Inspection on 29/11/07 for 3 Hampden Terrace

This inspection was carried out on 29th November 2007.

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

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 3 Hampden Terrace Latimer Road Eastbourne East Sussex BN20 7BL Lead Inspector Lucy Green Key Unannounced Inspection 29th November 2007 1:30 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 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 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 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. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3 Hampden Terrace Address Latimer Road Eastbourne East Sussex BN20 7BL 01323 720871 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) Mr Paul Hussey Miss Nicola Shrimpton Miss Nicola Shrimpton Care Home 3 Category(ies) of Learning disability (0) registration, with number of places 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 3. Date of last inspection N/A Brief Description of the Service: 3 Hampden Terrace is an attractive and spacious property that is located just back from the Eastbourne seafront, with the town centre a short walk away. The home is registered to provide residential support to three younger adults with Asperger’s Syndrome. Resident accommodation provides each individual with their own single bedroom. All bedrooms have been decorated and furnished to reflect individual tastes and interests. Communal areas provide a lounge, kitchen and dining area. A small, decked area is provided at the rear of the property. The home seeks to promote autonomy and choice and residents are encouraged to work towards achieving independent living. Residents are supported to access a range of educational, vocational and leisure activities as appropriate. Autism & Asperger’s Care Services is the Registered Provider of 3 Hampden Terrace. The Provider has two other registered properties which have been accredited by the National Autistic Society. More detailed information about the services provided at the 3 Hampden Terrace, including the range of fees can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained, along with the CSCI inspection reports on request from the home. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 3 Hampden Terrace have requested to be referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from representatives and an unannounced site visit which lasted for three and three quarter hours on Thursday 29 November 2007 between the hours of 1:30pm and 5:15pm. The site visit included a discussion with the people available in the home, a tour of the premises and an examination of some care and staffing records. There were three residents living at 3 Hampden Terrace at the time of this inspection visit. The home therefore has no vacancies at the current time. During the visit, the Inspector met with all of the people living at the home and had private conversations with two of them. The Inspector also spoke individually with the Registered Manager and two support workers. What the service does well: 3 Hampden Terrace has been open for six months and that time has demonstrated its ability to provide a specialist service to younger adults with Asperger’s. Both the management team and staff were found to have the necessary skills and experience to deliver this service well. The home has excellent strategies in place to enable residents to develop new skills and work towards achieving independence. Each resident has a comprehensive care plan in place that provides staff with detailed guidance about how they should provide support. Despite the majority of support being provided by staff lone working, communication is maintained by daily handovers and weekly staff meetings where everyone is encouraged to learn from and challenge each other to ensure that care is delivered in the most effective and consistent way. Residents are supported to be fully involved in the running of the home and their rights and responsibilities as adults living together are fully respected. Residents have access to opportunities that develop their educational, vocational and social needs. Activities are planned and facilitated across a twenty-four hour period, seven days each week. Two residents have been supported to find voluntary part-time employment and appropriate work is currently being researched for the third resident. On 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 6 the day of the inspection, residents were busy participating in their planned activities, which included bowling, conservation work and a trip to the local pub to play pool. The home is an attractive and spacious property with a location that facilitates independence. The residents have been fully involved in the decoration and furnishing of the home. Each resident has their own key to the front door as well as to their bedroom. 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. The summary of this inspection report can be made available in other formats on request. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are comprehensively assessed prior to moving into the home. EVIDENCE: There have been three admissions to 3 Hampden Terrace since the home opened in May 2006. Two people moved from other services and one resident transferred at his own request from another home that is owned and managed by Autism and Asperger’s Care Services. The Inspector viewed the assessment information for the two residents who moved from the other services. These provided evidence that a thorough assessment process had been undertaken prior to both people coming to live at the home. Documentation showed that information had been gathered from a variety of sources, which also included the opportunity for the resident to identify their 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 9 own needs. The pre-admission assessment included gathering reports and feedback from a range of professionals and relatives and ensured that a wide range of areas were covered including; long and short term goals, health, social, sexuality and behavioural needs. Both residents had had the opportunity to visit the home prior to admission and choose their bedroom and decoration. The Registered Manager visited one resident at their previous placement on several occasions to assess them in their own environment and obtain a thorough handover from the people who used to support him. There was evidence that both individuals had received the minimum three month ‘settling in’ period, with a review after the initial month. Since that point, regular reviews have been conducted and a discussion with the residents, staff on duty and the Registered Manager all confirmed that both people have settled in well at 3 Hampden Terrace. One resident told the Inspector “I have settled in really well, it’s brilliant”. The Inspector was able to establish from the documentation in place and discussion with all relevant parties that the information gathered at the assessment stage is used to inform a comprehensive care plan which evidences that the home can fully meet this individual’s needs and aspirations. The home operates with a policy not to accept emergency admissions as purports that any new resident must be properly assessed as compatible with those currently living at the home. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the 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 high standard of care planning provides staff with an excellent foundation to support residents in a way that both enables and protects them. Residents are fully consulted and involved in all decisions about their lives. EVIDENCE: Through discussion with staff and observation of their practices, it was demonstrated that they have good relationships with the people they support and an excellent understanding of their needs. This is of great testimony to the service which has only been open for six months. Discussion with staff revealed that their understanding and practices are a reflection of the high standard of care planning at 3 Hampden Terrace. The Inspector viewed the care plans in place for two residents which were both found to comprehensively outline their care needs in an accessible way. The 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 11 two staff members spoken with confirmed that care plans are integral to the way they work. It was evident during the inspection that care plans are working documents that are referred to and utilised every day. 3 Hampden Terrace has implemented the same care planning system as in place at the other two registered service run by this Provider. Goal setting and monitoring are fundamental principles in the way care plans are constructed. Both care plans viewed contained individual goals for each resident to enable them to achieve maximum independence and develop their skills. Each goal is backed up by a training plan which explains how staff should support residents in order to achieve that goal. Goals are monitored and discussed regularly with the resident and reviewed formally at least every six months. Staff demonstrated that they are aware of the goals in place and how they should provide support to assist each resident achieve their goals. A full care review is held at least once every six months, with interim mini reviews in-house. Minutes from these meetings were viewed and found to be detailed and focused and where appropriate adopt a multi-disciplinary approach. A range of detailed risk assessments were found to be in place for both of the residents’ case tracked. The home has a positive approach to risk taking and residents are supported to take risks to maximise choice and independence. Through careful risk assessment and support plans, it was in evidence that the home has enabled residents to make real achievements – even in the short time that people have lived at the home. Conversation with one resident verified that the service explains risks to residents for them to consider when they are making choices about their lives. The Registered Manager confirmed that residents are aware of the risks they take and know when to request additional support when things are difficult for them. Risk assessments have been developed in line with the ‘triad of impairment’ approach which reflects the individual’s imagination, social/communication and interaction skills. Each risk assessment is directly linked to a training and support plan which shows how that risk is managed. There was evidence that risk assessments are regularly reviewed and updated. Evidence gathered from documentation and observation of staff supporting residents during the inspection, highlighted that the home provide a service where residents are encouraged and supported to lead independent lives. It was noted that where rights have to be limited for the well-being of residents these are fully agreed with residents and ‘behaviour contracts’ are compiled and agreed by all parties. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are appropriately supported to lead independent lives and to develop their educational, vocational and social skills. Residents have the opportunity to plan and prepare their own balanced and nutritious meals. EVIDENCE: On arrival at the home, it was immediately evident that the residents at 3 Hampden Terrace lead active and fulfilling lives. The Inspector was greeted on arrival by one resident who talked about the bowling outing that had occurred that morning and his afternoon plans to go to a local pub to play pool. Another resident returned from voluntary employment during the course of the inspection. