Inspection on 01/06/06 for Hampshire House

This inspection was carried out on 1st June 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

Hampshire House 14/01/10

Hampshire House 27/09/07

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 08/07/2008.

CARE HOME ADULTS 18-65 Hampshire House & Redsteps The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 ORJ Lead Inspector Mike Murphy Unannounced Inspection 1st June 2006 09:30 DS0000022975.V290646.R01.S.doc Version 5.1 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 DS0000022975.V290646.R01.S.doc Version 5.1 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. DS0000022975.V290646.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hampshire House & Redsteps Address 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) The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 ORJ 01494 601427 01494 871927 Hampshire@epilepsynse.org.uk The National Society for Epilepsy Care Home 20 Category(ies) of Physical disability (0) registration, with number of places DS0000022975.V290646.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A total of 20 residents (14 in Hampshire and 6 in Redsteps) Date of last inspection 12th January 2006 Brief Description of the Service: Hampshire House and Redsteps provide a rehabilitation service for people with epilepsy. The service is based in two separate buildings located at the National Society for Epilepsy (NSE) centre in Chalfont St Peter, Buckinghamshire. Hampshire House is an older building which has been extended and provides 14 places in single rooms on two floors. Redsteps is a conversion of two buildings, two semi-detached former staff houses, on the periphery of the NSE site about 400 metres walk from Hampshire House. Together the service can accommodate up to 20 younger adults with epilepsy. 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. Weekly fees at the time of this inspection were between £900 and £2500. DS0000022975.V290646.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over one and a half days in June 2006. The first day was spent in Hampshire House and the second in Redsteps. Although registered as a single service there are distinct differences between the two services. Hampshire House has 14 residents of variable dependency: some relatively independent, others requiring one-to-one support. Redsteps has 5 residents, all of whom have a reasonably high level of independence. The inspection methodology consisted of examination of records, discussions with staff and residents in both houses, consideration of comment cards completed by residents, relatives and health & social care professionals, a walk around both homes, and discussion with managers. The inspection finds that there is generally a good level of satisfaction among residents, relatives and professionals with the current service provided by Hampshire House and Redsteps. There is a very wide range of resident dependency in this service. Some requiring continuous 1:1 support, others having a high level of independence. Staff support residents across a range of activities. Residents have access to specialist and general healthcare and most have a programme which includes a commitment to a training or education daytime activity. The majority of these activities take place on the NSE site. Given the rehabilitation objective of the home it might be worthwhile exploring opportunities for additional daytime activities in the wider community. The self-catering arrangement in Hampshire House seems to be going well and it was reported that both the quality and quantity of food has improved since it was introduced. The quality of the environment in both houses is variable. Although both have benefited from some investment over the course of the last year there is still scope for improvement. In Hampshire House this might be used to improve the standard of the bathroom on the ground floor. At present this is a dark, dull and uninviting room. In the opinion of an occupational therapist it does not support staff in providing a service to residents. Given the view that Hampshire House is likely to be providing a service to residents with higher levels of dependency this might be accorded a higher priority. In Redsteps the lounge and kitchen would benefit from refurbishment. Not surprisingly perhaps, given the uncertain future of the NSE site both residents and staff communicated a mood of anxiety, some pessimism and uncertainty for the future during the course of the inspection. It is not suggested that this is the dominant mood but it needs to be recorded. A meeting with the chief executive and a director was scheduled for the week after the inspection. Examination of staff recruitment files showed exemplary practice both in recruitment practice and file management. DS0000022975.V290646.R01.S.doc Version 5.1 Page 6 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. DS0000022975.V290646.R01.S.doc Version 5.1 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 DS0000022975.V290646.R01.S.doc Version 5.1 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home’s procedures for conducting assessments both at the point of referral and during the early stages of admission are thorough and are aimed at ensuring that it can meet the needs of residents. EVIDENCE: Both Hampshire House and Redsteps reviewed and updated their statement of purpose in January 2006. The documents provide useful information for prospective referrers and residents. It is noted that the aims for both homes are identical. While this is understandable for a single registered service, distinct differences were noted on inspection. Redsteps appeared to be in a good position to move residents on to alternative accommodation with varying levels of support. It was said that the future direction for Hampshire House was likely to be providing a residential service for more dependent residents with complex needs. Staff numbers and skills are adjusted accordingly. If this is the case then the statement of purpose for Hampshire House would be expected to be different to that for Redsteps. However, the prevailing mood in both homes, among both residents and staff, was one of uncertainty over future direction. The home has a system for processing referrals which