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Inspection on 24/01/07 for Hampton House

Also see our care home review for Hampton House for more information

This inspection was carried out on 24th January 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users benefit from a consistent level of care, which is provided in a manner, which reflects the individual needs and preferences supported by detailed care plans. Service users are encouraged to make decisions about their day-to-day lives, which are supported by risk assessments promoting their choice and safety. Service users benefit from a varied programme of activities and recreational pursuits, which enable service users to access community resources and promotes their independence and choice. Service users are actively involved in the day-to-day management of the home, which includes a service user Committee and meetings. Service users also take part in the recruitment of staff, making positive contributions as to whether an individual is offered employment.

What has improved since the last inspection?

Environmental improvements have taken place in some areas, and a regime of continued improvements is in place. Additional staff have been recruited to ensure that activities and recreational pursuits are in place for service users.

What the care home could do better:

Individuals considering a residential placement at Hampton House would benefit from information being provided in a format, which is easily understood, through the use of plain English, pictures and symbols. This information would enable prospective service users to have a clearer understanding as to the services the Home provides. Service users would benefit from staff receiving training in the prevention and management of pressure area care, and the use of specialist equipment. Seeking the views of service users, carers and relatives could be improved by the introduction of a formal consultation process, through the use of questionnaires, which are sent out and audited with a response and action plan produced, which would reassure all parties that their views will affect the way in which the service operates.

