Inspection on 08/09/05 for Hambleton House

This inspection was carried out on 8th September 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

Hambleton House 05/08/07

Hambleton House 29/11/06

Hambleton House 28/12/05

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 Trisha Gibbs Unannounced Inspection Thursday, 08 September 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. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hambleton House Address 337 Scraptoft Lane Leicester LE5 2HU 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) 0116 2433806 0116 2433806 Mr Suresh Advani Mrs Maureen Baines Care Home for Younger Adults (CRH) 14 Category(ies) of Learning Disability (LD) - 14 registration, with number of places Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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. Date of last inspection Tuesday, 01 February 2005 Brief Description of the Service: Hableton House is situated within its own grounds in aresidential 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. There is a games room situated in the grouds that is currently being refurbished, in addition to a large garden area that can be accessed from the communal lounges. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an overview of what the inspector found during the inspection. This Inspection took over four hours and was the first of two statutory unannounced Inspections this year. The focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this Inspection was that of case tracking, which involved selecting two service users currently living at the home, and tracking the care they are receiving, through looking at their records. Other related documents were also looked at. In addition, the Inspector talked to service users at the home, and held discussions with the Registered Manager, the Deputy Manager and the Registered Provider. The Inspector also toured and inspected the premises. This was a good Inspection. What the service does well: Supports and encourages residents to enjoy a good level of independence. Supports residents to attend a range of varied day time activities and employment opportunities. Encourages residents to be actively involved in the day-to-day running of the home. Provides a pleasant homely environment for residents living there. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 6 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. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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 Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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) x It was not possible to assess Standard 2 in the absence of any recent admissions to the home. EVIDENCE: Although there have been no recent admissions to the home, there was evidence within residents’ files, that their needs are re assessed through care planning review systems. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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) 6,7,9 Service users are enabled to make choices, take acceptable risks, and to have their needs met, but some care plans could better account for these. EVIDENCE: The two files looked at contained appropriate historical information, and acceptable care planning information and records, covering different aspects of that service user’s daily life. The two Care Plans were generally brief but appropriately reviewed, signed, and dated. The Registered Manager explained to the Inspector that staff were now preparing to implement Person Centred Planning, and the Inspector saw some of the material for this. The Manager and some staff are attending for PCP training in the near future. One resident has been actively involved in facilitating training and this is commendable. Separate risk assessments in residents’ files, are not drawn up as such. Areas of risk are identified in a general risk assessment chart and subsequent detail about the risk, and strategies to address the risk, are recorded in Care Plans. This practice is acceptable only if each risk is clearly accounted for in the Care Plan. In one resident’s Care Plan, not all risks, identified in the risk assessment chart, were addressed in the Care Plan. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 10 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 15,16,17 Residents are enabled to enjoy a healthy lifestyle, and to access a good range of community day services and leisure activities. EVIDENCE: The Manager confirmed that residents all pursue interests and activities outside of the home. Some residents access paid employment opportunities, and work placements. Some attend for community day services in neighbourhood centres. Residents spoken to appeared motivated and enthusiastic about their various daytime pursuits. All residents take part to some extent in the day-to-day running of the home. They participate in household routines and in keeping their own rooms clean. When the Inspector arrived on the day of Inspection, one resident was outside in the sunshine, enjoying sweeping up autumn leaves. Others at home during the Inspection (at least six residents) were eager to tell the Inspector about the things they liked doing and about their recent outings and holidays. Some Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 11 had recently returned from the Isle of Wight and looked very healthy. Others are going to Spain later this year, in addition to having additional planned day trips. The Managers are commended for their commitment to ensuring residents enjoy an active and fulfilling lifestyle. The Manager confirmed that relatives and friends are positively encouraged to maintain links with residents, and that most residents celebrate Christmas with their families. Daily menus are well detailed and are planned on a six-week rota. The Manager said that the menu is not rigidly adhered to, and that there is good flexibility and choice for residents. Residents are consulted in advance about the evening meal, which is the main meal of the day. On the day of the Inspection, the evening meal was pasties, potatoes and mixed vegetables. One resident was helping the Manager to make bread and butter pudding for desert. There was evidence that some residents have special dietary needs that are facilitated. The Manager noted that residents frequently enjoy eating out. Residents were seen, in the kitchen, making themselves drinks, during the Inspection. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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 standard(s) 18.19 Good attention is given to the personal and health care needs of the service users. EVIDENCE: Care plans contained brief details about general and specific healthcare needs, and there was good supporting evidence on file, of staff facilitating service users to attend for both routine health care appointments, and additionally specialist consultant appointments. The Manager and residents confirmed that residents are actively encouraged to choose their own clothes and personal items. There was evidence on file of an active key worker system in operation. Medication systems will be inspected at the next unannounced Inspection, later this year. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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 standard(s) x N/A EVIDENCE: The above Standards were not inspected on the occasion of this Inspection and will be inspected during the second Inspection of the home later this year. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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 standard(s) 24,30 Hambleton Court provides a pleasant, homely, and comfortable environment for the service users living there, however several areas of the house are in urgent need of new carpets. EVIDENCE: The house is large, light and spacious, and residents clearly felt comfortable and at home in the communal spaces, e.g. lounge and dining room, which were generally well furnished. An additional large lounge and dining area has been newly carpeted and furnished. Carpets in several areas of the house, including the front stairs and landing, and dining room, are in very poor condition. Requirements for the replacement of worn carpets have been made at the last two Inspections. The Registered Provider confirmed to the Inspector that these have now been chosen, (by the residents) and ordered. These will be fitted as soon as the third floor building work has been completed. The Registered Provider noted that the building work has almost been completed. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 15 Residents’ bedrooms were clean, light and nicely furnished. Bedding was fresh, and colours coordinated with curtains and other decoration. Each room was personalised with photographs, ornaments, and memorabilia. Most rooms have pleasant views across the drive or back garden. There is a large patio and garden area to the rear of the house. The lawn is overgrown and the Manager noted that this would be attended to when the builders have left the property. Residents have had limited access to the back garden because of building materials being stored there. Toilets and bathrooms, used by residents, were clean and fresh. being used by the builders was not. One toilet Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 16 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) x N/A EVIDENCE: Some, but not all elements of the above Standards were inspected on the occasion of this Inspection and will be fully inspected during the second Inspection of the home later this year. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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 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) x N/A EVIDENCE: The above Standards were not inspected on the occasion of this Inspection and will be inspected during the second Inspection of the home later this year. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 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 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hambleton House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 19 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 6,9 Good Practice Recommendations Care Plans should be sufficiently detailed to accurately reflect all areas of assessed risk. Hambleton House C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 C51 C01 S6374 Hambleton House V247526 080905 STAGE 4.doc Version 1.40 Page 21 - 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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