Inspection on 28/12/05 for Hambleton House

This inspection was carried out on 28th December 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 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

Hambleton House 05/08/07

Hambleton House 29/11/06

Hambleton House 08/09/05

Hambleton House 01/02/05

Hambleton House 10/11/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hambleton House 337 Scraptoft Lane Leicester Leicestershire LE5 2HU Lead Inspector Linda Clarke Unannounced Inspection 28th December 2005 12:00 Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 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 Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 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. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hambleton House Address 337 Scraptoft Lane Leicester Leicestershire LE5 2HU 0116 2433806 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 Suresh Advani Mrs Maureen Barbara Baines Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To be able to admit the named person of category LD(E) named in the variation application number 57627 dated 15th October 2003. To be able to admit the named person of category LD(E) named in the variation application number 53629 dated 22nd September 2003. 8th September 2005 Date of last inspection Brief Description of the Service: Hambleton House is situated within its own grounds in a residential area, and is accessible to many local amenities, including shops, pubs, sports facilities, and close to Leicester City bus routes. Hambleton Hosue is a detached house with lounges, dinng room, kitchen and bedrooms on the ground floor. There are bedrooms on the first floor, and bathrooms and toilets on both floors. Currently an extension of the premises is taking place. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection that took place between 12.00 noon and 4.30pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, two residents were ‘case tracked’, one of which having recently moved into Hambleton House. The records and care plans of these residents were checked. The Commission for Social Care Inspection as part of the inspection supplies comment cards for relatives/visitors and residents, which are distributed by the home. Views recorded have been incorporated within the inspection report. The Registered Manager facilitated the Inspection. Opportunity was also taken to look around parts of the home. What the service does well: What has improved since the last inspection? What they could do better: The admission process should be robust, to ensure that the admission of residents is consistent with the homes Certificate of Registration. Residents should be encouraged to feel at home in their environment free from unnecessary restrictions, restrictions should only be implemented to promote the health and welfare of residents. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 6 Care plans and records could contain greater detail to encompass the goals and aspirations of residents, their views and ideas along with their contribution to the day-to-day running of the home. A commitment for the achievement of staff in gaining a recognised qualification needs to be embraced by the Responsible Individual, Registered Manager and care staff. 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. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 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 Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 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 and 5. The assessment process is not adequately managed. EVIDENCE: The records of one individual recently admitted to Hambleton House was viewed, an assessment of need undertaken by a Social Worker was in place however it was noted that the resident has been admitted to the home, in a category to which the home is not registered, this situation will need to be resolved by the Responsible Individual and the Registered Manager. An immediate requirement was issued. Subsequent correspondence received, confirmed the individuals category of assessed need, resolving the situation. The Responsible Individual and Registered Manager to ensure that the assessment and admission process is appropriately managed. An Individual Placement Agreement was in place, outlining the terms and condition of occupancy, including the arrangement for the payment of fees. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 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 and 7. Evidence of restrictions placed on residents was not consistent with good practice. Care plans and records could be used to greater effect, by reflecting all aspects of resident care. EVIDENCE: Residents whose records were viewed had care plans, which are regularly reviewed and updated. Care plans focus on physical aspects of care including health and personal care. Goals and aspirations are recorded, however Person Centred Planning is still to be introduced, some staff have received training as to how this can be used to support residents in achieving their goals and aspirations. The Registered Manager was able to communicate a clear understanding of how this aspect of residents care was to be introduced and recorded. Resident meetings are held regularly and recorded, residents in their meeting had raised concerns as to them being prevented from consuming food and in the lounge since the replacement of the carpets, particularly as staff were not adhering to this. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 10 The minutes of the staff meeting held in September 2005 recorded that staff are to ensure residents do not eat and drink in the lounge. Residents should not have restrictions placed upon them, unless detailed within their care plan as an identified need consistent with the promotion of their health and welfare. Records which detail the daily care of residents could contain greater detail evidencing how resident views are supported, for example a record of decisions, views and choices made by the individual along with contact with outside agencies and relatives including contact by correspondence, along with a record as to residents social and recreational pursuits. The Commission for Social Care Inspection received ten completed comment cards from residents, all reflected that they were well cared for, treated well by staff and liked living at Hambleton House. Three residents indicated that they would like to be more involved in decision making within the home. No additional comments were made. The Commission for Social Care Inspection received four completed comment cards from relatives/visitors, all confirmed that staff made them welcome, and that there were sufficient numbers of staff on duty. All confirmed that they were satisfied with the overall level of care provided. One relative made an additional comment “I am made very welcome when I visit my relative, who is always happy to return to Hambleton House, after visiting myself. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 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): EVIDENCE: Standards within this section were not inspected on this occasion; these standards were inspected at the previous inspection. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 12 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): 20. Medication processes are well managed. EVIDENCE: Medication records and storage were checked for two residents, as part of the case tracking process, both were found to be in good order. A majority of staff have undertaken an ASET course in The Safe Handling of Medicines. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 13 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 and 23. Residents are not fully protected by the practices of staff within the home. EVIDENCE: Hambleton House has a complaints procedure, which outlines as to how a complaint can be made, and incorporates information as to timescales for a complaint to be responded too. Neither Hambleton House nor the Commission for Social Care Inspection have received any complaints, since the last time these standards were inspected. The records of one resident contained an incident record, which detailed an account of an alleged incident as detailed by the individual, which was stated to having occurred away from Hambleton House. The Registered Manager was asked as to what action if any was taken, she advised that the residents Social Worker had been contacted. It is of concern that there is not a record detailing this conversation, or the comments of the Social Worker and any possible proposed actions. Although an incident report was completed, this was not referenced within the resident’s daily records, nor any actions staff would need to undertake to support the resident. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 14 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 and 28. A comfortable standard of accommodation is provided for the resident’s, which individually and collectively meets their needs. EVIDENCE: Improvements have been made to the décor and furnishing of communal areas within the home, these include new carpets to the hall, stairs and landing, along with the lounge area. New flooring has been provided in the dining room and kitchen area. Residents when asked confirmed that they found Hambleton House homely, and appreciated the recent improvements. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 15 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, 33, 34, 35 and 36. Competent staff support residents, however staff are not qualified. Staff recruitment procedures are robust and the formal supervision of staff takes place, the frequency of which could be improved. Recruitment procedures are robust. EVIDENCE: The home currently employs nine members of care staff, of which none have yet have attained a recognised qualification in care. The National Minimum Standards recommend that 50 of care staff attain a National Vocational Qualification by 2005; to meet the standard of 50 of the staff group significant strides need to be taken to ensure staff access the appropriate training. The Registered Manager confirmed that one member of staff is currently undertaking the Learning Disability Award Framework (LDAF) certificate, whilst two members of staff were undertaking the level 2 National Vocational Qualification in Care, supported by Leicester College. There are two members of staff on duty during the day, with one member of staff sleeping on the premises during the night, this meets the current needs of residents within Hambleton House, it is recommended that the provision of waking night staff be kept under review, consistent with resident’s needs. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 16 Staff meetings take place on a regular basis with minutes taken. Evidence was seen that staff are in receipt of formal supervision, but this falls short of the recommended six per year. The records of two members of staff were viewed; recruitment procedures had been followed, which included a Criminal Record Bureau check. Since the last inspection three members of staff have accessed training in Food Hygiene and First Aid, whilst two have received training in Person Centred Planning, a majority of staff have attained an ASET course in The Safe Handling of Medicines. Training also takes the form of staff completing a set of questions following watching a video; videos reflect a variety of subjects including Health and Safety. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 17 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 and 42. Appropriate management systems are in place to ensure the health and safety of residents. EVIDENCE: The Registered Manager has attained a level 4 National Vocational Qualification in Care along with the Registered Managers Award. The Registered Manager does not have responsibility for the home’s budget; the Responsible Individual, Mr S Advani, manages this. Quality Assurance questionnaires are in place, and have been collated, a copy of which is contained within all residents individual files. The Inspector viewed records, which evidenced that resident’s health, safety and welfare, were being protected; this included the frequency of fire drills, fire appliance inspections and portable electrical appliance tests. An Environmental Health Officer undertook a Food Safety inspection in August 2005; this was followed by a Health and Safety inspection in December 2005. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 1 X X 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hambleton House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000006374.V271386.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA7 Regulation 12(4) Requirement The Registered Person to ensure the promotion of resident’s privacy and dignity. Restrictions placed on individuals to be consistent with their health and welfare, and documented within their plan of care, and supported by a risk assessment. The Registered Person to ensure that aspects pertaining to resident’s welfare and safety are recorded, along with any follow up actions. Timescale for action 31/01/06 2 YA23 13 31/01/06 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 2 Refer to Standard YA6 YA7 Good Practice Recommendations Person Centred Planning to be used for all residents, which reflects their goals, aspirations and achievements, and is regularly reviewed. Records accounting for residents daily lives to be used to greater effect, to provide evidence of their decisions, views and choices. DS0000006374.V271386.R01.S.doc Version 5.0 Page 20 Hambleton House 3 YA32 4 YA36 It is recommended that significant progress is made is enrolling staff on NVQ and LDAF courses, in order to ensure that residents care needs are met by training staff consistent with the National Minimum Standards. Staff should have regular and recorded supervision, a minimum of six times per year, and should cover all aspects of their role and should include their individual training an development needs. Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Hambleton House DS0000006374.V271386.R01.S.doc Version 5.0 Page 22 - 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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