Inspection on 30/08/06 for Compton House

This inspection was carried out on 30th August 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 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

Compton House 11/10/05

Compton House 14/06/05

Compton House 09/02/05

Compton House 22/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Compton House Otterbourne Road Compton Winchester Hampshire SO21 2BB Lead Inspector Tracey Box Unannounced Inspection 30th August 2006 09:30 Compton House DS0000011878.V302136.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 Compton House DS0000011878.V302136.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. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Compton House Address Otterbourne Road Compton Winchester Hampshire SO21 2BB 01962 712086 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 Martin Kenneth Peake Mr Ronald John Simkin, Sandra Winifred Peake Mrs Miriam Long Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents in LD category must be at least 50 years of age. Date of last inspection 11th October 2005 Brief Description of the Service: Compton House provides care for up to twelve male and female older Residents over the age of 50 with learning disabilities. Three Directors own the home privately with Mr Martin Peake as the registered individual and Mrs M Long as the employed registered manager. The home is situated in a quiet rural outskirts of Winchester. Local services and amenities require transport to access although there is a local garage and shop within reasonable walking distance. The Home hires appropriate transport and staff cars are available to access the community. The building is a double storey domestic in style house, comprising of two large single bedrooms and five large double bedrooms. The home’s communal space comprises of one lounge, additional open plan sitting area and a separate dining room. Compton House is surrounded by substantial parkland and has large gardens with it’s own resident family of deer, providing additional recreational space and parking. The manager confirmed the fees range from £281.40-£771.01 per week. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The opportunity was taken to look around the home, view records, procedures and talk with the majority of the eleven Residents who live at the home, who said they were happy at the home. The inspector also had the opportunity to observe the interaction between Residents and staff, which was very positive. The people living at Compton house prefer to be referred to as residents, therefore the remaining report will reflect this. What the service does well: What has improved since the last inspection? What they could do better: Replace one commode. The home are looking into purchasing a vehicle for the home to promote residents’ leisure opportunities. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 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. Compton House DS0000011878.V302136.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 Compton House DS0000011878.V302136.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their needs and aspirations assessed on a regular basis. EVIDENCE: Evidence from residents’ files showed that they had all had care management assessments prior to moving into the home. In addition, the home undertook further assessments of residents’ needs on a regular basis. Assessments were comprehensive and addressed a full range of need areas, including psychological and mental health needs, communication and abilities, strengths and needs. Individual Care Plans on file clearly related to the issues identified through the assessment process. Individuals needs and aspirations are discussed at their annual reviews, records showed these occurred and involved social services and the resident’s families if they wished. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 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): 6,7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s know their assessed and changing needs are reflected in their individual plans. Resident’s benefit from assistance to make decisions about their own lives, and are fully protected by the home’s risk assessment practices. EVIDENCE: One resident spoken with was clear that he was able to make his own decisions about his life and lifestyle and that these were supported by staff as well as being encouraged to participate in activities by himself, such as going to ‘Gateway club’. Staff spoken with were able to demonstrate an understanding of the need to support residents to make their own decisions, this is also covered during new staff induction. Records made at residents annual reviews confirmed residents are fully supported to undertake activities that they have identified. Residents had keys to their rooms. Individual bedrooms were decorated to each resident’s taste, one resident said ‘I like my bedroom, I have all my photographs. I like sharing my bedroom with another resident.’ Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 10 The Statement of Purpose and Service User Guide were clear about the rules in the home and each resident had a copy. These also contained information on who resident’s could talk to if they were unhappy about any aspect of the home. Both documents were produced in an easily accessible format for resident’s who had some difficulty reading. Risk assessments were on file for each resident to cover areas where potential risk had been identified, all of which had been reviewed every three months. The risk assessments seen were clearly written and staff said they were easy to follow. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 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): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. The home actively promotes appropriate personal, family and sexual relationships. Residents’ rights are protected and they enjoy a healthy and nutritious diet. EVIDENCE: A resident described the home as ‘very pleasant with friendly, helpful staff.’ The manager confirmed a volunteer drives residents to various appointments and to a local ‘Gateway club’ twice a week. Individual’s preferences regarding activities and cultural beliefs are recorded in their care plans, records of daily activities are recorded in individual’s daily notes, these ranged from attending a day centre, exercise class held at the home, reflexology, art classes, swimming, local lunch club and various parties. The home operate a keyworker system, staff said they find this system works well in the home, as residents have a named staff member they work with to Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 12 arrange reviews, revise care plans, ensure resident’s needs are being met. Staff said this system helps relatives too, as they know who to contact. The inspector saw the visitors book which detailed many visits by relatives and health care professionals. The Inspector saw menus for the previous and coming weeks which are devised based around the known and expressed preferences of each of the residents. The menus showed that the food offered was healthy and a variety of meals were available. An alternative was available if any of the residents decided on the day that they did not want what was on the menu. The individual dietary requirements of each service user were recorded on the assessments referred to under standard 2. The fridge was stocked with fresh produce and the freezer was stocked with various foods. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having personal support in the way they prefer. Comprehensive procedures ensure resident’s physical and emotional health needs are met. Residents are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. EVIDENCE: One resident with was able to confirm that she had been consulted about how she preferred to receive personal care, this had been recorded on her care plan. The care plan was clearly written and specific enough to explain to each member of staff the exact support they needed to give and how it needed to be given. Staff spoken with were clear about each person’s care plan and individual preferences. Care plans include records of visits to healthcare professionals. One Residents spoken with confirmed that they visit their doctor and staff support them. The staff spoken with confirmed that currently there are no residents who selfadminister their own medication. This was reflected in the records sampled. The staff were observed and discussed with the inspector good medication Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 14 administration practices that are reflected in the homes policy and procedures that were briefly sampled. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. Records showed all staff have received medication training, and all staff who administer medication have been assessed by the deputy manager. The inspector saw the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. The home have a risk assessment for medication errors. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 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 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their views are listened to and acted upon. The home has satisfactory procedures for protecting residents’ form abuse. EVIDENCE: One resident was clear of who they would talk to if they had to complain, he also said that the staff are very good and always listen to him. The home’s complaint records were seen and found to have no entries, the manager said this was because they have not received any complaints. The inspector did advise the pages of the log are numbered to show a true record of complaints received and action taken. The staff spoken with confirmed that the complaints log is up to date. The staff confirmed that they receive training in Abuse of vulnerable adults. There has been no allegation of abuse at this home. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure that is available in the home’s office. The inspector looked at the financial records of two residents who said they preferred the home to hold the majority of their cash. The cash held equated to the amount recorded for each individual. The amount of cash held in the home for each resident is also checked by the manager. Money is stored in a cash tin, which is locked in a cabinet in the staff office. Residents have their own bank accounts or post office accounts, and staff support Residents to access their money. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 16 Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 17 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home presents as a clean, homely, comfortable and suitable environment for the residents. The standard of the décor within the home is adequate with evidence of on-going maintenance. EVIDENCE: The home appeared clean, no offensive odours were detected. The inspector recommended that one commode be replaced, as the paint work was chipped and the metal was showing signs of rust. Staff said they have completed infection control training, and were aware of the home’s policies and procedures of hygiene issues. The inspector saw records of staff training and the member of staff who was cooking confirmed they were up to date with food hygiene training. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden appeared well maintained and is accessible to Residents. One resident showed the inspector their bedroom which was clean, bright and warm, furnished to the individuals taste and personalised. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 18 The manager explained residents are encouraged to furnish the room with personal belongings, furniture and pictures to make it feel like home. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 19 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): 32,34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents individual and joint needs are met by appropriately trained staff who are well supported and supervised. Residents are protected by the homes practices regarding the recruitment and selection of staff. EVIDENCE: Three staff told the inspector they feel they have adequate training to enable them to do their job properly. Records of staff training reflect the training staff have received. The manager confirmed 27 of staff are either working towards, or have achieved their National Vocational Qualification (NVQ) level 2 or above. The home has a suitable recruitment and selection procedure in place and the records of two staff demonstrated that this was followed appropriately. All staff had had necessary checks prior to beginning work in the home. Staff confirmed they receive regular structured supervision, however their manager is approachable at all times should they need to see him. The Residents spoken with described the staff as ‘friendly, helpful’ and make us laugh. All the Residents spoken with said there was sufficient staff around and like their key worker. The rotas showed that a minimum of three care staff were on duty each day shift plus the manager and frequently the responsible individual as well. Staff Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 20 provide wake and sleep in cover during each night shift. The manager confirmed she feels there are sufficient staff on duty to meet individual residents, and group needs. The staff undertake the cooking and cleaning with the residents assisting if they wish. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 21 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): 37,39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run with a supportive manager and organisational structure. The home has developed an effective quality assurance and monitoring systems with residents being fully involved in the process. Residents health, safety and welfare are fully protected by the home. EVIDENCE: The manager is registered with the CSCI and has many years experience working with people who have learning disabilities. She has completed her Registered Managers Award (RMA) and will be starting her NVQ level 4 soon. The staff confirmed there is clear management structure they feel supported by this, they also benefit from regular supervisions and staff meetings, the inspector saw records which show staff receive regular supervisions. The inspector sampled three staff files, which confirmed staff receive regular mandatory training, and specific training to meet individuals needs, such as adult protection, and epilepsy awareness. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 22 The manager confirmed that the home’s induction programme has been assessed against the Skills for Care Council induction standards and staff have been working to the Learning Disability Award Framework (LDAF) standards. One member of staff told the inspector “This is my first job in the care sector, I feel that the training I have done so far has given me the skills I need to support residents who live here.” The provider has developed a quality assurance system which the home are using to gain views and opinions from the people who use the service, a questionnaire has been sent to residents and their families/representatives. The inspector saw two completed surveys, which stated ‘The staff are very friendly and helpful.’ And ‘I am very satisfied with the care and support I receive.’ The staff complete regular weekly health and safety checks to ensure the safety of the building. Certificates were seen to show regular servicing of the boiler, electrical items, fire safety equipment and liability insurance. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 23 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 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP30 Good Practice Recommendations It is recommended that the commode in bedroom three is replaced with a newer commode. Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Compton House DS0000011878.V302136.R01.S.doc Version 5.2 Page 26 - 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!