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 13 Each resident has an activity timetable in their bedroom which shows that they participate in a range of appropriate and fulfilling activities. The philosophy of this service is to develop individuals’ life skills and support residents to achieve maximum independence. A current focus for staff is in supporting residents to move into employment. Two residents currently undertake voluntary parttime employment and suitable work is being explored for the third resident. One resident told the Inspector that he really enjoys his part-time job at a local garage and that staff are supporting him to find a suitable mechanic apprenticeship at college. Residents are fully involved in the running of the home and evidence gathered from residents’ meeting minutes highlighted that the service proactively supports residents to understand the rights and responsibilities attached to living with other people. Consequently time is built into their schedules to undertake household tasks. The information provided by the weekly timetable, care plans, discussions with residents and staff revealed that residents continue to access a range of educational, vocational and social activities. The planning of activities is arranged across morning, afternoon and evening periods, seven days per week. Residents are fully integrated with their local community and make use of available facilities, including; the library, banks, pubs, restaurants, shops and leisure clubs. One resident told the Inspector how he attends the gym three times each week which he really enjoys. At the time of the inspection, it was observed that residents speak openly to staff about the things they enjoy and the things they do not like and staff respond appropriately and flexibly to their requests. One resident told staff that he wished to change his afternoon plans as he need some ‘space’ and this was respected. Each resident has their own key to the home, as well as to their bedroom door. During the inspection, it was evident that residents have the freedom to live their lives as they choose, whilst understanding the need to be respectful to the other people they live with and to maintain their safety via a risk assessed framework. The home has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that the home supports residents to meet with and receive visits from their relatives and friends. The Manager and two staff spoken with confirmed that each resident has relatives who are actively involved in their care and it was clear that the home understands the importance of good relationships with other stakeholders. Resident reviews include the opportunity for residents’ relatives/representatives to attend if the resident wishes. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 14 Meals at 3 Hampden Terrace are prepared according to a rotating menu. The menu is drawn up in consultation with residents to reflect the meals they wish to have. The menu is also reflective of individual likes and dislikes and therefore some days different meals are prepared for different residents. Residents also have responsibility for the purchasing of ingredients, preparation and cooking of their own meals. The menu displayed showed that it had been recently updated and included a range of varied and well-balanced meals. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the provision of flexible and respectful personal and healthcare support and are protected by the systems in place to manage medication. EVIDENCE: Residents at 3 Hampden Terrace largely manage their own personal care. Staff support is provided by the offering of verbal prompts at identified key times. Risk assessments are in place to ensure the safety of residents at all times. The philosophy of the home is to support residents to achieve maximum independence and systems are in place to assist residents to take full responsibility for their own personal care. Care plans provide detailed guidance for staff as to how they should support each individual. Weekly staff meetings provide the opportunity for staff to discuss the way support is provided and ensure that care is delivered consistently by all parties. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 16 Staff support residents to ensure their health needs are met. Care plans contain a record of any visits or contact with healthcare professionals, along with the monthly monitoring of residents’ weights. One resident told the Inspector how the home was supporting him to lead a more healthy lifestyle. He now goes to the gym three times a week and had reduced smoking from sixty cigarettes a day to thirteen. It was evident that this had been achieved through education and introducing a more robust\routine into his life. Systems are in place to ensure medication is managed appropriately. Staff receive appropriate training in the management of medication and undertake a comprehensive competency test. The home supports residents to work towards managing their own medication within a risk assessment framework. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and visitors to the home benefit from and are protected by, the open culture at 3 Hampden Terrace. EVIDENCE: The home has a complaints procedure in place and a copy is kept in the lounge for residents’ and visitors to access. Neither the CSCI nor the home however have received any complaints about the service at 3 Hampden Terrace since the home opened in May 2007. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. Residents are encouraged to voice their opinions about the things they like and dislike. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to robust recruitment procedures and the necessary checks being undertaken. There are systems for supporting residents’ with their finances which include monies being checked and signed for each day. The Registered Manager and two staff spoken with demonstrated that they were aware of their responsibilities in respect of protecting vulnerable adults. