Inspection on 04/10/05 for Hamilton House

This inspection was carried out on 4th October 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

Hamilton House 11/06/09

Hamilton House 12/07/07

Hamilton House 17/05/06

Hamilton House 08/02/06

Hamilton House 30/01/05

Hamilton House 07/10/04

Hamilton House 02/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Hamilton House 10 Crescent Road Bromley Kent BR1 3PN Lead Inspector Cheryl Carter Unannounced Inspection 4th October 2005 10:00 Hamilton House DS0000006944.V255435.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 Hamilton House DS0000006944.V255435.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. Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hamilton House Address 10 Crescent Road Bromley Kent BR1 3PN 020 8460 9046 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) Bromley Autistic Trust Stephen O`Brien Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2005 Brief Description of the Service: Hamilton House is a detached residence located in Bromley North. It is close to the shopping area and is well served by public transport including main line rail services. Hyde Housing Association own the building and the service is provided by the ley Autistic Trust. The home provides care and support in a home like environment for five service users. Each service user has their own bedroom and there are a number of communal areas. The service users in this home suffer from Autism. The home is staffed 24 hours. Over night there is sleeping in staff plus on call support. Service users are assisted to develop daily living skills within a home-like environment. Integration into the community, attending day centres and adult learning facilities are all incorporated into daily routines. Maintaining family contact and open visiting are encouraged. Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out in the presence of the Deputy Manager. The manager was away on leave. All the service users were out attending their various daily tasks. The inspector did not have the opportunity to meet any service users on this inspection but interviewed two members of staff. Examined records, care plans and had a tour of the building. Service users bedrooms are located over two floors. There is a service user who collects newspapers to such an extent the bedroom can be considered a hazard. What the service does well: 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. Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 6 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 Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 7 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): 1, 2, 3, 4, 5 Residents are involved in their placements and have information available on which to base their decision EVIDENCE: The home has a Statement of Purpose and a Service User’s Guide and this also is in the process of being reviewed. All service users have contracts and terms and conditions relating to their placements. The files of two residents were seen and this contained formal assessments and terms and conditions of residency. The inspector was told that prospective residents are invited to the home for tea prior to moving in. Placements at Hamilton road are stable long term placements, four of the of the residents at the home have been in placement for over seventeen years and one for over three years. Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 8 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): The current care plans were not sufficiently detailed. Person centred plans are currently being developed. EVIDENCE: Not all the service users have Person Centred Plans these are currently being developed. At the time of the inspection only one had been completed. This plan contained information such as favourite staff, Day centre staff, and befrienders. Service users have the opportunity to contribute to life in the home via house meeting and key work sessions. Menu planning and activities are just to of the items that are discussed in these meetings. All of the service users attend a day centre during the weekday and most go home for at least a day at the weekend. Files are kept in a locked cabinet. The home must make completing the Person Centred Plans a priority. (Recommendation 1) Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 9 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): 11, 12, 13, 14, 15, 16, 17 The home provides good opportunities for the residents to develop links in the local community. Leisure and social activities are encouraged. EVIDENCE: The service users, with staff support, participate in local events. There is normally an activity every night for all Service users. One service user is active in the church and is supported with this involvement by the staff. Baking, art, gardening, and card making are regular in house activities. Swimming, the Gateway club and going to the pub are some of the activities that service users engage in outside the home. All service users have family contact and several of them spend periods including overnight stays at home. The staff on duty take responsibility for meal times and there is a rolling menu for three weeks. The menu is made up from what the service users choose. Two service users are currently seeing the dietician. Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 10 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): Health and personal care is appropriate to this type of resident and with the additional support of the multi-disciplinary team for people with autism. EVIDENCE: Service users are supported in all aspects of daily living to varying degrees as identified and in accordance with their care plans. The staff group is a mixture of males and females and this reflects the service users at the home. No staff except the manager has had an accredited course for dispensing Medication. Most of the staff has attended a Boots training course on medication procedures, uses and side effects. Currently there are no service users who self medicate. The medication policy included homely remedies. All residents are registered with a local GP and attend as necessary. All residents attend services provided by Bromley Autistic Trust and the local community. The home has a policy on ageing death and dying. The registered person should provide all key staff with an accredited training in the administration and storage of medicines. (Recommendation 2) Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 11 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 Systems in place for raising complaints and concerns are satisfactory. EVIDENCE: The home has a complaints policy in place. The CSCI has received no complaints regarding this service. The inspector did not meet any residents and there were no recorded complaints since the last inspection. Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 12 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, 26, 27, 28, 30 The home is suitable to meet the needs of the current residents. EVIDENCE: The home was clean and tidy but is obviously in need of some refurbishment and repairs. Each service user has their own bedroom. There are no shared bedrooms. There are sufficient numbers of toilets and bathrooms with sufficient privacy to meet the needs of service users. The flooring in the kitchen and the bathroom needs to be changed. Some carpets are badly stained and should be changed. The home needs to have a programme of maintenance in order to meet this standard. The Registered Person must ensure that the premises are of sound construction and kept in a good state of repair externally and internally. (Req. 1) Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 13 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): 31, 33, 35 EVIDENCE: Staff was aware of their roles and responsibilities and management structures. Two members of staff spoken to confirmed that they have received training in statutory topics. The inspector was unable to check the staff files, as the staff on duty did not have access to these. The inspector was informed that all staff has current CRB checks. The deputy manger that conducted the inspection was clear about her role and was knowledgeable about the residents and their needs. She was able to detail support networks and support required. Staffing levels are suitable to meet the needs pf the service users including escort duties. The home should have a system in place for the person in charge to access staff records if needed. (Recommendation 3) Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 14 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, 38, 40, 41, 42 The Home is managed with support from Bromley Autistic Trust. Health and Safety measures are in place to reduce any risks identified. EVIDENCE: The manager has been approved by the CSCI, having undergone the fit person’s interview. A selection of health and safety certificates was seen and found to be satisfactory and current. Regulations 26 visits are not meeting the standard. The last inspection was done in May. The manager is currently undertaking the Level 4 NVQ and the Registered Manager’s Award. The Registered Provider must ensure that Regulation 26 visits are being carried out in order to meet this standard. (Requirement 2) Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 2 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hamilton House Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 2 x DS0000006944.V255435.R01.S.doc Version 5.0 Page 16 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 28 Regulation 23.2.b Requirement The registered person must ensure that the premises are of sound construction and kept in a good state of repair externally and internally. The Registered Provider must ensure that Regulation 26 visits are being carried out in order to meet this standard. Timescale for action 15/01/06 2 42 26 15/12/05 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 6 20 Good Practice Recommendations The home must make completing the Person Centred Plans a priority. The registered person should provide all key staff with an accredited training in the administration and storage of medicines. The home should have a system in place for the person in charge to access staff records if needed. 3 34 Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Hamilton House DS0000006944.V255435.R01.S.doc Version 5.0 Page 18 - 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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