CARE HOME ADULTS 18-65 Hampton House Tonmead Road Lumbertubs Northampton Northants NN3 8JX Lead Inspector Linda Clarke Unannounced Inspection 24th January 2007 09:30 Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 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 Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 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. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hampton House Address Tonmead Road Lumbertubs Northampton Northants NN3 8JX 01604 403733 01604 413832 colin.knowlton@scope.org.uk 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) SCOPE Richard Heap Care Home 27 Category(ies) of Learning disability (27), Physical disability (27) registration, with number of places Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The primary need of all service users is Physical Disability. Service Users may also have a Learning Disability. 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. 2nd November 2005 Date of last inspection Brief Description of the Service: Hampton House is a care home providing personal care and accommodation for up to twenty-seven people who have a physical disability and who may also have a learning disability, the primary condition but not exclusively being Cerebral Palsy. The home is accessible by public or private transport, and is situated in a residential area providing local shops and amenities. The building comprises of three areas, each leading off from a corridor, whereby bedroom, lounge, dining, a kitchenette and bathroom facilities can be found. The bedrooms are without en-suite facilities, all being located on the ground floor, in addition there is one apartment located on the first floor, which is self contained. A garden area surrounds the premises. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and Service User Guide, and copies of Inspection Reports, undertaken by the Commission of Social Care Inspection, which are located in the office. Fees payable are dependent upon an assessment undertaken by the funding authority, which will determine the level of contribution payable by the service user. There are additional costs payable for some activities and purchasing of personal items. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, reviewing the last inspection report and the reviewing of the Pre-Inspection Questionnaire and Comment Cards/Surveys distributed to service users, relatives/visitors and Health and Social Care Professionals by the Commission for Social Care Inspection (CSCI) along with the reviewing of significant events. The unannounced site visit commenced on the 24th January 2007 and lasted 1 day. The focus of the inspection is based upon the outcome for service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Hampton House. Three service users were selected and discussions were held with two of them, and two service users who were not part of the case tracking process to ascertain their views about the care provided. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and staff team meetings. Comments incorporated within Service User Comment Cards included: • • I would like to go out more during the day. Choices restricted by availability of staff and transport. Comments incorporated within Relatives/Visitors Comment Cards included: • • • My son (service users name) is cared for very well. Hampton House is excellent for his needs, and the staff are very capable. We are more than satisfied with the care our daughter receives at Hampton House. The staff bend over backwards to keep her happy and healthy. We are always made very welcome whenever we visit. (Service users name) has been at Hampton House for over 20 years and has a very happy life withal her friends and staff. The staff are very good at keeping me up to date with all her needs, and are always available to discuss issues. (Service users name) is very happy at Hampton House. He is well looked after and the staff do a wonderful job. I am very pleased and happy with the care and attention (service users name) gets at Hampton House. My son is able to make decisions but we are consulted about everything and we can discuss any problems. (Service users name) is very happy at Hampton House. He is well cared for and the staff are great. DS0000012794.V316807.R01.S.doc Version 5.2 Page 6 • • • • Hampton House • • • • A happy and wonderful atmosphere prevails in the home. Opportunities for extra activities and social outings are constantly sought. I feel that the staff are looking are my sister very well. I have a lot of phone contact plus mail, all in all 100 . (service users name) received excellent care at Hampton House. I think all the staff do a wonderful job they are all devoted to the welfare of all the residents. What the service does well: What has improved since the last inspection? Environmental improvements have taken place in some areas, and a regime of continued improvements is in place. Additional staff have been recruited to ensure that activities and recreational pursuits are in place for service users. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 8 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 Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individuals considering accessing the service do not benefit from documentation detailing the services offered, in a format, which can easily be understood. Prospective service users care needs are well assessed before they move into the home to ensure their needs can be met. EVIDENCE: Hampton House has a Statement of Purpose and Service User Guide which details the range of service it offers and includes information as to whom the service is aimed at, its aims and objectives, the environment, activities and details as to how referrals are made to the Home and information on staffing including numbers of and their training. The Statement of Purpose and Service User Guide are very detailed and complex documents to read and digest, and are not written in plain English, therefore prospective service users may not be able to easily understand the information contained. Service users accessing Hampton House would benefit from a Service User Guide which contains information as to the services offered which is presented in a format appropriate for those to whom the service is aimed, for example through the use of plain English, signs, symbols and photographs. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 10 Prospective service users who wish to reside at Hampton are assessed by a Social Worker, with a number of service users coming from Counties other than Northamptonshire. The three files viewed provided information from the initial assessment, however as the service users whose files were viewed had resided at the home for a significant number of years, the level of information contained varied. The three files viewed contained a written contract detailing the terms and conditions of the service users stay at Hampton House. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users independence is promoted and are supported to make individual decisions in all aspects of their life that have a direct impact on the quality of care and choice of daily lifestyle. EVIDENCE: The care plans of three service users were viewed; care plans were comprehensive and written from the point of view of the individual. Care plans covered all aspects of daily life, with particular attention as to the abilities of service users, and where necessary the level of support required and how staff were to provide this. This enables service users to maintain their independence and be supported in a manner appropriate. Care plans detail the form of communication a service user prefers, which includes speech, BSL and Makaton. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 12 Four service users were spoken with, and all confirmed that they were aware of the contents of their care plan, and that the care plan was discussed with them. Service users confirmed that they are supported in a manner, which is appropriate to them. Service users benefit from précised care plans, which are written in plain English text supported by pictures/symbols, which enables some service users in understanding their care plan. All service users have a keyworker, who is responsible for reviewing the care plan and supporting the service user in organising their daily lives, and includes undertaking additional duties such as organising the cleaning of their bedroom and shopping. Care plans and daily notes identify service users involvement in decision making, examples of this included overseeing a keyworker clean their room, choices as to whether they wished to engage in social activities. Service users are supported to manage their finances, all having an account with a bank or building society, staff offer support individual to each service user dependent upon the ability of the service user. Financial transactions carried out by staff, involves two members of staff, with weekly audits taking place. A group of service users, elected by service users within the three areas of the home, form a Committee, whose purpose is to make comment as to the service they receive, and the discussion as to events and situations affecting themselves, the Committee Meetings are held on a regular basis, with minutes taken. An independent Advocate is a Committee Member supporting service users. Risk assessments are in place where an activity, event or the environment may present a risk to a service user, the assessment enables staff to support the individual to participate in daily living whilst not restricting their independence or choice. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users enjoy, experience and participate in different activities of interests and are supported to maintain their preferred individual daily routines and choice of lifestyle with the support of the staff, if required. EVIDENCE: Service users at Hampton House benefit from a wide range of activities and recreational pursuits, which are held within the community and at the Home. Service users benefit from a dedicated team of Day Activity Support Workers, who organise and support service users. Service users are supported by Day Activity Support Workers when attending college courses and activities organised by groups other than Hampton House, this ensures that individuals who are familiar with there needs support service users. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 14 Day Activity Support Workers also provide activities and events which take place within Hampton House or within the community. Two members of the team spoke with the Inspector, and gave examples of the activities, which were offered. • • • Environmental projects/experiments – currently a group of service users were working on ‘Solar Cooking’. Service users, supported by Activity workers had put into the garden a Pond, providing a solar waterfall and stocking the pond with fish, which service users maintain. Soundbeam – which enables service users to listen and produce music using ultra-sonic waves, which is beneficial to service users who are unable to produce music and sound by using traditional methods. The Activity Support Worker advised that service users attend and perform concerts within the local community. Computer skills – Hampton House provides two computers with internet capabilities, service users are encouraged to use the computers for entertainment and research, a number of service users also access computer courses via College. • Service users in addition have participated in a variety of courses, which include gardening, geographical studies, horse care management, arts and craft, bowling, theatre, football matches, meals out and visits to the cinema. Hampton House has four vehicles, which enables service users who use a wheelchair to be transported, supported by staff. Service users also attend holidays and day trips, holidays in some instances are provided by an external provider, which may or may not involve staff employed by Hampton House. On the afternoon of the site visit a concert was in place, with a band playing music to which service users were listening, whilst other service users within the Home were watching television or doing puzzles. Meals are prepared and cooked by a Cook. The meals are then taken through to the three separate dining facilities; service users if they choose can eat in an alternative location. Service user care plans and information kept within the dining area details any specialist diets, preferences or allergies and include information as to how the service user requires support and any specialist aids. Service users spoken with were happy with the meals provided, and confirmed that choices are available. Records detail the maintenance of service users equipment, which includes wheelchairs. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 15 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. 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 this service. Service user health care needs and independence is promoted however some service users could benefit from staff receiving training in specialist areas. EVIDENCE: The preferred daily routines of service users are recorded within their care plans, and detail the level of support and specialist equipment required. In addition service users style of dress, including whether they wish to wear make up is detailed, as is the time preferences for getting up and going to bed, bathing and showering. This ensures that service users are supported in manner, which they choose, service users spoken with said staff supported them appropriately, and specialist equipment was used as necessary. A number of bedrooms and bathing facilities have ceiling tracking hoists fitted, whilst portable hoists are used for some service users. Specialist equipment also includes height adjustable beds. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 16 Records in service user files detailed access to health care, which included Chiropody, Dental, General Practitioner, Community Nurses and Opticians and routine screening. A separate record details the reason and the outcome for appointments. Service users do on occasions have a pressure sore, one service user with a sore to her leg confirmed that she receives support from a District Nurse, whilst one service user said he also received support from a District Nurse and has specialist equipment to help prevent the occurrence of pressure sores. Staff training does not include the prevention and management of pressure area care, it is recommended that staff receive such training, in order that the frequency of pressure sores is reduced, and that staff are aware of good care practices. A concern recently made by a service user, included concerns as to the management of a pressure sore. The medication and records of the three service users who were part of the case tracking process were viewed, medication and records were in good order, and no anomalies were identified. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 17 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. 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 this service. Service users are protected by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Hampton House has a complaints procedure and records, which on the day of the site visit were viewed. A service user had recently made a complaint, which had been recorded, along with the outcome and any subsequent action. The service user spoke about the concern he had made, and confirmed that he felt that the concern had been taken seriously and acted upon. Three members of staff were spoken with, all were aware of the policies and procedures which they should follow should they have any concerns as to a service users welfare. Members of staff as part of their induction are given a copy of the General Social Care Council (GSCC) codes of practice, which outline their responsibilities with regards to care practice issues. Training records confirmed that staff receive training in Safeguarding Adults from Abuse, which includes their role and responsibility in protecting and reporting concerns. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 18 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. 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 this service. Whilst the design of the premises does not meet current expectations in terms of a small homely unit, efforts are made to ensure that service users are fully involved with decisions regarding décor and the personalisation of their rooms. EVIDENCE: Hampton House has three separate dining areas, lounges and kitchenettes along with bedroom and bathing facilities, all of which lead off the main corridor. Communal areas are decorated to an adequate standard; two bedrooms were also viewed, which had been decorated to reflect the service users style and taste. Improvements to the environment have taken place, which includes the decorating of corridors and the installation of new lights and the conversion of a toilet area into a walk in shower room. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 19 Hampton House accommodation although being accessible to service users requiring the use of a wheelchair, and being decorated to an adequate standard, due to its size and layout does not create a homely environment. The Registered Manager advised that SCOPE are in the very initial stages of consultation with service users to establish their views for them to consider and possibly move to independent/supported living, which may if implemented result in changes to the environment. The home was clean and tidy on the day of the site visit, and staff benefit from training in infection control. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of trained staff are recruited through a robust recruitment process, involving service users ensuring that their care and social needs are individually and collective met. EVIDENCE: Hampton House employs fifty-one members of staff, with various job roles, which includes Team Leader, Residential Social Worker, Support Worker, and administrative and ancillary staff. Of the forty-three members of staff who are employed in the capacity of providing care and support, sixteen have completed a National Vocational Qualification (NVQ) level 2 in Care, whilst five have completed a level 3 NVQ, which represents 44 of the care staff team. A number of staff are working towards a National Vocational Qualification, and three members of staff are NVQ Assessors. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 21 Three members of staff were spoken with who confirmed the training they had undertaken, and also confirmed that they regularly attend team meetings and receive supervisions which includes an annual appraisal. Minutes of meetings and records of supervision and annual appraisals confirm these are held routinely. The staff files of the three members of staff who are keyworker to the service users case tracked, confirmed that they receive training relevant the care needs of individual service users. In addition the files of two recently recruited members of staff were viewed. The recruitment and selection procedure in place is robust and is supported by a Human Resource Team. All files contained thorough pre-employment checks including the obtaining of a Criminal Record Bureau disclosure and/or protection of vulnerable adult check, a completed application form and two written references. Newly appointed staff undertake a six month induction programme, which focuses on six areas, which includes the Understanding of the Principles of Care and the Organisation the Role of the Worker, Maintaining Safety at Work, Communicate Effectively, Recognise and Respond to Abuse and Neglect and Development as a Worker. The induction process ensures that all staff are equipped to meet the needs of service users and the organisation for which they are employed. Service users take part in the recruitment process of staff, forming part of the interview panel, and are encouraged to ask additional questions. Service users ‘score’ the candidates in a manner most appropriate to the individual service user; with their comments being recorded which go towards the decision as to whether an individual is appointed. Training records confirm staff receive training in a variety of topics which includes moving and handling of service users, first aid, adult protection, epilepsy, handling complaints, disability equality and race awareness to name some. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring service user health; safety and welfare are promoted. Service users are provided with opportunities to comment on and affect the service they receive. EVIDENCE: The Registered Manager, Mr Richard Heap has been in post since April 2006, prior to that he worked as a Registered Manager for another company. Mr Heap has a Diploma in Social Work and has attained the Registered Managers Award. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 23 SCOPE as an organisation are currently in the process of devising a Quality Assurance process, the Registered Manager is not aware as to the exact content of this process. Service users have the opportunity to take part in regular meetings within Hampton House; in addition some service users are members of the Committee who meet regularly to discuss issues affecting service users and the Home. Minutes of meetings are taken, with points raised being actioned. On the day of the site visit, the Registered Manager met with one group of service users to begin the consultation process with service users with regards to SCOPE’s vision to move to supported/independent living arrangements. Discussions with the Registered Manager highlighted that ascertaining the views of service users and relatives/visitors could be extended, to include questionnaires that would provide an opportunity for service users and their relatives to comment on all aspects of Hampton House, the responses could then be compiled into a report, with any action to be taken as a result of their comments recorded with copies being sent to all service users and participants. SCOPE as part of its Quality Assurance process, asks Registered Managers of other SCOPE services to visit each others services unannounced, to look at specific areas and talk with service users and staff, which reviews the quality of care and day to day management of a Home. The Pre Inspection Questionnaire submitted prior to the CSCI prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 X 4 X 5 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 4 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 25 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 YA19 Regulation 12 (1) Requirement The Registered Person to ensure that staff receive training in the prevention and treatment of pressure areas, and the role of specialist equipment. Timescale for action 30/01/07 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 YA1 Good Practice Recommendations It is strongly recommended that the document referred to as the Service User Guide be published in a format which can be easily understood by individuals considering residential care at Hampton House. It is recommended that the views of service users, carers/relatives be sought, with a report and action plan being produced and distributed to service users and all participants. 2. YA39 Hampton House DS0000012794.V316807.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000012794.V316807.R01.S.doc Version 5.2 Page 27 - 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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