includes consideration of information provided by the referring care manager and others involved with DS0000022975.V290646.R01.S.doc Version 5.1 Page 9 the prospective resident. An assessment admission which allows both parties to decide if the home is appropriate. A review is held at six weeks and again at twelve weeks. DS0000022975.V290646.R01.S.doc Version 5.1 Page 10 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, 7,8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans are based on the assessed needs of residents. Service users are supported in making decisions about their lives. Risk assessments are comprehensive and enable service users to lead an independent life within a supportive framework. EVIDENCE: Residents care files are comprehensive and consist of a personal file, a medical file, care plan, medicines administration records, and daily reports. All residents are on care management and the home maintains liaison with the care manager. The home was developing person centred care planning (‘PCP’) but this had not progressed significantly since the last inspection in January 2006. Care plans are comprehensive, are drawn up with the resident and are typed up. Some were excellent in the level of detail included in the description of care required. The participation of residents over a range of matters is encouraged. A monthly house meeting between residents and staff is held and the home has a resident representative on the residents’ forum which meets with the chief executive and directors monthly. Residents had recently been involved in interviewing new staff. Systems for the assessment and DS0000022975.V290646.R01.S.doc Version 5.1 Page 11 management of risk are well developed. Detailed generic and specific risk assessment plans are included in care plans and cover a wide range of activities. The home is required to conform to NSE’s ‘Missing Person’s’ policy. DS0000022975.V290646.R01.S.doc Version 5.1 Page 12 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home supports the participation of residents in a range of social, educational and training activities. This provides residents with opportunities to develop skills and to engage in a range of activities. EVIDENCE: A large proportion of activities are provided on site. While these are undoubtedly valuable, the extent of reliance on them in a service which, as one of its objectives, has the completion of a ‘Future Living Options Plan’ (see statement of purpose) may be open to review. Residents are supported in participating in a range of activities. These include CAPS (Chalfont Assembly and Packing Service) – an on site work skills project, ‘Chalfont Choice’ – the on-site shop, work in the laundry or with the gardeners, on a recycling project, delivering newspapers around the site, the therapy centre and living skills centre. Three residents attend college in Amersham and one in Uxbridge. College courses include gardening, living skills and GCSE’s. In utilising services in the wider community the home is now making less use of transport provided DS0000022975.V290646.R01.S.doc Version 5.1 Page 13 by NSE and more use of taxis (using taxi tokens) and buses. Residents and staff tend to shop at larger shopping centres in Slough and Uxbridge and to go to cinemas in Gerrards Cross and Uxbridge. Staff work flexible hours in accompanying residents to shopping, cinema and other events. The NSE contributes £300 towards the cost of each resident’s holiday. Recent or imminent holidays in Hampshire House have included two residents on a week’s skiing in Andorra, two residents on a week’s holiday in Spain, four to Blackpool and Yarmouth and three to Euro Disney near Paris. At the time of the inspection Redsteps still had to decide where it was going to have its holidays although one resident was on holiday with her family at that time. Residents are supported in maintaining relationships with their families. Residents appeared satisfied with the service and seemed well supported. The NSE has a policy to guide staff with regard to personal relationships. Both houses have established routines aimed at promoting independence. Most residents have some commitments each day and some also do some light domestic work. Staff respect residents privacy and do not enter rooms without permission. Residents and staff were observed to interact well together. There are two kitchens on Hampshire House – a main kitchen downstairs and a smaller one on the first floor for the three residents who share a flat there. The entire home is now self-catering and this development has been deemed a success by residents and staff. It was suggested that resident’s eat better now than when meals were provided from a central kitchen – healthier food and larger portions. Menus and meals are prepared by residents with staff support. The menus provided for inspection included a range of dishes and had a bias towards meat (including chicken) but also featured salmon, roast cod and vegetable stir fry. A ‘take away’ meal featured on Saturdays on two menus. That seems fine for a small service with a high proportion of younger adults. Residents can have drinks whenever they wish. It was noted that the sliced white bread in the first floor kitchen was mouldy which would appear to indicate that the residents there may need more support with stock control. Weights are checked monthly and recorded in resident’s medical files DS0000022975.V290646.R01.S.doc Version 5.1 Page 14 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Resident’s healthcare needs are assessed and recorded in the care plan and include access to healthcare services. This aims to ensure that individual healthcare needs are met. The home’s arrangements for the control and administration of medicines appear satisfactory and accommodate a range individual needs. The process supports resident’s who wish to manage their own medicines. EVIDENCE: Personal support is provided as required. Two residents were receiving one-toone support at the time of this inspection – one for twenty-four hours a day and the other for thirteen hours a day. This illustrates the range of needs within the service. There is a degree of flexibility with regard to residents’ daily routine. Residents choose their own clothes and hairstyle