Inspection on 27/03/06 for Hampton House

This inspection was carried out on 27th March 2006.

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 01/05/09

Hampton House 08/05/07

Hampton House 28/09/05

Hampton House 08/02/05

Hampton House 20/09/04

Hampton House 15/03/04

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

CARE HOMES FOR OLDER PEOPLE Hampton House 94 Leckhampton Road Cheltenham Glos GL53 0BN Lead Inspector Mrs Janice Patrick Unannounced Inspection 27th March 2006 5:20 X10015.doc Version 1.40 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 DS0000016455.V277814.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hampton House Address 94 Leckhampton Road Cheltenham Glos GL53 0BN 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) 01242 520527 01242 520527 www.hamptonhousecare.co.uk Curtis Homes Limited Mrs Carole Denise Howe Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: Hampton House is a large attractive detached house, which has been adapted and extended to provide residential accommodation for twenty-one elderly service users. It is situated in the quiet residential area of Leckhampton, on the outskirts of Cheltenham, within walking distance of the local shops. There are bus services within walking distance to the local area and Cheltenham town. The Care Home provides single accommodation on two floors with en-suite facilities in sixteen of the rooms. There is a staircase and shaft lift for access to the upper floor; the lift is provided for the benefit of those unable to manage the stairs. In addition, a variety of aids and adaptations have been provided throughout the property to assist the service users. An emergency call system is provided in all rooms. There are communal toilets and assisted bathrooms on both floors of the building. The comfortably furnished communal facilities consist of two lounges and a dining room plus a conservatory overlooking the attractive enclosed garden. A large selection of garden furniture is provided so that the service users may enjoy this area in good weather. Car parking is provided at the front of the property for visitors to the home. Hampton House DS0000016455.V277814.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 between the hours of 5.20pm and 8.15pm. Two care staff were on duty and the Registered Providers assisted with the inspection shortly after the Inspectors arrival. Eight of the national minimum standards were inspected. These covered: • The medication system. • Visiting to the home. • Adult Protection arrangements. • Staffing. • Staff training. • Quality assurance. • Residents’ personal monies. • Health and safety arrangements and records. The Home was clean and warm and residents were relaxed and were being served their high tea. What the service does well: What has improved since the last inspection? What they could do better: There was nothing identified in this inspection that required improvement. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 6 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 DS0000016455.V277814.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were inspected. N/A EVIDENCE: N/A Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Arrangements in place ensure that medication administration is carried out in a way that protects residents from poor practice. EVIDENCE: Administration of some of the medications occurred during this inspection and was carried out by one of the care staff. This member of staff held the National Vocational Qualification (NVQ) in Care at Level 2 and had received training in the medication system in use. Records showed that this member of staff had also received additional ‘in house’ supervision, which demonstrated an increase in her confidence and competence in the task. The Primary Healthcare Trust (PCT) had carried out an audit on the system and what had been prescribed by the GP in September 2005. The Registered Manager also carries out a regular audit on the system and the staffs’ practice. A further training package had been received from the supplying pharmacy for staff training and will be commenced shortly. One resident told the Inspector that she only had one tablet, which she organised herself. Records showed that this resident actually required several tablets each day and was observed closely during the administration process to ensure she took them all. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 10 Standard 8 was not inspected during this visit but interaction was observed at this inspection, which demonstrated, that if the health care needs of a resident increase then the situation is dealt with sensitively and another form of care sought. Recently one resident had to move to a care home with nursing and their relative had returned to the home to collect an item during this inspection. It was obvious that there was a good relationship between the relative and Provider. The Provider will be visiting this resident in her new home shortly. The increased needs of another resident, who had enjoyed a good period of time at the home, were discussed. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Residents are supported and encouraged to maintain links with family and friends whenever they want to. EVIDENCE: Five residents were spoken with and all confirmed that they are able to have visitors when they wish. Some had regular visits others did not. The home diary demonstrated that many of the residents go out on a regular basis with family and friends. Five residents went out for lunch at varying times in February. One resident belongs to the local Woman’s Institute (WI) and attends church. