Inspection on 20/07/05 for Hampton House

This inspection was carried out on 20th July 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

Hampton House 24/01/07

Hampton House 02/11/05

Hampton House 03/02/05

Hampton House 29/09/04

Hampton House 08/03/04

Hampton House 11/09/03

Hampton House 10/10/02

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

CARE HOME ADULTS 18-65 Hampton House Tonmead Road Lumbertubs Northampton Northants NN3 8JX Lead Inspector Judith Roan Unannounced 20 July 2005 14:15 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hampton House Address Tonmead Road Lumbertubs Northampton Northants NN3 8JX 01604 403733 01604 413832 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) SCOPE Mr C Knowlton Care Home Only (PC) 27 Category(ies) of Learning Disability (LD) 27 registration, with number Physical Disability (PD) 27 of places Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The primary need of all service users is Physical Disability. Service Users may also have a Learning Disability. 2. To include within the total of 27, a maximum of 1 service user in need of Personal Care by reason of Physical Disability and Learning Disability over the age of 65 years. Date of last inspection 03/02/1005 Brief Description of the Service: Hampton House offers residential care for up to twenty-seven people who have a physical disability and who may also have a learning disability. The home is run by the organisation known as SCOPE and provides a long-term home to service users some of whom have lived there for twenty-five years. Hampton House is situated in a residential area of Northampton and is close to local shops and amenities. The home is one large building divided into three lounge/dining areas each with its own kitchenette facility. One bedroom is shared by service users from personal choice and the remainder are single rooms.Service users attend a variety of daytime activities including local day centres and colleges. The home also offers a varied activities programme during the daytime from Monday to Friday. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 2 residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspection took place during the afternoon, over a period of 3.5 hours and was carried out on an unannounced basis. What the service does well: What has improved since the last inspection? Managers and care staff at the home have worked on how they record evidence of how health care needs are met. Several service users bedrooms have been redecorated and provide a personal and bright environment for individuals. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 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. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5, The information available and admission procedures enable service users to make informed decisions. EVIDENCE: The home has a clear statement of purpose and service users guide available for service users, their representatives and purchasers of service. The information gave information about the staffing levels and work experiences of the Registered Manager. The information could be improved by giving details of what training is provided for staff. The home has had no new admission over the past year but talking with one service user that had moved from another Scope home she confirmed that she had had a trial visit before making decision to move in. The inspector was able to view from case tracking service users files that a service agreement is available for service users setting out the terms of their support at the home. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 Service users can be assured that they will be enabled to make decisions about their life and are fully involved in developing care plans that reflect their needs and personal goals. EVIDENCE: Care plans were seen to include full information on service users needs and how support is delivered. Personal preferences are noted and service users and staff spoken with during the inspection confirmed this to be the case. The plans specified the need for specialist equipment if required. In discussion with service users they were all fully aware of their care plans and had agreed the contents. One care plan had not been signed. The home needs to ensure that all care plans are acknowledged by the service user or their representative. The inspector was able to confirm through discussion with service users and from observation that they are always consulted about their care. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,15 Service users lifestyles benefit from a co-ordinated programme of daily activities and support from key staff. EVIDENCE: Opportunities for personal development, choice of daily activities, maintaining relationships and being part of the community is fully integrated within the service provided for service users at the home. In discussion with the activities co-ordinator service users are supported to choice options available to then at college, day services and leisure facilities within the local community. The home supplies suitable transport that is fully adapted for wheelchair users. Service users and staff spoken with confirmed that support was available to maintain family relationships. Case file documented support needed by individuals. Service users are encouraged to invite visitors to the home and staff welcomes all visitors. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 11 The homes layout provides large open spaces where service users can meet and share free time. The inspector noted that service users move freely between the communal areas depending on friendships within the home. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 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 standard(s) 19,20 Service users health care needs and the administration of their medication are fully addressed by the home’s policies and work practices. EVIDENCE: The inspector noted that the staff team had developed their recording practice by a system that enables the reader to see actions taken and that appropriate care was provided. Service users case files note that health care professionals are accessed and recommendations followed. It was noted that for one service users altering the environment to help them move around the home more easily supported their changing needs. Service users medication is stored within a locked facility within each of the communal areas. This enabled ease of access for staff working with individuals. Team leaders administering medication are trained and the inspector found that records and supplies met with requirements. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 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 standard(s) 22 The home policies, procedure and practices ensure that Service users views and concerns are acted upon. EVIDENCE: The home has a comprehensive complaints procedure that is clearly stated in the Statement of Purpose and Service Users Guide. There are regular meetings with service users to consider issues affecting them. The inspector was able to gain from discussions with service users that they felt confident in expressing their views and that staff were very supportive. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 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 standard(s) 24,25,26,30 Even though service users rooms are comfortable, promote their independence and personality this has not been achieved in the communal areas of the building. EVIDENCE: Service users bedrooms are well maintained, promoted individual choice and have been adapted to meet individual needs. Service users confirmed that staff had worked hard to make their rooms bright and individual. Service users are provided with single bedrooms that enable them to have a their own TV and music systems to use for personal choice. Two bedrooms were seen during the inspection which service users were happy to show to the inspector. The three separate dining areas/lounges are large and freely accessible by all service users living in the home do not make for a homely environment. One service spoken with said that ‘I do not consider this as home’ and went on to describe their ideal picture of their own front and living space. On the previous inspection the Registered Manager had indicated that plans to develop the site into smaller units was becoming less likely. This still remains Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 15 the situation. The commission therefore strongly recommends that the provider revisit the future plan to redevelop the site to address the shortfalls in meeting the National Minimum standards. The home has ongoing maintenance and has repaired some of the damage made by wheelchairs, however the inspector is concerned that this is a perpetual issue and the home needs to consider alternative solutions. The inspector found that the home was clean, tidy and free from offensive odours. Service users receive full support in maintaining their rooms. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,36 An effective and supported team that fully understands their role and responsibility provides support for service users. EVIDENCE: The inspector was able to confirm that support workers are aware of the needs of service users and fully understand their role in supporting staff. Service users spoken with were satisfied with the support received and that they were all knowledgeable about what was required. It was observed that staff worked well as a team and this was confirmed by one of the team leaders. There is a good system of communication through handovers and recording on daily notes. Support staff receive regular support from the management team and there is always a senior member of staff on duty to give advice and assist. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 Service users rights and best interest are protected by the homes polices, procedures and work practices. EVIDENCE: The inspector discussed with service users and staff how personal monies were handled within the home. Service users were fully aware of the systems in place regarding the recording and safekeeping of their money. The organisation was in many situations the appointee for service users. A record of money being paid into personal bank accounts is maintained. Cash balances are held within a safe for individuals, any transaction are noted and signed for by two staff and/or service users. Receipts for purchases are gained. Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 18 All records kept by the home in relation to service users are maintained in accordance with the Data Protection Act. Service users are aware that they can have access to the information stored Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hampton House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 x x C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 1 Good Practice Recommendations The statement of purpose needs details on skills and qualifications of staff. iIt is strongley recommended that the provider considers alternative formats that are more accessible for service users. The registered manager needs to consider the development of the existing care plans into accessible format for service users as appropriate. It is strongley recommended that the organisation revisists the plans for the developing the site so that the home meets National Minimum Standards. 2. 3. 6 24 Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Hampton House C51 C08 S12794 Hampton House V240115 200705 stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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