etc. as they wish. The home has a mobile hoist and a Parker bath was to soon to be installed. All residents are registered with a local GP and are supported in accessing a dentist, optician and chiropodist as required. Two local dentists have recently ceased to do NHS work and dentistry is now provided on site. A number of health professionals are either based or have sessions on the NSE site DS0000022975.V290646.R01.S.doc Version 5.1 Page 15 including a specialist nurse, neurologist, learning disability nurse, psychologist, psychiatrist, occupational therapist and physiotherapist. Medication is prescribed by resident’s GP or neurologist. The agreement of the resident to medication is recorded in the care plan. More than half of the staff were trained in the administration of medicines at the time of this inspection. Medicines are dispensed by the pharmacy which is on site. Residents fill their own medicine wallets with staff support. Protocols are in place for the administration of diazepam where required. Rectal diazepam is usually administered by a duty nurse. It is administered by specially trained staff accompanying residents on holiday. Medicines are recorded on receipt in to the home. There is a system in place for recording errors in administration and for auditing and reporting on these across the site as a whole. There is a nine level system in which residents administer their own medicines with varying levels of staff supervision and support. 11 of 14 residents were self-administering their own medicines in Hampshire house (1 at level 9 (wholly selfadministering), 1 at level 7 (part self-administering) and 9 at levels 3 or 5 (administering under staff supervision). Arrangements for the storage of medicines in both homes appeared satisfactory. DS0000022975.V290646.R01.S.doc Version 5.1 Page 16 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The complaints procedure ensures that service users complaints will be investigated by the registered manager and senior manager. Policies and procedures and staff training on the protection of vulnerable adults aim to ensure that service users are protected from abuse. Staff training on managing challenging behaviour helps ensure that residents presenting such behaviour will be treated appropriately and with understanding. EVIDENCE: The home is required to conform to NSE policy and procedure with regard to complaints and protection. The policy is detailed and a summary is provided on a notice board in Hampshire House. The policy was reviewed in May 2005 and no complaints have been registered since then. The home does not have regular contact with an advocacy service but information on the local ‘People’s Voices’ advocacy service was available on a notice board. The NSE has a policy on the protection of vulnerable adults (POVA) and a procedure for investigating allegations of abuse. Staff recruitment procedures are very thorough with regard to screening staff prior to appointment. POVA is included in the NSE staff training programme. Staff are trained in the management of challenging behaviour. Appropriate policies and procedures are in place for the ‘security and control of residents cash and valuables’. DS0000022975.V290646.R01.S.doc Version 5.1 Page 17 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Both homes provide a reasonably comfortable environment for residents. However the maintenance of this in the face of uncertainty with regard to the future of the service (felt in particular in Redsteps) and the potential consequences for decisions on investment in building and routine maintenance, is a matter of increasing concern to residents and staff. Given the increasing level of dependency of residents in Hampshire House the standard of the bathroom on the ground floor may not be sufficient to support their care needs. EVIDENCE: Hampshire House is an older style building which has been modernised over the years. Most of the accommodation is located on the ground floor. There is sufficient communal space for the present number of residents. This comprises a games room, lounge, dining room, kitchen, laundry, bathrooms, showers and WCs. Bedrooms vary in size. Bedrooms have been personalised by the residents. On the first floor are three bedrooms and a kitchen which is shared by the occupants of that floor. The standard of décor varies. The kitchen was very clean and posters on healthy eating were on the walls. The décor in the games room and lounge is bright and has been chosen by residents. The DS0000022975.V290646.R01.S.doc Version 5.1 Page 18 bathroom was particularly dark, cool, bare and generally uninviting. An occupational therapist is of the opinion that this bathroom does not enable staff to meet the needs of residents in relation to moving and handling and safety issues. There appeared to be pressure on storage space. There are gardens to the side and rear of Hampshire House. Redsteps is a conversion of two semi-detached houses and is located to the front of the site about a five minute walk from Hampshire House. A new shower had been fitted since the last inspection. Communal accommodation comprises the lounge, kitchen, dining area, laundry, showers and WCs. The quality of the environment in Redsteps appeared inferior to that in Hampshire and the lounge and kitchen would benefit from some refurbishment. There are gardens to the front and rear of Redsteps with the latter leading on to the rest of the NSE site. The shower on the ground floor has a high sill and is not fully accessible to a disabled person. Both houses were clean and tidy. DS0000022975.V290646.R01.S.doc Version 5.1 Page 19 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staffing levels in both houses are considered sufficient to meet the needs of current residents. The staff training programme provides staff with knowledge and skills required to provide care to residents. EVIDENCE: The staffing position in both homes had improved since the last inspection. The position in Hampshire House will need to be kept under review if dependency levels of residents increase as predicted. Staff appointment and induction is coordinated by the personnel department. Staff are familiarised with the nature and ethos of the service during induction. All new staff are given a copy of