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 There are good arrangements in place to help protect residents from harm or abuse. EVIDENCE: The Registered Provider was able to demonstrate that she had a good understanding of Adult Protection processes and what to do if she felt a criminal act had occurred. She voiced a zero tolerance of any form of abuse. The subject was discussed in a staff meeting in February of this year, minutes were seen. This was an update for staff in the form of a presentation carried out by the Registered Provider and Registered Manager. One member of staff confirmed that she had also covered the subject within her NVQ Award. The staff induction programme was discussed and staff are told at this point to be aware of any bruising on residents and to report this. All residents spoken to said they felt safe in the home and that staff always spoke to them in a caring way. The Home also has a ‘whistle blowing’ policy, which has been used by staff and enabled a situation of poor practice (related to medication administration) to be addressed. The Registered Provider also carried out the correct procedure of referring this individual to the Protection Of Vulnerable Adults (POVA) list. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were inspected. N/A EVIDENCE: N/A Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 30 Residents’ needs are met by an adequate number of staff on duty who are trained well to meet these needs. EVIDENCE: The Registered Provider confirmed that the current staffing levels met the needs of the residents. The Registered Manager works 08.30am –4.30pm most weekdays but also at the weekends. The home employs cooks who work 09.00am-2pm seven days a week. There is also 2 care staff on in the morning and afternoon. The Registered Provider explained that the night care hours were reviewed in December 2005 in response to the changing needs of the residents and that one of the two care staff that come on duty at 8pm, remains on duty until 11pm. This home does not have waking night staff, but the care staff are on call within the building. One resident’s needs were discussed and it was explained by the Registered Provider that this person sleeps well throughout the night. One of the night staff confirmed that she has responded to someone calling out before now as she can hear the residents, not only just the call bell system. This member of staff described what she does whilst on duty and answered a question on moving and handling competently. She was in the home on the day of this inspection with a more experienced member of staff than herself. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 15 Records demonstrated that staff were up to date in fire awareness, first aid and moving and handling training. Food hygiene training was seen in the diary as booked for a new member of staff. The Inspector has been informed that all other care and catering staff have been appropriately trained. Staff are encouraged to undertake the National Vocational Qualification (NVQ) Award. Two members of staff have obtained this qualification and two members of staff are due to commence Level 2 in the near future. One senior carer is currently taking Level 3. Structured induction training is in place and one record of this was seen. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 38 This home is run for the benefit of the residents and has a system of auditing and monitoring which enables the standards of care and services to remain high and be improved upon. Residents can be sure that there are adequate arrangements in place for the safe keeping of their personal monies. Residents can be assured that they live in a home that is safe and which adheres to good health and safety practices. EVIDENCE: The Registered Providers run a good service and are keen to improve upon this wherever needed. Twenty-two satisfaction questionnaires were sent out to residents and families and eighteen were received back. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 17 The areas for consultation were: the atmosphere in the home, its facilities and cleanliness, social activities and access to information. These were collated at the beginning of March. It was identified that residents would appreciate more outings. This will be explored although the Registered Provider did explain that outings have been arranged and on the day several will change their minds. However, twelve residents went to the theatre in November 2005 and another visit is booked for May of this year to see Strictly Come Dancing. Feedback in the other areas was positive. Questionnaires were not sent on this occasion to external health care professionals who visit the home. Records were seen that demonstrate that falls and accidents are audited regularly. All accidents are recorded and the CSCI is notified appropriately. Provided in each bedroom is a lockable drawer so residents, if they wish can keep small amounts of money or valuables safe. Arrangements are in place for limited amounts of money to be held safely on behalf of the resident. At the time of this inspection only a cheque was being held for one resident. Health and safety requirements are met and various monitoring checks are carried out and recorded. Records were seen to demonstrate that all major utility systems are serviced. The Registered Provider and maintenance person carry these out along with the general maintenance and decoration of the home. Although the hot water is circulated above 65 Celsius to reduce the risk of Legionella and the temperature at source is monitored, consideration should be given to random checks being carried out on the temperature of the hot water in individual bedrooms. This is to ensure it is not distributing above the recommended 43 Celsius, therefore reducing the risk of scalding. Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Hampton House DS0000016455.V277814.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 DS0000016455.V277814.R01.S.doc Version 5.1 Page 21 - 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!