Inspection on 05/08/07 for Hambleton House

This inspection was carried out on 5th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 29/11/06

Hambleton House 28/12/05

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 Kim Cowley Unannounced Inspection 5th August 2007 1pm Hambleton House DS0000006374.V346673.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 Hambleton House DS0000006374.V346673.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. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 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) baz2104@hotmail.com Baba Sawan Lodge Limited Mrs Maureen Barbara Baines Care Home 18 Category(ies) of Learning disability (15), Learning disability over registration, with number 65 years of age (2), Mental disorder, excluding of places learning disability or dementia (3) Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Hambleton House is registered to provide personal care and accommodation to both male and female service users in the following categories: Learning disability (LD) 15 Learning disability (LD(E)) 2 MD Mental disorder 18 - 65 years (MD) 3 To be able to admit the named person of category LD(E) named in the variation application number 53629 dated 22nd September 2003. 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) (over 65 years) named in variation application number V36850 dated 27th November 2006. The maximum number of service users to be accommodated in Hambleton House is 18 29th November 2006 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Hambleton House provides a service for eighteen people who have either a learning disability or a mental disorder. It is situated within large grounds in a residential area close to the village of Scraptoft. It is close to a range of local amenities, including shops, pubs and sports facilities as well regular bus services to Leicester. The house is spread over three floors with all communal areas and some bedrooms being situated on the ground floor and remaining bedrooms being on the first and second floors. A recent extension has provided four bedrooms with en-suite facilities and there are sufficient communal bathrooms and showers on all floors to meet residents’ needs. Current fee levels at the home range from £325 to £385 per week depending on care needs. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a weekend visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted three hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met four other residents, the person in charge, and three support workers. Please note Following the last key inspection on 29.11.06, an additional inspection was carried out on 6.02.07. The purpose of this was to assess progress made in meeting requirements relating to staff recruitment, medication and menus. On the day it was acknowledged that staff were actively working to meet these requirements. Extra time was given, and outstanding requirements were followed up at this inspection. What the service does well: Hambleton House is spacious, comfortably furnished and homely. All areas inspected were clean and fresh. Residents have chosen the décor in their rooms and are proud of how they look. One resident commented ‘I’ve got a big bedroom which I like. The staff clean it every day and keep it nice for me.’ Another said, ‘The staff are all right, my room’s all right, the food is good. I’m happy living here.’ The staff on duty during the inspection were welcoming and helpful and appeared to have excellent relationships with the residents in the home. All residents interviewed praised the staff team and the following comments were made, ‘The staff are very helpful’, ‘My key worker is good. I can talk to him if I have a problem’, and ‘The staff never shout and are always kind to us.’ Residents at the home make choices about their lifestyles, for example, deciding on meals, social outings, and holidays. One resident said, ‘I get up Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 6 when I like, although staff call me if I have to go to the day centre. At weekends I do what I want. Sometimes I stay in my room, other times I go out.’ All residents at Hambleton House have individual weekly programmes of leisure and educational/vocational activities depending on what they like to do. Residents’ comments about how they spend their time included, ‘I like going to the pub with the staff and having a Guinness. Everyone is friendly at the pub’, ‘I go shopping in town with a member of staff’, and ‘I cut the lawn here. I like helping with the gardening and helping with the cleaning.’ The home has a mixed group of residents, some of whom have learning disabilities, and others with mental health needs. A number of residents have been at the home for many years, others have come to live there more recently. There is a friendly atmosphere and for the most part residents seem to get on well with each other. One resident said, ‘I sleep well here and feel safe. This is a good place to be.’ What has improved since the last inspection? What they could do better: The home’s written complaints and safeguarding procedures are both in need of improvement and updating. At present they are inaccurate and difficult to follow. They need to be replaced with simpler, user-friendlier versions that are easier for staff and residents to follow. The premises need improving in the following areas: Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 7 The steps, which lead down to the garden at the rear of the home, are worn and uneven in places. They must be risk assessed to ensure they are safe and action taken to improve them where necessary. The kitchen in the main house is in need of refurbishment. At present some of the units are chipped and worn, as is the oven. This looks unsightly and makes it difficult for staff to clean efficiently. An audit must be carried out the kitchen and steps taken to bring it up to the standard of the rest of the home. The two windows on the upstairs landing of the main house do not have restrictors fitted. The Manager said she did not consider them to be a risk to residents, but agreed to risk assess them, and any other similar windows, to ensure they are safe. Although the home has three places for residents with mental health needs, there is still no specific training offered to staff in the care of this particular resident group. This must be provided so staff have the skills to work with all the residents who live at the home. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 8 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.V346673.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ needs are fully assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 2 was inspected.) EVIDENCE: The home currently accommodates a varied group of residents, some have lived at the home for many years and others are relatively new. The Manager said all new referrals have a full assessment of their needs carried out. This is recorded on a form that has been introduced since the last inspection. The views of potential residents, their families/friends, and health/social care professionals are all taken into account when a potential resident is considering coming to the home. Visits to the home take place prior to someone moving in to ensure their needs can be met, and they are happy with moving into the home. Residents interviewed confirmed that it had been their choice to move in. The Manager said the views of existing occupants of the home are taken into account before a decision is made to confirm a place. One resident told the inspector, ‘Before I moved in I came to see the home with my social worker. I thought it looked nice and everyone was friendly.’ Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Detailed care plans help staff to identify and meet residents’ needs. Residents are encouraged to make decisions about their lives and take responsible risks with staff support. This judgement has been made using available evidence including a visit to this service. (Standards 6, 7 and 9 were inspected.) EVIDENCE: Care plans, which set out how staff are to meet residents’ needs, were inspected and found to be detailed and comprehensive. They contained evidence that residents are involved in the planning of their care. A support worker told the inspector, ‘We involve residents as much as possible and ask then to sign their care plans, if they are able to, to show they are in agreement with them.’ All care plans inspected had been regularly reviewed and updated where necessary. Residents make choices about all areas of their lives, for example deciding on meals, social outings, and holidays. One resident said, ‘I get up when I like, although staff call me if I have to go to the day centre. At weekends I do what I want. Sometimes I stay in my room, other times I go out.’ Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 11 One resident said he liked living at the home but found it noisy, particularly at mealtimes. This was discussed with his key worker who said that the home could be noisy at mealtimes, when most of the residents were present. As a result those who liked to eat in peace had the option of having their meals earlier or later when the dining room was quiet. Records showed that residents are encouraged to take responsible risks and staff support them in this, offering them choices within acceptable parameters of safety. Risks are managed positively with the aim of encouraging residents to determine their own lifestyles. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Daily living and social activities enable residents to lead full lives and grow in independence. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 15, 16 and 17 were inspected.) EVIDENCE: All residents at Hambleton House have individual weekly programmes of leisure and educational/vocational activities depending on what they like to do. In discussions residents made the following comments about how they spend their time: ‘I like playing pool in the games room and darts.’ ‘I went on holiday with people from here. We went by plane to Turkey.’ ‘I like going to the pub with the staff and having a Guinness. Everyone is friendly at the pub.’ ‘I go shopping in town with a member of staff.’ ‘I walk to the shops and get lemonade.’ ‘I go out five days to the day centre.’ Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 13 ‘I cut the lawn here. I like helping with the gardening and helping with the cleaning.’ All residents interviewed said they were happy with the activities on offer and felt they had enough to do both in and outside the home. One resident said, ‘When I came here the staff told me about the colleges and day centres I could go to if I wanted to.’ The home has its own games room with pool, darts, TV, and a music centre. There is a kitchenette off this room so refreshments can be made on social evenings. Residents’ friends and relatives are welcome to visit the home at any time. Residents are encouraged to get out and about, and to get to know and become part of the local community. Care staff do the cooking, assisted by the residents where appropriate. Menus were inspected and showed a wholesome and varied diet being provided in the home. All residents interviewed said they were satisfied with the food available. Their comments included: ‘The food’s all right. I don’t like chicken so I have beef burgers instead.’ ‘We have lots of vegetables.’ ‘My favourite food here is rice pudding.’ ‘The food’s nice.’ ‘There’s plenty of food.’ In the home’s last quality assurance survey (June/July 2007) the majority of residents who took part rated the food as either ‘good’ or ‘excellent’. Residents contribute to menu planning and there is a choice of dishes at every meal. All staff who prepare food have undertaken training in Basic Food Hygiene. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ personal and health care needs are met in the way they want by staff in the home. This judgement has been made using available evidence including a visit to this service. (Standards 18, 19 and 20 were inspected.) EVIDENCE: Residents’ care needs are set out in their care plans, and personal care is provided in line with their wishes and requirements. In discussions residents said they were happy with how their needs were met and felt they were treated with dignity and respect. Staff help residents to live as healthy lives as possible. Care plans showed that residents are subject to regular health checks and have appointments with dentists, opticians, and chiropodists where necessary. The views of health and social care professionals are included in care plans, and staff at the home work closely with them in providing appropriate care for the residents. Since the last key inspection improvements have been made to the way medication is kept and administered. All staff who give out medication have been trained, both in-house and via a ‘Safe Handling of Medication’ course Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 15 provided by a local college. When medication is given out two staff are always present, one to administer the medication and the other to check that is has been administered properly. Both staff sign the medication record to confirm the medication has been correctly administered. PRN (‘as required’) medication was discussed with the person in charge and the Manager, as this was an issue at the last key inspection. Medication records relating to PRN medication were examined and indicated that staff were following health professionals’ instructions when giving out this medication and making proper recordings of their actions. This will help to ensure that residents receive the correct medication when they need in. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Although residents feel safe in the home, improvements are needed to the complaints and safeguarding procedures. This judgement has been made using available evidence including a visit to this service. (Standards 22 and 23 were inspected.) EVIDENCE: All resident interviewed said they would speak out if there was anything in the home they were unhappy with. One resident commented, ‘I’d tell the Manager if someone upset me’, and another said ‘I’d talk to Maureen if there was a problem.’ The Manager said it is made clear to residents verbally how to complain and staff will advocate for them if necessary. However the written complaints procedure, which some residents (or their representatives) may wish to use, is in need of improvement. At present it asks for complaints to be made ‘in written form’ and addressed to the Manager or Owner. This is not appropriate and might prevent residents raising concerns. Residents need to know they can complain verbally if they wish and do not necessarily have to go to the Manager/Owner if they don’t want to. This matter was discussed with the Manager who agreed that a simpler and user-friendlier procedure would be put in place, with updated information about the role of social services and CSCI. There have been no complaints since the last inspection. The Manager said that all staff are trained during their induction in safeguarding adults and know what to do if abuse is suspected. Staff records Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 17 indicated that staff had received training in these areas either as part of their National Vocational Qualifications (NVQs) or by watching training videos and undertaking questionnaires. The home’s safeguarding policy/procedure ‘Adult Protection and the Prevention of Abuse’ was examined. It appeared a rather complex, repetitive document, and may be confusing to staff. It should be made clearer and more straightforward so staff can follow it easily. This will help to ensure that residents in the home are safeguarded. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Residents live in an environment that community-based, comfortable, and mostly well maintained. Improvements are needed to some areas and risk assessments of other areas must be carried out. This judgement has been made using available evidence including a visit to this service. (Standards 24 and 30.) EVIDENCE: Hambleton House is a large, detached property. It is divided into two units, the main house and the annex. Both have their own communal areas, which are comfortably furnished and homely. All areas inspected were clean and fresh. Residents have chosen the décor in their rooms and are proud of how they look. One resident said, ‘I’ve got a big bedroom which I like. The staff clean it every day and keep it nice for me.’ Since the last inspection radiator covers have been fitted throughout the home to protect residents from scalding. The premises need improving/risk assessing in the following areas: Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 19 The steps, which lead down to the garden at the rear of the home, are worn and uneven in places. They must be risk assessed to ensure they are safe and action taken to improve them where necessary. The kitchen in the main house is in need of refurbishment. At present some of the units are chipped and worn, as is the oven. This looks unsightly and makes it difficult for staff to clean efficiently. An audit must be carried out of the kitchen and steps taken to bring it up to the standard of the rest of the home. The two windows on the upstairs landing of the main house do not have restrictors fitted. The Manager said she did not consider them to be a risk to residents, but agreed to risk assess them, and any other similar windows, to ensure they are safe. The pool table in the games room has a worn, uneven surface and is damaged in places. One of the residents told the inspector this makes it difficult to play pool. This was reported to the Manager who said she had already ordered a new pool tale and staff and residents were waiting for it to be delivered. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Friendly and professional staff meets residents’ needs. This judgement has been made using available evidence including a visit to this service. (Standards 32, 34 and 35.) EVIDENCE: The staff on duty during the inspection were welcoming and helpful and appeared to have excellent relationships with the residents in the home. All residents interviewed praised the staff team and the following comments were made, ‘The staff are very helpful’, ‘My key worker is good. I can talk to him if I have a problem’, and ‘The staff never shout and are always kind to us.’ Staff records were not available during the inspection as they are kept securely for data protection reasons. However the person in charge during the inspection told the inspector he had been unable to start work at the home until satisfactory POVA/CRB checks and two written references had been received by the Manager on his behalf. Following the inspection the Manager confirmed that all staff employed now have the necessary checks/references and that documentation is in place to evidence this. These steps will help to ensure that residents are safeguarded. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 21 In January 2007 a ‘Workforce Development Plan’ for the home was put in place in partnership with the Leicester City Learning Disabilities Partnership Board. This will help to ensure that staff are appropriately trained to work with the residents with learning disabilities and are kept up to date with current practice. Although the home has three places for residents with mental health needs, there is still no specific training offered to staff in the care of this particular resident group. This must be provided so staff have the skills to work with all the residents who live at the home. The Manager said that newly appointed staff have a two weeks period of induction during which they learn about the daily running of the home, the residents, and health and safety. Once employed they attend training courses on learning disabilities and mental disorder. All staff are encouraged to study for NVQ Levels 2 and 3 in Care and to take additional relevant course where necessary. This was confirmed by staff on duty during the inspection. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is well managed with residents’ views taken into account. This judgement has been made using available evidence including a visit to this service. (Standards 37, 39, and 42 were inspected.) EVIDENCE: The Manager, Deputy and Owner all have the Registered Manager’s Award and NVQ in Care Level 4 so are appropriately qualified to run the home. The management approach to running the home is based on giving residents choice and encouraging them to determine their own lifestyles. Both staff and residents at the home confirmed this. Residents’ comments about the Manager included, ‘I like the Manager. She’s taking me to watch the football’, ‘Maureen (the Manager) and me are going out for a meal on Saturday at the pub’, and ‘Maureen’s a good Manager.’ A residents’ survey is used to give residents the opportunity to give their views about the home and get involved in the way it is run. This should help the Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 23 Manager and staff to evaluate the service and bring about improvements where necessary. Records showed that the health, welfare and safety of residents and staff is a priority in the home. Appropriate checks and servicing of equipment has been carried out, as has consultation with the home’s Fire and Environmental Health Officers. Staff receive training in health and safety during their induction. A consultant has been engaged to oversee health and safety and ensure the home is safe for residents and staff. Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 2 23 2 ENVIRONMENT Standard No Score 24 2 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 3 Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 25 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 Standard YA35 Regulation 18 (1) (c) (i) Requirement All staff working at the home must receive adequate training in working with people with mental health needs so they can care appropriately for all the residents living in the home. The steps, which lead down to the garden at the rear of the home, must be risk assessed to ensure they are safe and action taken to improve them where necessary. An audit must be carried out of damaged areas of the kitchen fittings and fixtures and steps taken to repair or replace them. Any upstairs windows in the home without restrictors must be risk assessed to ensure they are safe. They actions will help to ensure the premises are safe for residents and staff. 05/11/07 Timescale for action 05/11/07 2 YA24 16(2)(c) Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 26 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 YA22 Good Practice Recommendations The home’s written complaints procedure should be replaced with a simpler, user-friendlier version. This will make it easier for residents to raise any concerns they might have. The home’s written safeguarding procedure should be replaced with a clearer and more straightforward version for staff to follow. This will help to ensure that residents in the home are safeguarded. 1 YA23 Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hambleton House DS0000006374.V346673.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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