the GSCC codes of practice. The skills and qualities of staff are assessed during the recruitment process and are developed during induction and through the NSE staff training and development process. Staff training is well co-ordinated and records provided for inspection show that the organisation offers an ongoing programme of training. A ‘matrix of mandatory staff training’ records the training attended by Hampshire House and Redsteps staff. Subject headings include ‘basic life support’, ‘care principles’, ‘challenging behaviour’, ‘equality & diversity’, ‘epilepsy awareness’, ‘fire awareness’, ‘first aid’, ‘food hygiene’, ‘infection control’, ‘learning disabilities’, ‘medicines management’, ‘moving & handling’, ‘POVA’, and ‘report writing & record keeping’. Seven staff were pursuing NVQ 2 at the time of the inspection. DS0000022975.V290646.R01.S.doc Version 5.1 Page 20 The staff team is mixed in terms of gender, ethnicity, age and experience. The services of other professionals are accessed as required (see under healthcare above). Recruitment of new staff is co-ordinated by the personnel department. The files of two recently recruited staff were examined and were in order. The standard of record keeping in those files was exemplary. Where a reference was received from overseas, an authorised translation was included which was verified by a named person. Both files had two references. Copies of police checks in the relevant eastern European country were on file and ‘POVA firsts’ and CRB certificates were in order. Staff supervision is in place and is subject to NSE policy. Staff meetings have now resumed and the notes of meetings held in November 2005 and in January, April and May 2006 were viewed. DS0000022975.V290646.R01.S.doc Version 5.1 Page 21 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 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home is well run for the benefit of residents and almost all are satisfied living there. Arrangements for ensuring the health and safety of residents, staff and visitors are generally sound but it is considered that the bathroom on the ground floor of Hampshire House is not to the standard required of a service with increasing levels of resident dependency. EVIDENCE: A manager was not in post at the time of this inspection. The deputy manager who has many years experience in the service was acting in that capacity. A manager had been appointed but was covering another home at the time. There are no comprehensive quality assurance systems in place. Feedback from residents and visitors is obtained informally. The service conducts regular audit of errors in the administration of medicines and of (epileptic) seizures. The acting manager said that progress for individual residents can be seen through ‘life plans’. Care objectives are regularly checked by key workers. There is not a development plan pending a decision on the future of the NSE DS0000022975.V290646.R01.S.doc Version 5.1 Page 22 site. This is naturally causing a great deal of uncertainty and anxiety both among residents and staff. The home has a comprehensive health & safety policy. The home has a representative on the health & safety consultative structure. Hampshire House and Redsteps were inspected by the fire authority in August 2005 and February 2006 respectively. Fire equipment was checked by contractors in May 2006. A fire drill took place in April 2006. Fire alarms are tested weekly. Gas contractors checked the installation in February 2006. The home’s electrical wiring was checked in June 2004. Systems are in place for regular checks on the hoist and wheelchairs. Clinical waste is disposed of by PHS. Arrangements are in place for the COSHH. Staff receive training in moving & handling, infection control, fire safety, basic life support and food hygiene. 30 comment cards were received in connection with this inspection. 13 from residents (service users), 9 from relatives, and 8 from health and social care professionals (GP, occupational therapist, care manager and psychologist). 9 of 13 resident respondents felt well cared for. Of the remaining 4, 2 said ‘no’ and 2 said ‘sometimes’. 11 of 13 ‘felt safe’ in the home. 12 of 13 knew who to complain to if they were unhappy with their care. All of the relative respondents were ‘satisfied with the overall care provided’ although one added ‘In general, “yes!”, but more 1:1 needed’. All were aware of the home’s complaints procedure. One felt that standards of cleanliness could be better especially carpets in all rooms, bed and mattresses when soiled, skirting boards and windows. All felt that there were sufficient staff on duty and that they were kept informed of important matters affecting their relative (the service user). Professional respondents too expressed satisfaction with the overall care provided. Two made reference to the substandard aspect of some parts of the environment in Hampshire House. The majority of respondents felt that staff generally demonstrated a clear understanding of the care needs of residents. Only one had dealt with a complaint about the home. Overall, there is a good level of satisfaction with the care provided, with the number of staff, with staff knowledge of residents needs and with the overall management of the service. Dissatisfaction has been expressed with some aspects of the environment (cleanliness, the state of the bathroom in Hampshire House (also noted as a point of concern on this inspection)) and for one respondent, occasionally with the staff understanding of the care needs of service users. DS0000022975.V290646.R01.S.doc Version 5.1 Page 23 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 x DS0000022975.V290646.R01.S.doc Version 5.1 Page 24 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 2 Refer to Standard YA24 YA30 Good Practice Recommendations It is recommended that the bathroom on the ground floor in Hampshire House be refurbished to a standard which meets the needs of all residents It is recommended that the manager ensure that standards of cleaning practice in all areas of the home are of a high standard. DS0000022975.V290646.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 DS0000022975.V290646.R01.S.doc Version 5.1 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!