. The Inspector looked at records and spoke with two senior care officers and three service users. Six standards were assessed. Five standards were met. One standard was almost met. Three recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Number 2. The home undertakes a pre-admission assessment but more information needs to be obtained from health and social services. EVIDENCE: The home has an admission procedure. The file of the most recently admitted service user had a pre-admission assessment. This service user was referred through Care Management and the file should also have contained a summary of the health and social services assessment and a copy of the single Care Plan. The senior care worker informed the inspector that obtaining detailed information from social services and health is a constant problem. This has resulted in staff not knowing vital information and as a consequence problems occurring that could possibly have been averted. The Inspector recommended that the organisation address this issue with the appropriate health and social services personnel. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Number 6. Service users know their assessed and changing needs and personal goals are reflected in their individual plans. EVIDENCE: All the service users, except the most recently admitted service user, had an individual care plan. The key worker was in the process of producing one for this person. The key worker and the service user review the care plan every six months and meet for progress reviews every month. A Care Programme Approach review, which involves the service user and key professionals, takes place every year (on one file the last record of a CPA review was March 2004). The records of the six monthly and monthly reviews between the key worker and the service user are written in a way that suggests the service user is being told what to do. The inspector recommended the records are written in the first person, i.e. ‘I will …’. This gives the service user more ownership of the plans and places the responsibility for achieving the goals with them rather than on the staff. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed at the previous inspection. EVIDENCE: 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed at the previous inspection. EVIDENCE: 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Numbers 22 and 23. Service users feel they can express their views. Service users are protected from abuse, neglect and self-harm. EVIDENCE: The home has complaints procedures. A summary of the procedures is displayed on the home’s notice board. Service users said they feel able to express their views direct to staff or at the weekly residents meeting. A record is kept of serious complaints. The home has procedures for responding to suspicion of abuse (including whistle blowing). The manager has reinforced the importance of staff reporting any concerns. Staff interviewed were clear about how they would respond if they suspected a service user had been abused. Two members of staff have attended vulnerable adult training. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed at the previous inspection. EVIDENCE: 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Number 35. Appropriately trained staff meets service users’ individual and joint needs. EVIDENCE: New staff receive structured induction and foundation training. All members of staff, except one, have achieved a NVQ 3 in care. All members of staff have attended basic care training. The majority of staff have attended training courses to improve their understanding of mental illness and achieved the diploma in psychiatry. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Number 42. The health, safety and welfare of service users are promoted and protected. EVIDENCE: Records seen by the inspector showed that the manager ensures as far as reasonably practicable the health, safety and welfare of service users. 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 27 Hamilton Road Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000011055.V253652.R01.S.doc Version 5.0 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA2 Good Practice Recommendations The organisation should address the problem of insufficient information being provided by health and social services with the appropriate health and social services personnel. The six monthly and monthly reviews between the key worker and service user should be written in the first person rather than in a form which appears that the service user is being told what to do. All staff should attend vulnerable adults training. 2 YA6 3 YA23 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 27 Hamilton Road DS0000011055.V253652.R01.S.doc Version 5.0 Page 18 - 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. 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