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a homely, safe and comfortable environment that meets their needs. EVIDENCE: The Inspector undertook a partial tour of the home, which included the communal areas and two bedrooms. One of the residents was out for the majority of the inspection and therefore his bedroom was not viewed. 3 Hampden Terrace is a spacious and attractive house that is located close to Eastbourne seafront and a short walk from the town centre. The home has been decorated and furnished to a high standard. The home comprises of three single bedrooms and an office/sleep-in room. The kitchen, lounge and dining room provide residents with sufficient communal space to meet their 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 19 needs. Residents have access to a decked garden area at the rear of the property. Residents are supported to take responsibility for keep the home clean and tidy and this was found to be the case at the time of the inspection. As this is newly refurbished home, there were no outstanding maintenance issues although the home will be implementing a rolling maintenance programme as it becomes necessary. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a dedicated and competent team of staff and are protected by the robust recruitment procedures. Staff have both the skills and support to enable them to perform their roles effectively. EVIDENCE: 3 Hampden Terrace is a small home that provides support to three relatively independent people. The majority of shifts are therefore staffed by one support worker during the day and at night one staff member sleeps-in. Discussion with the Registered Manager and two support workers identified that the residents’ needs are currently being met by the staffing mix and levels. As the home has only been open for six months, this is still a new team of staff, but the feedback and observation at the time of the inspection indicated that residents were well supported. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 21 As staff undertake the majority of their shifts, the home has therefore developed a variety of systems to ensure the effective handover of information and communication across the staff team. As such, weekly staff meetings and monthly supervisions are held. During the inspection, the daily handover was observed and the staff member going off duty completed a written handover in the communication book. Both staff members spoken with said that they believed the handover sessions and regular meetings were an important way of communicating and discussing ideas and approaches and ensuring all staff work in the same way. At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. Discussion with the Registered Manager and examination of two staff files identified that staff training is ongoing. There was documentary evidence that new staff members were in the process of completing an induction programme in line with Skills for Care. Staff files also provided evidence of a robust system of recruitment being in place – with all the correct documentation and checks being in situ. Staff have access to a raft of mandatory and specialist training including; fire safety, first aid and adult protection. The home also provides staff with Asperger’s specific training including; person centred planning, sexuality and social integration skills. There was evidence that on completion of the induction and mandatory training courses, staff commence National Vocational Qualifications. In information submitted by the Registered Manager prior to the inspection, it was stated that two of the four staff members currently have NVQ Level 2 in Care. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the home being run by an experienced Manager who ensures the home is run safely and efficiently. The organisation has robust systems in place to self-audit and improve. EVIDENCE: The Registered Manager is a skilled and experienced practitioner who has completed the Registered Managers’ Award and is currently working towards NVQ Level 4 in Care and Management. She has many years experience of working with people with autistic spectrum disorders. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 23 The philosophy of Autism & Asperger’s Care Services is for staff and management to work together as a close team and this is reflected at 3 Hampden Terrace in the high quality of service that home provides to the people who live there. Staff stated that they feel valued and their ideas listened to. The home has a number of systems in place to self-audit. These include daily handovers for staff, weekly team meetings and monthly supervision sessions. Residents’ meetings are held each week and minutes are recorded. Relatives are given both formal and informal opportunities to provide feedback on the service. The Registered Provider has an office at the rear of the home and therefore he has regular oversight of the running of this service. In information submitted to the CSCI by the Registered Manager on 12 October 2007, it was evident that 3 Hampden Terrace has various systems in place to ensure the Health and Safety of the home are maintained. The home is a small domestic type dwelling and the Inspector did not have cause to question the way health and safety is maintained. The records in respect of health and safety were therefore not inspected on this occasion. 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 25 N/A 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. Refer to Standard Good Practice Recommendations 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 3 Hampden Terrace DS0000069807.V350376.R01.S.doc Version 5.2 Page 27 - 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. 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