Inspection on 14/01/10 for Hampshire House

This inspection was carried out on 14th January 2010.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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

Hampshire House 27/09/07

Hampshire House 01/06/06

Hampshire House 12/01/06

Hampshire House 26/07/05

Hampshire House 23/02/05

Hampshire House 10/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 28/03/2010.

Annual service review Name of Service: Hampshire House The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Maureen Richards 2 7 0 9 2 0 1 0 Date of this annual service review: 3 0 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 0RJ 01494601427 01494871927 ian.henry@epilepsynse.org.uk www.epilepsysociety.org.uk The National Society for Epilepsy Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mr Ian Lee Henry Conditions of registration: Category(ies) : physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 12 0 1. The registered person may provide the following category/ies of service only: Care Home only - (PC) to service users of the following gender: Either Whose primary needs on admission to the home are within the following categories: Physical Disabilities (PD) 2. The maximum number of service users to be accommodated is 12. Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Hampshire House provide a rehabilitation service for people with epilepsy. The service is based at the National Society for Epilepsy (NSE) centre in Chalfont St Peter, Buckinghamshire. Hampshire House provides accomodation for 12 service users in Annual Service Review Page 2 of 8 Manager registered. 2 1 7 8 0 0 9 9 2 2 0 0 0 0 7 8 single rooms on two floors. The homes aims include the development of service users independence. The home is an integral part of the NSE and benefits from a wide range of support services provided by the organisation. Please contact the Provider for the current range of fees. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was informative and outlined what progress and improvements have been made within the home and what it aims to achieve over the next year. 3 service users, 8 staff, 1 Social and health care professionals and 7 relative surveys were returned in respect of this annual service review and the feedback from those have been incorporated into the report. The AQAA confirms that the home has established thorough procedures for conducting assessments from the point of referral and during the early stages of admission to ensure that the needs of service users are met. They have developed an induction programme designed to offer a structured support package which can be used by a potential service user in helping to determine if they would like to live in Hampshire House. They support service users to develop the skills necessary to move on to more independent living and actively participate in an appropriate assessment period to ensure suitable accommodation of their choice and which meets their needs is available. The home is due to close in August 2011 and the plans for improvement over the next 12 months are to prepare service users for the move and to support them in looking at what options are available to them. The AQAA tells us that care plans and risk assessments are in place and that service users have become more involved in what their care plans say about them, what it Annual Service Review Page 4 of 8 contains and how it looks. The plans for improvement over the next 12 months are to ensure that care plans are regularly reviewed to reflect their current needs as service users look to receive their support packages from other providers due to the closure of the home. The AQAA tells us that all service users are actively encouraged and supported to participate in a wide range of social, educational and training activities on and off site and they are actively supported and encouraged to use public transport to access the wider community to promote their independence. Since the closure of the on site banking facility service users have been encouraged and supported to open their own bank accounts and have more responsibility for their own finances. The AQAA tells us service users are provided with the opportunity to develop skills and maintain meaningful relationships. The home is fully self catering with two service users having elected to do their own self catering, which includes budgeting, shopping and cooking with staff support as required and within a risk assessment framework to promote their independence. The AQAA indicates that service users are supported to meet their personal and healthcare needs with up to date care plans in place to outline the support required, including support required in meeting diverse needs. Service users have access to a wide range of healthcare professionals with records maintained to evidence this and any follow up required. Service users are supported with their medication by staff trained in this role. The AQAA indicates that the home has had 7 complaints in the previous 12 months, with five of those complaints upheld. The AQAA tells us that a complaints procedure is in place and this is reinforced to service users annually. Written feedback received from service users confirm that all 3 service users who responded know how to make a complaint. Written feedback from staff confirms that they know what to do if someone has concerns about the home. Written feedback from relatives confirms that six out of the 7 relatives that responded know how to make a complaint. The AQAA confirms that the home has had 6 safeguarding of vulnerable adults referrals and 2 safeguarding of vulnerable investigations in the previous 12 months. A safeguarding and whistle blowing policy is in place with the dataset section of the AQAA indicating that the whistle blowing policy was last reviewed in March 2009 and the safeguarding of vulnerable adults policy was reviewed in March 2004. The AQAA tells us that the safeguarding of vulnerable adults policy has been rewritten in line with the updated Bucks Safeguarding Adults procedures and was awaiting approval before being submitted to the policies and procedures manual. The AQAA tells us that there has been one incident where restraint was used and that mandatory safeguarding and challenging behaviour training is provided for staff with training records maintained to evidence this. The AQAA tells us that the home is maintained, clean, personalised and homely. The plans for improvement over the next 12 months is to ensure that the environment remains fit for purpose, until the closure of the home. Annual Service Review Page 5 of 8 The AQAA tells us that the home has had a high turnover of staff over the last year with the recruitment of staff keeping pace with the turnover. The AQAA outlines that staffing levels are adequate and with appropriate experienced staff on duty to meet service users needs. Staff are suitably recruited, inducted, supervised and trained in their roles and the home is now able to access external training courses, which gives staff access to training on a wider range of topics. The organisation has recently taken on a new training manager, who will undertake a training needs analysis across the whole of the staff team, in order to develop the training programme on offer. Written feedback received from staff confirm that they were suitably recruited, inducted, trained and are supported and supervised in the roles. Staff commented under what the home does well that the home has an excellent team of staff and staff support. The management is very supportive and always have time for staff. Hampshire House has an excellent staff team from the manager down to the support workers. Good staff support and good communication. A supportive and cohesive staff team on all levels, One staff member commented under what the home could do better some staff communication could be better around general day to day issues. The AQAA confirms that 10 out of the 15 permanent staff have achieved a National Vocational Qualification level 2 or above. The home has a registered manager who is suitably experienced and trained for the role with an established team of senior staff to support him in his role. The information supplied in the AQAA would demonstrate that he has made positive changes within the service to benefit service users and to ensure that the service continues to provide good outcomes for the people who use it. The home has kept the Commission informed under Regulation 37 of notifications that affect the well being of service users. The AQAA confirms that Regulation 26 visits take place monthly with records maintained of those visits. The dataset section of the AQAA indicates that some policies were updated in 2004, 2005, 2008 and 2009 with the disposal of waste policy being reviewed in June 1995. The AQAA indicates that servicing of equipment is up to date. Written feedback received from service users confirm they are happy with the care provided. They commented under what the home does well provide me with activities and support me well. They commented under what the home could do better more activities and more choice of food. Written feedback from relatives confirm they are generally happy with the care provided and included comments under what the home does well epilepsy handled well, I think they show them love and care, friendly and approachable, homely environment, the staff help motivate and improve their relatives quality of life and promote independence, they are excellent at giving their relative who cannot communicate multiple choices and watching their reactions. I am happy with Hampshire house and the service it provides for my relative who has complex needs and they are very happy there. Relatives commented under what the home could do better was more staff and one to one care, maybe more trips and outings and supply bed alarms, personal hygiene and laundry services. Written feedback from a Social and Health care professional involved with the home indicated they were happy with the care provided and commented that the residents are well cared for. They Annual Service Review Page 6 of 8 constantly check on residents health changes then report accordingly. They promote normal ways of living by engaging residents in social activities such as sports, shopping and college. Written feedback from staff confirm that they work well with residents to promote their independence, including promoting moving into supported housing in the community, support individual needs, they listen to them and take their views on board, they have developed community links and integration, they are proactive in identifying changing needs and planning and providing care and everything is done to ensure residents have the best quality of life through their own choices. Some relatives and staff expressed concern and anxiety about the closure of the home. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 27th September 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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