Inspection on 31/08/05 for 45a, Hampton Road

This inspection was carried out on 31st August 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

45a, Hampton Road 22/08/06

45a, Hampton Road 19/01/06

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 45a Hampton Road Teddington Middlesex TW11 0LA Lead Inspector Simon Smith Unannounced 31 August 2005 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. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hampton Road, 45a Address 45a Hampton Road Teddington Middlesex TW11 0LA 020 8977 5406 020 8977 5406 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) United Response Mrs J M Mackinney Care Home (CRH) 5 Category(ies) of Physical disability (PD) 2 registration, with number Learning disability (LD) 5 of places 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7.12.04 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 group’s needs are accommodated as fully as possible”. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 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 afternoon and involved discussion with residents, the acting deputy manager and members of the staff team. A sample of records was examined and a tour of the premises made. The inspector was made welcome throughout the visit and wishes to acknowledge the time and consideration that residents and staff provided during the course of the inspection. The home met 25 of 27 National Minimum Standards assessed at this visit. Two Standards were exceeded. The home provides good information about the services it provides and each resident has an ‘Individual Charter’, which sets out their rights and responsibilities. An individual plan is also in place for each resident, which reflects individual strengths, needs and goals. There is a clear commitment to enabling residents to make choices about their lives and staff work hard to support this. Residents are actively involved in their local community and take part in a range of social and leisure activities. All residents are registered with local doctors and staff help residents to get specialist advice or treatment when they need it. Residents’ preferences about the care they receive are recorded and known by staff. Systems of recording and administration within the home are clear and well maintained. Staff work within written guidelines and a clear procedural framework. The home benefits from a stable management and staff team. As a result residents are cared for by staff who know them and their needs. Staff are issued with job descriptions that clearly explain their roles. Staff are recruited according to written policies and the home carries out appropriate checks before they start work. The inspector was able to speak to two members of staff who had recently started work at the home. Both confirmed that they had been given good support in their roles since their arrival. What the service does well: Promotes and supports residents’ access to advocacy services. Promotes and supports residents’ participation in their community. Provides opportunities for residents to access a wide range of social and leisure activities. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 6 Identifies residents’ accordingly. needs effectively and delivers care and support Encourages and enables clear communication amongst staff and residents. Provides a good induction to the home for new staff. Provides good supervision and support to enable staff to do their jobs. 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. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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) 1, 5 The home makes available clear information about the facilities and services it provides. EVIDENCE: The home has a Statement of Purpose and Service User Guide, which give details of services provided and the philosophy of care. A Service User Guide is given to each resident. Residents are also issued with an ‘Individual Charter’, which sets out their rights and responsibilities and the terms of their placement. The Charter also explains how those who use services can complain and provides advice on how to access advocacy services. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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) 6, 7, 10 Individual plans are regularly reviewed and reflect residents’ needs and aspirations Residents receive good support to make informed choices about their lives. All sensitive and/or confidential information is stored securely within the home. EVIDENCE: 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 10 An individual plan of care is in place for each resident. A standard format is used for this purpose and the quality of written information was found to be good. Care plans record residents’ 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. The plans examined also contained some excellent ‘life history’ work, and made good use of photographs. Staff advised that the Avenue Centre has allocated a linkworker to the home, who will liaise with residential staff to further develop and update residents’ person-centred plans. Individual communication profiles have been developed for each resident, which identify personal communication methods and provide guidance for staff in their work with residents. Where needed, profiles also contained guidelines for staff in managing any specific behavioural challenges. Staff demonstrated a good knowledge of residents’ individual needs and a commitment to supporting residents in making informed decisions about their lives. Observation confirmed that residents are able to choose the way in which they spend their time at the home. The service consults significant others, such as family members and care managers, where appropriate regarding the care of residents. Residents are supported to access advocacy services if they wish to do so. One resident presently attends a ‘Mens’ Group’ run by an independent advocacy service. United Response has a ‘Confidentiality’ statement, to which all staff are expected to work and which complies with the Data Protection Act (1998). All confidential or sensitive information was found to be stored appropriately within the home. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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) 12, 13, 14, 15, 17 Residents participate in a range of social and leisure activities appropriate to their needs and preferences. Staff are committed to supporting residents in achieving high levels of community participation. Residents receive good support to develop and maintain relationships with their families and friends. The home’s menu is varied, well balanced and takes account of any specialist dietary needs. EVIDENCE: All residents attend sessions at the Avenue Centre in Teddington as part of their day opportunities programme. One resident had attended an outing with the Avenue Centre on the day of inspection and two staff from the Centre visited during the afternoon to work one-to-one with residents. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 12 Enabling residents to become involved in their local community remains a prime objective for the service. Staff are encouraged to support residents in making use of local shops, cafes, parks and other community resources. Residents also have opportunities to participate in a range of leisure activities and holidays according to their preferences. Staff reported that two residents were planning to travel to Tenerife in 2005, whilst other holidays included trips to Norfolk and a CentreParcs facility. The home has an allocated vehicle, which facilitates excursions and outings in the local community and further afield. Residents are supported to develop friendships and maintain family contact. Staff were able to provide examples of visits to friends and social events made recently by residents. Most residents have regular contact with their families and some see relatives several times each week, often going out with their family members when they visit. Responsibility for cooking and preparing food is shared amongst the staff team. All staff undertake basic food hygiene training when they start work. The home’s menu indicated that residents receive a varied and well-balanced diet. Care plans confirmed that any specific dietary requirements are recorded and that special diets (such as soft food) are provided where necessary. Staff reported that residents are encouraged to contribute to menu planning. Snacks and drinks are available to residents at any time. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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 Care staff have a good awareness of residents’ emotional and healthcare needs. Residents receive good support to access community and specialist healthcare resources where necessary. EVIDENCE: Each resident has a ‘Health and Well-being’ file, which includes a detailed ‘Medical Profile’. This provides good information regarding residents’ healthcare and emotional needs, recording any preferences regarding treatment and identifying any specialist equipment or adaptations needed. Any specialist healthcare professionals involved in the resident’s care are listed and a record of treatment is kept for each resident. The inspection provided good evidence that any changes in residents’ needs are effectively identified and that staff respond appropriately to these changes. For example, referrals to specialist healthcare professionals had been made following an increase in one resident’s incidence of falls, whilst another resident has regular input from a dietician. Staff on duty demonstrated a good knowledge of residents’ healthcare needs and an awareness of individual guidelines for delivering care. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 14 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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) 23 Training and guidance is provided for staff in the recognition, prevention and reporting of abuse. EVIDENCE: The home works within the framework of the local authority‘s ‘Joint Policy on Suspected Abuse of Vulnerable Adults’. Two staff on duty who had recently joined the staff team reported that they planned to attend Protection of Vulnerable Adults training provided by the London Borough of Richmond in October 2005. United Response provides training for all care staff in issues relating to the protection of vulnerable adults on the ‘Prevention from Harm’ course. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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, 25, 26, 27, 28, 29 The home is comfortable, safe and well maintained. Communal and private rooms are homely, well decorated and reflect residents’ preferences. 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. The communal rooms of the home were homely and welcoming whilst bedrooms were personalised and reflected individual tastes and preferences. 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 been installed where necessary to facilitate residents’ mobility. The home has a well-maintained garden. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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) 31, 32, 33, 34, 36 Staff have an awareness of their roles and communicate effectively with one another. Staff are appointed following an appropriate recruitment and selection procedure. 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. Staff communicated well with one another during the inspection and engaged meaningfully with residents. The acting deputy manager reported that the home is now fully staffed and that this has realised tangible benefits for residents. For example keyworkers have an additional shift to allocate to keyworking issues and support their key clients in an activity. The inspector was able to speak to two members of staff who had recently started work at the home. Both confirmed that they had been required to provide an appropriate Criminal Records Bureau disclosure and proof of identity prior to employment. Both staff also confirmed that they had attended 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 18 induction and core training, including Learning Disabilities Award Framework (LDAF) induction and foundation. Staff spoke highly of the support they receive in their work, reporting that they felt able to take issues forward to team meetings or individual supervision sessions. Examination of staff files provided evidence of an appropriate recruitment procedure and pre-employment checks. Staff files also contained job descriptions and evidence that staff are issued with a code of conduct, within which they agree to work. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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, 40, 42 Systems of recording and administration within the home are clear and well maintained. Staff work within written guidelines and a clear procedural framework. The health and safety of residents and staff within the home is maintained. EVIDENCE: Systems of recording and administration within the home are well organised and maintained. Written information is clear and usable by staff. United Response delivers a programme of training to staff entitled ‘The Way We Work’, which aims 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 the organisation. The home was clean, hygienic and free of obvious health and safety hazards on the day of inspection. All COSHH products were stored appropriately. The 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 20 property has an appropriate fire detection system. Staff conduct fire and health and safety tests on a regular basis. Clear instructions for use in the event of a fire were displayed. 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 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 3 x x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 x Standard No 11 12 13 14 15 16 17 x 3 4 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 45a Hampton Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x 3 x G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 22 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 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 Good Practice Recommendations 45a Hampton Road G54-G04 S17368 HamptonRd V239351 310805 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ground Floor 41-47 Hartfield Road Wimbledon 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. 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