Inspection on 06/09/05 for Hampden House

This inspection was carried out on 6th 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

Hampden House 17/11/06

Hampden House 24/01/06

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

CARE HOMES FOR OLDER PEOPLE Hampden House Hampden Harrogate North Yorkshire HG1 2HE Lead Inspector David White Unannounced 06 September 2005 09:30 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 Older People. 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. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hampden House Address 120 Duchy Road Harrogate HG1 2HE 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) 01423 566964 01423 562792 Elizabeth Finn Homes Ltd Mrs Patricia Pountney Care home with nursing 67 Category(ies) of OP Old age (67) registration, with number PD Physical disability (67) of places Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24/01/05 Brief Description of the Service: Hampden House is a purpose built care home, providing personal and nursing services, to sixty-seven service users. It was refurbished in 1996, with all rooms having en-suite facilities and each floor is serviced by a lift. It is situated in a quiet residential area on the outskirts of Harrogate has well kept, attractive garden grounds and is a short walk from open green spaces. The home is owned by the Elizabeth Finn Trust, which offers support and care for professional people and their families. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours and was carried out by two inspectors, Mr David White and Mrs Bridgit Stockton. The premises were looked at and six residents, five members of the staff team, the head chef, the domestic supervisor, the administrator and a relative were spoken to. Care records were inspected along with a number of other records. What the service does well: What has improved since the last inspection? The high standards of care within the home are being maintained. There have been changes to the laundry system to reduce the risk of infection and cross contamination from soiled items. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 6 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. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 Residents and prospective residents and their families are fully aware of the care, services and facilities provided by the home and can feel confident that their needs will be understood by the staff and are met. EVIDENCE: The home has detailed information together with a thorough pre-admission assessment procedure. The statement of purpose and service user guide provide comprehensive relevant information about the home. Both documents were clear, concise and detailed in their content and are available for relatives and their families or representatives. The admission procedure is thorough and ensures that new residents are properly assessed and that staff are fully aware of their needs. The registered manager or her deputy carries out pre-admission assessments and information from other sources such as the care manager or GP is obtained as part of the pre-admission assessment process. A recently admitted resident and her relative said that they were able to visit the home and had been provided with information about the services on offer before making a decision about moving into the home. The home does not provide any form of intermediate care. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 There are good care planning systems in place to make sure that residents healthcare needs are understood and met by a respectful staff team. EVIDENCE: The home has a written and a computerised system of care planning. Each resident has a copy of their care plan within their bedroom. The care plans inspected had detailed information about the needs of individual residents and how these were to be met. Risk assessments covering a number of aspects of daily living were also available. The risk assessments in reducing the risk from falls were specific and clearly stated how residents should be assisted with their mobility where required. Care plans included information about dietary needs and the likes and dislikes of each resident. Reviews of the care plans and risk assessments take place regularly. Referrals to outside agencies were detailed. One resident was seeing a dentist at the time of inspection. The records of this resident were up to date saying why the dentist had been asked to visit. All the residents spoken to said that the “care was very good” and “staff are always helpful”. Staff could be seen knocking before entering bedrooms and residents said their privacy was always respected. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 10 Proper medication procedures were in place for the administration, recording, storage and return of medication. The Medication Administration Records were accurate and up to date and a check of the controlled drugs stock tallied with the records. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents enjoy activities both in and outside of the home. Flexible visiting times mean that residents can maintain regular contact with family and friends. The food provided is varied to suit different tastes and choices. EVIDENCE: The home has an activities person who has developed an activities programme that is on display in the home. Entertainers are invited to attend the home and the residents said that they particularly enjoyed the visits by a pianist. The home has a minibus and this is used to take people on outings and weekly church services are held at the home. The social needs of the residents are recorded within their care plans. Visiting times are flexible and a relative said that she was always made to feel welcome. The relative also said that she was kept well informed about her mother’s progress. Each bedroom has a telephone point to enable residents to communicate by using a telephone if they wish to do so. Residents feel that they are able to carry out their preferred daily routines as they wished. One resident said “it is good that there is no pressure to join in activities if you don’t want to”. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 12 Residents spoken to said that they enjoyed the meals and felt that there was enough choice at mealtimes. The menus are changed every six weeks and residents are encouraged to give their views about the meals at all times and within resident meetings. The menu was on display and a copy of the daily menu is given to each resident at the start of the day so they can choose their meals. A dining room assistant sits down and explains the menu to those residents who have difficulties with understanding. The meals were seen to be presented in an appealing manner. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The concerns of residents are listened to and acted upon. Adult protection policies and procedures are in place to protect residents from abuse. EVIDENCE: The home has a complaints procedure that is clear and easy to understand and complaints are dealt with immediately. Residents knew who what to do if they wished to raise any concerns and felt confident that any concerns would be dealt with properly. Adult protection policies and procedures are in place on the protection of vulnerable adults. A recent incident of abuse has been dealt with and all the staff have received training in how to recognise abuse and what to do if they suspected abuse was occurring. Recruitment procedures are thorough and make sure that residents are safeguarded from harm. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22 and 26 The home is very clean and well maintained so creating a very comfortable and pleasant environment for residents to live in. EVIDENCE: The environment is very clean, bright and spacious. Accommodation is split into different wings to accommodate people with nursing and residential care needs. There are three dining lounges and a large communal lounge. There are a number of kitchenettes in the home which enable residents to help themselves to drinks of tea and coffee. A passenger lift helps residents to move about within the premises and the very pleasant gardens and patio areas are accessible for all the residents. One resident said that the home was “lovely” and a number of residents said “I could not wish to live in a better care home”. Good laundry systems are in place for the upkeep of bedding, linen and personal clothing and there were plentiful supplies of aprons, hand paper towels and soap dispensers. The laundry system has been updated to reduce the risk of infection and cross contamination from soiled items. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 15 Staff spoken to said that plenty of equipment was available to meet the needs of the residents. Most of the aids, adaptations and equipment seen were modern, up to date and in good condition. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Residents receive a very good standard of care from a well-motivated and enthusiastic staff team. The home’s recruitment procedures protect residents from harm. EVIDENCE: Inspection of the duty rotas and observation showed that the numbers and skill mix of the staff team ensure that resident needs are easily met. There was a good atmosphere in the home and one resident said that this was always the case. All the residents spoken to were complimentary about the staff team. One resident said that the “care was very good”, another said that the staff were “always helpful and friendly” whilst another described the care she received as “wonderful”. Residents felt that there were always enough staff on duty and call bells are responded to promptly. The home employs kitchen staff, housekeepers and laundry assistants to help maintain standards of hygiene and cleanliness throughout the home. The housekeeping staff had been awarded the annual outstanding contribution award by the organisation for the quality of their work. All staff undergo a range of training. An induction programme is in place for all new staff and a new member of staff was seen having some induction at the time of inspection. The induction programme is very detailed and covers a number of aspects of working at the home including how to meet the needs of the residents and the values of the organisation. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 17 Two staff files inspected were those of recently appointed members of staff and these contained evidence that two written references and a satisfactory Criminal Record Bureau and POVA check had been obtained before the new members of staff started working at the home. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 31, 33, 35 and The home is well managed and residents are involved in decision-making about how the home is run. Overall proper attention is given to health and safety in promoting a safe environment although there is one exception to this. EVIDENCE: The registered manager is very experienced in running the home. A deputy manager supports the registered manager in providing leadership in the home. Residents, a relative and the staff spoken to were complimentary about the registered manager’s abilities saying that she “will address issues and concerns” and is “approachable”. Staff said that they felt management supported them in carrying out their jobs. A number of satisfaction surveys have been carried out to seek the views of residents and relatives about the home. Resident and staff meetings are held Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 19 on a regular basis and are recorded. Care plan reviews take place on a regular basis and encourage the involvement of the resident and their family. The financial arrangements for the home were inspected and found to be satisfactory. Formal supervision arrangements are in place for the staff and these are recorded. Arrangements were in place were in place for the promotion and maintenance of a safe and secure environment for residents, visitors and staff. A number of satisfactory safety reports and certificates were seen relating to the premises. Health and safety training is included in the induction programme and this is updated regularly. Accidents are clearly recorded within the daily records and in the home’s accident book. Individual and general risk assessments are in place to promote independence and safeguard residents from harm. However during a look around the premises it was observed that two types of cleaning agents were being stored in resident bathrooms and kitchenette areas. Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 x x 1 Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 21 n/a 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 38 Regulation 13 Requirement The registered manager must carry out a risk assesment in relation to cleaning agents being stored in resident bathrooms and resident kitchenette areas so that the health and safety of the residents is not put at risk. Timescale for action 13/09/05 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. Refer to Standard Good Practice Recommendations Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit 4, Triune Court Monks Cross York YO32 9GZ 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 Hampden House J53-J04 S64477 Hampden House V239850 060905 Stage 4.doc Version 1.40 Page 23 - 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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