Inspection on 19/01/06 for 45a, Hampton Road

This inspection was carried out on 19th January 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

45a, Hampton Road 22/08/06

45a, Hampton Road 31/08/05

45a, Hampton Road 07/12/04

45a, Hampton Road 09/07/04

45a, Hampton Road 06/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Hampton Road 45a Teddington Middlesex TW11 0LA Lead Inspector Simon Smith Unannounced Inspection 19th January 2006 11:30 Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hampton Road 45a Address Teddington Middlesex TW11 0LA 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) 020 8977 5406 020 8977 5406 hampton.road@unitedresponse.org.uk None United Response Mrs Jacqueline Mary Mackinney Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 Brief Description of the Service: The home was opened in 1996 and is registered with the CSCI to accommodate a maximum of five adults with learning disabilities, two of whom may have physical disabilities. The property is owned and maintained by Thames Valley Housing Association. The service is managed by United Response, a not-forprofit provider of community services for people with learning disabilities. The home benefits from proximity to public transport networks and good shopping and community facilities. A high standard of decoration has been achieved throughout and the property has a well-maintained garden. The aim of the service is to provide a safe, comfortable environment, with a homely and inclusive atmosphere, where the client groups needs are accommodated as fully as possible. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the course of a single visit and involved speaking to residents, a visiting relative, the manager and members of staff. A sample of records was examined and a tour of the building made. The inspector was made welcome and wishes to thanks residents, visitors and staff for their help during the inspection. The home met 25 of 29 National Minimum Standards assessed at this visit. Two Standards were exceeded. Two Standards were almost met and two Requirements were made. What the service does well: What has improved since the last inspection? What they could do better: Review risk assessments more regularly. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 the following standard(s): 2, 3 Residents’ strengths and needs are effectively identified. Residents receive good support to achieve their goals and aspirations. Staff have the qualities and skills needed to support residents. EVIDENCE: Care plans demonstrate that residents’ needs are accurately identified through the assessment process and that this information forms the basis of care and support delivered. The home is committed to developing individual plans that are person-centred and reflect residents’ needs and aspirations. Staff liaise effectively with other professionals and residents receive support to access specialist services when necessary. The design and layout of the home meets the needs of those who live there. Staff know residents well and have the qualities and skills needed to support them. The home is registered to accommodate residents between the ages of 18 and 65 years. The manager advised that one resident has reached the age of 65. The Registered Person must therefore submit an application to the CSCI to vary the home’s registration category. See Requirement 1. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 the following standard(s): 6, 9, 10 Care plans reflect residents’ individual needs, aspirations and preferences. The home manages risk appropriately but some risk assessments require review. Confidential information is stored and handled appropriately. EVIDENCE: Each resident has an individual care plan, which records their strengths, needs, likes and dislikes and preferences in terms of routine. Goals and aspirations are recorded and the support needed to achieve these objectives is identified. Progress towards achieving goals is reviewed regularly. Communication profiles have been developed for each resident, which identify personal communication methods and provide guidance for staff in their work with residents. There is a clear corporate policy addressing risk assessment and management. Staff are provided with appropriate training in this area and sign to record their understanding of risk assessments relating to residents. Risk assessments on file were clear and linked appropriately to residents’ care plans. The Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 10 organisation’s policy states that risk assessments should be reviewed every six months. A number of risk assessments on file were performed in June 2005 and required review. See Requirement 2. United Response has a ‘Confidentiality’ policy. The policy sets out clear guidelines for staff concerning the storage, access, handling and usage of confidential information and complies with the Data Protection Act (1998). All sensitive information was stored appropriately. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14, 15, 16, 17 Staff are proactive in identifying new opportunities for day services. Residents receive good support to access their local community and take part in stimulating activities. Residents receive good support to develop friendships and to maintain contact with their relatives. The home’s menu is varied, well balanced and takes account of residents’ needs. EVIDENCE: The manager and staff are aware of plans to close the resource centre used by residents. As a result of these plans, staff have investigated other opportunities for residents to develop individual programmes of day services. The resource centre has appointed a linkworker to work with the home and the manager reported that his liaison with the service has begun to generate positive results. The manager added that the linkworker has been willing to Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 12 review activities and to change or adapt them where necessary to meet residents’ needs. The home has been allocated a new minibus since the last inspection, which the manager said had proved a valuable asset in increasing opportunities for residents. Residents are actively opportunity to take part some residents recently others attended a ballet also make use of local spaces. involved in their local community and have the in a variety of events with staff support. For example watched a rugby international at Twickenham whilst performance. Care plans demonstrated that residents amenities such as leisure centres, parks and open Residents receive good support to develop friendships and to maintain contact with their relatives. Almost all residents have some family contact. Residents are supported by staff to maintain contact with relatives who are unable to visit the home. The relative spoken to during the inspection reported that she is made welcome when she visits and that she is able to contribute to the development of the service through meetings and consultation. Residents are encouraged to celebrate birthdays and other occasions at the home. Interactions between staff and residents was positive during the inspection. Residents have unrestricted access to all communal areas of the home and are able to have privacy when they want it. Residents’ wishes and needs are clearly identified in their individual plans. Staff used appropriate forms of address when speaking to residents. Much planning has been invested in developing a menu that meets residents’ individual needs and preferences and staff have liaised closely with the dietician to achieve this. Residents ate well at lunchtime on the day of inspection and staff provided appropriate support when needed. