Inspection on 30/01/06 for Hammonds

This inspection was carried out on 30th January 2006.

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 12/07/05

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 Inspection 30th January 2006 02:15 Hammonds DS0000037437.V266414.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 Hammonds DS0000037437.V266414.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. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hammonds Address 210 Hawthorn Road Bognor Regis West Sussex PO21 2UP 01243 841005 01243 869179 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) www.westsussex.gov.uk West Sussex County Council Miss Pat Holmes Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (16), Physical disability (4) of places Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Up to 16 male and/or female service users in the category of learing disability aged between 18 and 65 years may be admitted/accommodated. Up to 16 Male and/or female service users in the category of learning disibility over 65 years of age may be accommodated. No service users over the age of 65 years may be admitted. No more than a total of 16 service users may be accomodated Up to 4 persons with physical disability and learning disability may be accommodated 12th July 2005 Date of last inspection 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 provides supported living and is leased by West Sussex County Council to Southdown Housing Association and does not form part of the inspection process. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5.15 hours and was carried out as part of the routine programme of inspections. Preparation for this inspection focused on a review of previous inspection reports and general correspondence. During this inspection year three allegations of suspected abuse have been reported and adult protection procedures have been invoked. One incident has been investigated and completed the manager is requested to write to the Commission advising of the outcome of the investigation. The two other incidents are currently being investigated. The appropriate procedures are being followed in line with the Local Authorities policies. During the course of the inspection the inspector toured the home and reviewed records. The majority residents were seen at the inspection however some residents have profound disabilities which makes it was difficult to chat and gain their opinions of the home, however those who were able did confirm that they are happy at Hammonds. The inspector also took the opportunity to observe residents at their leisure activities and observe their interaction with staff. Residents and staff appeared relaxed and confident in each other’s company. Four support workers were spoken with in order to gain a sense of the support received to assist them to carry out her duties. Comments will be included in the main body of the report. Following the last inspection carried out on the 12th July all three requirements listed in the report have been addressed. What the service does well: The service endeavours to provide resident to develop and maintain an independent and varied lifestyles with in individual assessed capabilities. The person centred reviews enable resident to actively take part in the identification of personal goals and aspirations. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 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 DS0000037437.V266414.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,5 Prospective residents and/or their representatives have access to information that enables them to make an informed choice about moving into the home Written contracts/statement of terms and conditions are provided. EVIDENCE: Prior to moving into the home prospective residents and/or their relatives receive a copy of the homes Statement of Purpose and Service User Guide. These documents clearly inform prospective residents of the services provided. Both documents are in written English and symbols in order that those resident’s who communicate using Makaton area able to understand the documents. A sample written contact was reviewed. They clearly identify rooms occupied, overall care and services, fees payable, additional services to be paid for over and above those included in the fee, rights and obligations of resident and registered provider and terms and conditions of residency. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Residents assessed needs and personal goals are reflected in care plans. EVIDENCE: Care plans are in place. Care plans are based on the homes own assessment, the Care Management assessment and residents preferences on how they wish their care to be delivered. There is clear evidence that residents are involved in the development of their own care plans. Care plans are reviewed twice a year. Each resident has a designated key worker. One staff member said, “By being a key worker you get to know residents needs better and are able to advocate and implement residents individual aims and aspirations appropriately”. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 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 the following standard(s): 15, 16, 17 Residents are supported to maintain appropriate relationships. The rights of residents are respected. Residents are offered a well-balanced and varied diet. The rights of residents are respected. EVIDENCE: Residents are enabled to maintain contact with family and friends, the Statement of Purpose and Service User Guide informs of the visiting arrangements. Some residents go home with relatives for the weekend on occasions and relatives are also invited to planned reviews. Records of meals provided indicate that a balanced diet is being offered. On weekdays the main meal is generally taken in the evenings as residents are out during the day. Residents confirmed that they like the meals provided and are consulted regularly and assist with planning the menus. From observation during the course of the inspection and from reviewing residents care plans it is evident that the rights of residents are respected. Examples of this were observed during the inspection i.e. Staff were seen to Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 11 knock on residents doors prior to entering and to speak with residents and not exclusively with others. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The health and emotional needs of residents are met. EVIDENCE: All residents are registered with a GP. Records of visits of health professionals are recorded. Records also indicate that residents have access to other paramedical services such as opticians, chiropodists and dentists. Residents also have access to the Community Team for People with Learning Disabilities. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Systems are in place to protect residents form abuse, neglect and self–harm. EVIDENCE: The home has a policy and procedure in place that informs staff of action to take should they suspect abuse of a resident. Miss Holmes confirmed that staff have received Adult Protection training during a recent staff meeting however, there is no record to demonstrate which staff have received training. Staff spoken with during the inspection confirmed that they did have training at a recent staff meeting. Staff who were asked gave a good account of actions to take should they suspect abuse of a resident. The recent adult protection procedure alerts demonstrate that staff and management are aware of their responsibilities with regard protecting vulnerable people. The inspector advised Miss Holmes that she should confirm in writing the outcome of the one completed adult protection investigation. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26, 27, 30 Resident’s private accommodation is appropriate to the needs of residents. Bathroom facilities appropriate to the needs of residents. The standard of cleanliness through out the home is high. EVIDENCE: Each residents bedroom is individually furnished taking into account assessed need. Specialised equipment such as overhead hoists and hospital type beds are provided as required. Bathrooms are provided in sufficient numbers. Specialist bathing equipment is provided to meet the needs of residents with a physical disability. From touring the home the inspector was able to see that the standard of cleanliness was of a high standard. Appropriate systems are in place for laundering resident personal items. The home has a contract with a company for the safe disposal of clinical waste. Hand washing facilities and protective clothing are provided. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Residents are supported by competent staff. EVIDENCE: All new staff undertake induction training linked with the Learning Disability Award Framework. Twenty carers are employed by the home. Five care staff have obtained NVQ qualifications. The management is aware of the need to have 50 of its workforce with an NVQ Award level 2 or equivalent, this is identified in the homes development plan. Miss Holmes confirmed that more staff are currently undertaking the award. Although this standard is not met in full as there is a number of staff on a NVQ training programme a requirement has not been made at this inspection. Duty rotas indicate that appropriate skill mixes of staff are on duty. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 Resident’s benefit from a well run home. The views of residents and other stakeholders are taken into account in the running of the home. EVIDENCE: Miss Holmes has 18 years experience in caring for people with a Learning disability. She has obtained a Diploma in Social Work, and a Social Services management award. Miss Holmes completed one unit of the Registered manager’s award to augment the Social services management award as suggested by the Skill for Care requirements. Staff spoken with told the inspector that they feel supported by Miss Holmes and her deputies. They confirmed that their views concerning resident’s needs are listened to and acted upon if appropriate. The management have undertaken a quality monitoring and quality assurance audit and have produced a development plan/report based on the findings. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 17 Residents, relatives and other stakeholder’s views were sought. Comments from interested parties are contained within the report. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X 3 Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hammonds Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000037437.V266414.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA23 Good Practice Recommendations Systems should be in place to record that staff have received training in Adult Protection procedures and to report the outcome of investigations to the Commission. Hammonds DS0000037437.V266414.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worthing LO 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 DS0000037437.V266414.R01.S.doc Version 5.0 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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