Inspection on 07/06/05 for 27 Hamilton Road

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 22/11/05

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 Berks RG1 5RA Lead Inspector Robert Dawes Unannounced 7 June 2005, 1.0 pm 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 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 Stationary 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 H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 27 Hamilton Road Address 27 Hamilton Road, Reading, Berks, RG1 5RA Telephone number Fax number Email 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 Paramount Housing Association Ltd Mrs Pauline Gregg Care Home (CRH) 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD) of places 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can provide care for service users who are over 65 years of age for as long as their assessed needs can be met. Date of last inspection 7/01/2005 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 H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 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 1.0 pm and 4.0 pm on Tuesday 7th June 2005. The Inspector toured the premises and spoke with the manager and six service users. Twenty standards were assessed. Eighteen were met and two were commendable. No requirements were made. What the service does well: What has improved since the last inspection? What they could do better: Although the staff team is stable and experienced another staff member needs to be recruited as soon as possible. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 6 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 H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 8 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 standard(s) This section was not inspected. EVIDENCE: 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 9 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 standard(s) 7, 8 and 9. Staff respect service users’ right to make decisions. Service users are offered opportunities to participate in the day to day running of the home. Staff enable service users to take responsible risks. EVIDENCE: Decisions that limit the freedom of all the service users, i.e. food cupboards being locked other than at meal times, are agreed at service user meetings. The service users who are on supported diets have agreed to the diets and signed their care plans. Any limitations to the right of service users to make decisions are regularly assessed. Service users are happy with these procedures. The manager is very aware of the difficult balance between service users’ right to make decisions and protecting their health and welfare. Service users hold their own benefit books, manage their own money and operate their own bank accounts. The personal money of one service user is held by the manager and records kept of withdrawals and deposits. Views from service users about how the home should be run are gained at the weekly service users meetings, monthly key worker meetings and through informal individual discussions, i.e. the service users decide how the home is decorated and chose the holiday for this year. The organisation has invited 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 10 service users to join planning committees. Service users meet prospective members of staff and express their views as to the suitability of the person to be employed to the manager. Service users, with the assistance of staff if required, are responsible for various household tasks, i.e. keeping their own rooms clean and personal laundry. Service users are encouraged to be as independent as possible. Action is taken to minimize identified risks, and service users are given training about their personal safety, to avoid limiting the service user’s preferred activity or choice. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 11 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 standard(s) 11, 12, 13, 14, 15, 16 and 17. Service users have opportunities to learn and use practical life skills. Staff help service users to find and keep appropriate jobs or take part in fulfilling activities. Staff support service users participate in the local community. Service users engage in appropriate leisure activities. Staff support service users to maintain family links and friendships. The daily routines and house rules promote independence, individual choice and freedom of movement. Service users are offered a healthy diet and enjoy their meals. EVIDENCE: One service user has part time employment at a local supermarket and two service users undertake jobs at the resource centre for payment two days a week. Service users said they attend a range of day centres, drop-in centres, and college courses. All the service users have activities plans which take into account their preferences, capabilities and emotional stability. The home is situated close to local services and facilities which service users are encouraged to access. The service users said they go swimming, eat at 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 12 local cafés, and go to local pubs, shops, parks, and the library. A member of staff will accompany a service user if requested. Group day trips are planned and chosen by service users. The home is going to Weymouth for their annual holiday this year. Service users are encouraged and supported to pursue their own interests and hobbies. An activities evening for service users takes place every three weeks when they can take part in quizzes, painting, music etc. Service users said they are very pleased with the range and number of activities they can take part in. The staff and service users have been actively fund raising through raffles, seasonal parties and other events to increase the number of outings and activities. Service users informed the inspector that family and friends are welcomed and invited to communal activities. Service users are encouraged and enabled to visit relatives and friends. Service users are offered a key to their own rooms and to the front door of the home. They can choose when to be alone or in company and have unrestricted access to the home and grounds. Rules on smoking, alcohol and drugs are clearly stated in the contract. Service users are responsible for cleaning their own rooms, personal laundry and various domestic tasks around the home, unless they are physically unable to fulfil these jobs. A domestic is employed for three hours a day, as the service users are ageing and now unable to be responsible for all the household tasks. Service users informed the inspector that they are well fed, have choice, diets are catered for and they contribute to the menu. Service users prepare their own breakfast and lunch. Service users prepare evening meals and staff cook. The menu showed a varied and balanced range of meals. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 13 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 standard(s) 18, 19 and 20. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. The home operates a very thorough monitoring system for the storage, administering, recording and disposal of medication. EVIDENCE: Service uses said they have complete choice about what they do, what they wear and where they go within restrictions agreed between themselves and the staff. Staff are supportive and generally respectful. Very occasionally staff allow their personal problems to impact on how they relate to service users. Service users are supported and facilitated to manage their own healthcare i.e. make appointments with health professionals and attend appointments on their own. Service users said they attend regular health checks and have their physical and mental health care needs well met. Since coming to the home, a service user has worked with the staff to reduce her weight and has lost twelve stone. No service user self-medicates. The home operates a very thorough monitoring system for the storage, administering, recording and disposal of medication. No member of staff administers medication before they have received appropriate training and been assessed by the manager. Six staff have 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 14 completed the Intermediate Certificate in the ‘Safe Handling of Medicines’. A pharmacist visits the home every three months to check the medication process. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 15 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 standard(s) This section was not inspected. EVIDENCE: 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 16 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 standard(s) 24 and 30. The home’s premises are suitable for its stated purpose, accessible, safe and well maintained. The home is kept clean and hygienic. EVIDENCE: The spacious home is generally well decorated and furnished due, in no small part, to the efforts of the manager and staff. Bathrooms are due to be refurbished and bedrooms decorated. The home was clean and hygienic. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, and 36. Service users are supported by competent and qualified staff. An effective staff team supports service users. Service users benefit from well supported and supervised staff. EVIDENCE: The home benefits from a very stable, experienced and knowledgeable staff team all of whom, except one, have NVQ 3 in care. The staff member without a NVQ has other relevant qualifications and will shortly be enrolling on the NVQ 4 in care course. The current staff compliment is the manager, five full time senior care officers and a domestic employed for three hours every weekday. There is a current care hour deficit that is covered by the manager and her staff. Some shifts have only one care officer on duty. The Inspector considers this is a satisfactory temporary arrangement as staff members have the necessary skills and experience plus back up is available if required. The manager is actively recruiting for a new member of staff. The manager receives supervision every month and staff are formally supervised a minimum of six times a year. Supervision is thorough and covers 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 18 the key areas to ensure service users have the best possible care. Regular staff meetings also take place. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 39. The registered manager is qualified, experienced and competent to run the home and meet its stated purpose, aims and objectives. Effective quality assurance and quality monitoring systems are either in place or being developed. EVIDENCE: The manager has the Certificate in Management is knowledgeable, experienced and runs the home competently and conscientiously. The manager measures success in achieving the aims and objectives of the home through weekly service users meetings, staff meetings, monthly meetings between service users and key workers, monthly audits of the home by a senior manager of the organisation, and monthly quality assurance assessments of the home. A service user satisfaction questionnaire was distributed to the service users in January 2005. A questionnaire for visiting professionals and relatives is in the process of being developed and will be 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 20 distributed at the same time as the service users’ questionnaire next year. An annual development plan has been developed. 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 21 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 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 27 HAMILTON ROAD Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 x 3 x x x x H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 22 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. 1. Standard Regulation None 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 None Good Practice Recommendations 27 HAMILTON ROAD H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 H51-H01-S11055-27 Hamilton Road-V230701070605-Stage 4.doc Version 1.30 Page 24 - 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!