Inspection on 12/07/05 for Hammonds

This inspection was carried out on 12th July 2005.

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 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

Hammonds 17/01/07

Hammonds 30/01/06

Hammonds 08/12/04

Hammonds 09/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Hammonds 210 Hawthorn Road Bognor Regis West Sussex PO21 2UP Lead Inspector Mrs S Rodgers Unannounced 12 July 2005, V229791 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. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hammonds Address 210 Hawthorn Road, Bognor Regis, West Sussex, PO21 2UP 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) 01243 541005 01243 869179 hammonds.ss@westsussex.gov.uk West Sussex County Council Social and Caring Service Miss Pat Holmes CRH(PC) - Care home only 16 Category(ies) of LD - Learning disability - 16 places registration, with number LD(E)- Learning disability - Over 65 - 16 places of places PD Physical Disability including LD learning disability - 4 places Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 16 male and/or female service users in the category of learning disability aged between 18 and 65 years may be admitted/accommodated. 2. Up to 16 male and/or female service users in the category of learning disability over 65 years may be accommodated. 3. No service over the age of 65 years may be admitted. 4. No more than a total of 16 service users may be accommodated. Date of last inspection 8 December 2004 Brief Description of the Service: West Sussex County Council owns Hammonds. The responsible individual on behalf of the local authority is Mr. J Dixon and Miss Pat Holmes is the registered manager in charge of the day to day running of the home. Hammonds is registered to accommodate up to sixteen adults between the ages of 18 and 65 years with a learning disability. Two of the current service users have been resident in the home for many years and are now over the age of 65. Four of the service users also have a physical disability. Hammonds is situated in Bognor Regis close to local facilities. The establishment is arranged in two houses, numbers 2 and 3. One bed is used to provide short stay respite care. House 1 in the Hammonds complex proviodes supported living and is leased by West Sussex County Council to Southdown Housing Association and does not form part of the inspection process. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five hours and was carried out as part of the routine programme of inspection. Preparation for this inspection focused on a review of previous inspection reports and general correspondence. During the course of the inspection the inspector toured the home, spoke with residents either privately in their own bedrooms or within the communal areas of the home in order to gain a sense of how the home is being run and how they experienced living at Hammonds. Two staff were spoken with in order to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into how their knowledge of the aims and objectives of the homes philosophy of care. Since the last inspection the Commission has been advised that one Adult protection alert has been raised and continues to remain outstanding. From speaking with resident the inspector gained the impression that residents are satisfied with the standard of care/support they receive. The inspector also took the opportunity to observe the interaction between both residents and staff. It was noted that the atmosphere within the home was jovial and relaxed and that the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. Following the last inspection carried out on the 8th December four of the identified requirements have been addressed, two remain outstanding. Four of the recommendations identified in the same report have been addressed, two remain outstanding one of which has now been made into a requirement following this inspection. With requirement number three the manager is requested to advise the inspector of the proposed start and completion date by the date shown in the timescale for action box. What the service does well: The services support residents to develop and maintain an independent lifestyle within their assessed capabilities. Residents are also offered the opportunity to attend day centres, colleges and access work placements within the community. During the course of the inspection the inspector was able to observe the interactions between staff and residents and found them to be relaxed, confident and appropriate. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 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. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 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 Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 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) 1,2 The Statement of Purpose assists residents or their relatives to make an informed choice regarding whether the home will meet their or their relatives needs, however the document needs to be updated to clearly set out the physical environmental standards in line with the amendments to the standards which came into force June 2003. The pre admission assessment enables the management to determine that the needs of person admitted to the home can be met. EVIDENCE: A copy of the home’s Statement of Purpose was not available at this inspection however; Miss Holmes told the inspector that the document has not been updated as requested in the report dated 8th December 2004. The registered providers are required to identify any shortfalls in the physical environment as identified in the revised National Minimum Standards that came into force in June 2003. The areas required to be address will be identified in the requirement section of this report. The pre admission assessments seen on all new admission indicate that health, personal and social needs of prospective residents reviewed, information gained at this time is used to devise a care plan for the prospective resident prior to them being admitted to the home. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 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) 7,9 Resident’s are enabled to participate in making decisions about their own life. Risks are identified and action plans devised to support residents to develop and maintain an independent lifestyle within their assessed capabilities. EVIDENCE: Reviews and risk assessments seen at this inspection clearly evidence that resident’s are enabled to participate in the decision making processes with regards any support required. Resident’s spoken with confirmed that they can make choices concerning their own lifestyles. An example of this is that one resident has made a decision that she does not wish to go out to day centre and college. Resident’s also confirmed that if they are not going out to college, work or a day centre they can get up later, especially weekends. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 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 Resident’s are enabled to participate in activities appropriate to their needs and preferences. Resident’s have access to activities within the local community. EVIDENCE: Resident’s care plans clearly identify activities in which they participate. Resident’s spoken with told the inspector that they are supported by staff to access college, day centres and work placements. Resident’s have access to local shops, cinema, bowling complex, swimming pool, Gateway Club and adult literacy classes. The home also holds a summer Fayre to which the general public are invited. The most recent was the week before this inspection. Residents told the inspector that they had a lovely day. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 11 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) 18,20,21 Resident’s receive personal support in a manner most suited to their individually assessed needs. EVIDENCE: Care plans clearly indicate the manner in which resident’s needs or wishes are to be supported. Monthly reviews clearly identify that resident’s have a say in how they their care is delivered. At the present time there were no resident’s self-medicating. A new recording system has been introduced to record medication temporarily taken off the premises and returned by resident’s, for example when they go on holiday the type of medication and number of tablets are recorded and should there be any brought back they are signed back in. The ageing, illness and death policy still relates to the Older Persons National Minimum Standards. This document should be revised to take into account the changing needs residents for which the service is registered i.e. Younger Adults Aged 18 – 65. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 12 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) 22, 23 Resident’s are able to raise concerns via the homes complaints procedure. The homes implementation of the adult protection procedures needs to be revised to ensure that residents are protected form abuse. EVIDENCE: The complaints procedure is displayed with in the home both in pictorial and written form advising residents or their relatives of the procedure to follow should they wish to make a complaint or raise concerns. There has been one Adult Protection alert since the last inspection. The procedure that was followed was not in line with the WSCC Adult Protection policy guidelines as the person against whom the allegations was made has been reinstated prior to the investigations being completed. Senior management told the inspector that they felt that the allegations were false. The inspector advised that although they may think the allegations were false and although their subsequent investigations may prove the allegation to be false they must carry out the investigations in line with Adult Protection policy and ensure that any investigations are completed prior to the person being reinstated as not to do so is potentially putting residents’ at risk. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 13 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) 24,27 The living accommodation is generally laid out well and appropriately equipped to meet the needs of service users. Not all bathing facilities meet the needs of resident’s. EVIDENCE: Whilst touring the home the inspector was able to see that resident’s personal accommodation is of a good standard. Resident’s are encouraged to personalise them with furniture and personal items giving each room an individual homely atmosphere. All radiators have covers to reduce the risk of accidental burning and the inspector was advised that valves to regulate the temperature of hot water to basins and baths have been fitted. All rooms have lockable safe so that valuables or medication can be stored safely. Miss Holmes advised the inspector that all works identified in the most recent fire inspection report have been carried out. It has been identified in previous inspection reports that one bathroom in house 2 does not meet the needs of residents. The inspector was advised by Miss Holmes that the new equipment i.e. bath have been purchased and that they are waiting for the works to start. This should be done as a matter of Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 14 urgency to ensure the Health and Safety of both residents and staff are maintained. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 Staff on duty were relaxed, confident and knowledgeable with regards the needs of individual residents. EVIDENCE: The homes recruitment policy and practices were seen to be in good order. All checks have been carried out and records kept. The training and development plan for 2005/06 clearly identifies forth-coming training events, which are in line with the needs of the service provision. The document also identifies staff who have achieved an NVQ award or when they are to commence training. Staff spoken with confirmed that they are given the opportunity to undertake a range of training courses that relates directly to the needs of service users. The inspector gained the impression that the staff team was motivated with regards NVQ training, it would be beneficial to the home to review training opportunities for care staff who wish to continue NVQ training to level 3 to ensure that they remain motivated. Staff said that they generally feel supported by the management team and that they have an opportunity to put their views across at supervision sessions and staff meetings. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 16 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) 42 The health, safety and welfare of residents are protected. EVIDENCE: The care officer has delegated responsibility for health and safety issues. Evidence was seen and staff confirmed that they receive regular training with regards manual handling; individual risk assessments have been carried out on residents who require to be moved with assistance. Following the requirement listed in the last inspection report dated 8th December 2004 risk assessments have be carried out on safe working practices and activities including first aid, food hygiene, infection control and the premises i.e. access to kitchen, laundry and garden. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 17 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 2 3 x x x Standard No 22 23 ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 2 x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hammonds Score 3 x 3 2 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 18 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 1 Regulation 4 Requirement The Statement of Purpose must be reviewed to ensure that it clearly sets out the physical environment standards in relation to standards 24.2, 24.9, 25.3,.25.5, 27.2,27.4 and 28.2 The adult protection procedures must be followed to ensure that residents are not put as risk of abuse. The registered provider must provide residents with toilet and bathroom facilities that meet their assessed needs. Timescale for action 29th Aug 2005 2. 23 13 (6) 29th Aug 2005 29th Aug 2005 3. 27 20 (2) 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 21 Good Practice Recommendations The registered provider should review the ageing, illness and death policy in order that it reflects the National Minimum Standards for Younger Adults. Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Hammonds H60-H11 S37437 Hammonds V229791 120705 Stage 4.doc Version 1.30 Page 20 - 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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