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20 Residents receive good support to access community and specialist healthcare resources where necessary. Changes in need are effectively identified and receive an appropriate response. Medication is stored, recorded and administered appropriately. EVIDENCE: All residents are registered with local general practitioners and access other community healthcare resources as necessary. Staff on duty demonstrated a good knowledge of residents’ healthcare needs and an awareness of individual guidelines for delivering care. Each resident has a ‘Health and Well-being’ file, which includes a detailed ‘Medical Profile’. This provides good information about residents’ healthcare needs, recording any preferences regarding treatment and identifying any specialist equipment or adaptations needed. Any healthcare professionals involved in the resident’s care are listed and a record of treatment is kept for each resident. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 14 The inspection provided good evidence that any changes in residents’ needs are effectively identified and that staff respond appropriately to these changes. For example, the manager was able to demonstrate that the home is seeking to identify any changes in residents’ needs due to aging. There is an appropriate system for the storage and administration of medication. All medication coming into or leaving the home is recorded. There are clear protocols governing the administration of medication. Staff receive training in this area prior to administering medication. There are no residents who self medicate. Inspection of medication records for three residents revealed no omissions or errors. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 the following standard(s): 22 Residents and other stakeholders are able to register concerns or complaints through a formal procedure. EVIDENCE: United Response has a Complaints procedure, which was reviewed in December 2005. The procedure contains guidance for staff receiving complaints and includes timescales for action and response. The organisation has also developed a Whistle-blowing procedure, which enables staff to report any concerns they have about malpractice. No complaints have been made about the home since the last inspection. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 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 the following standard(s): 24, 27, 28, 29, 30 The home is comfortable, safe and well decorated. Communal rooms are welcoming and homely. Specialist equipment and adaptations have been installed where necessary. The home is clean and hygienic. EVIDENCE: The home is conveniently situated between Teddington and Hampton Hill, both of which provide a wide range of shops and community facilities. Bushy Park and the River Thames are nearby. A high standard of decoration has been achieved throughout the home and the property has a well-maintained garden. Communal rooms include a living/dining area which provides access to the garden. All residents’ bedrooms are situated on the ground floor of the home. Toilet and bathroom facilities are accessible and are available in sufficient numbers. Some residents have access to en suite bathroom facilities. Specialist equipment and adaptations have Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 17 been installed where necessary to facilitate residents’ mobility. All areas of the home were clean and hygienic. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 18 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): 31, 33, 34, 35, 36 Job roles within the service are clear and defined. Residents are supported by staff who are competent and know their needs well. Staff are appointed following an appropriate recruitment and selection procedure. Staff are encouraged to undertake training and qualifications relevant to their roles. Staff receive effective induction, supervision and support. EVIDENCE: The home has a clear staffing and management structure. Job descriptions and contracts of employment are in place for all posts within the staff team. All new starters attend a formal induction. Staff are provided with effective line management support and receive regular supervision. There were two vacancies for waking night staff at the time of inspection. Interviews for these posts were to be held in the week following inspection. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 19 The core staff team is generally stable, which results in residents being cared for by staff who know them well. Staff spoken to during the inspection reported that they are encouraged to attend training relevant to their roles. A number of staff are registered on NVQ courses. Examination of staff files provided evidence of an appropriate recruitment procedure and pre-employment checks. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 20 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): 39, 40, 41, 43 The home aims to seek and respond to residents’ views. Residents are consulted about decisions taken within the home. Written information is well organised and accurately maintained. Staff work within written guidelines and a clear procedural framework. United Response and the home’s staff team are committed to identifying opportunities for improvement. EVIDENCE: The home aims to seek residents’ views about the service and residents are encouraged to involve themselves in the routines of the home. Keyworkers provide support to enable residents to contribute their opinions about the running of the home. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 21 Written information within the home is well organised and accurately maintained. Systems of recording are clear and usable by staff. The manager is an internal trainer for United Response and is involved in the delivery of ‘The Way We Work’ programme. This training aims to underpin the values and working practices of all staff within the organisation. In addition, staff work within the range of policies and procedures developed by United Response. The manager advised that a ’Team Day’ was planned for February 2006. The team plan to use the day to review all aspects of the service and to identify opportunities for improvement. In addition, the United Response ‘Practice and Development Team’ will visit the home in February to examine and identify areas for the development of the service. Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 22 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 3 3 2 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X 2 3 LIFESTYLES Standard No Score 11 X 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 3 3 X 3 Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 2 Standard YA3 YA9 Timescale for action Section 24 The Registered Person must 28/02/06 CSA submit an application to vary the (2000) home’s registration category. 13(4) The Registered Person must 28/02/06 ensure that risk assessments are reviewed every six months, or whenever there is a change in need. Regulation Requirement 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 Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Hampton Road 45a DS0000017368.V261286.R01.S.doc Version 5.1 Page 25 - 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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