Inspection on 28/09/05 for Hampton House

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 27/03/06

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 Helen James Unannounced Inspection 28th September 2005 09:30 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 DS0000016455.V253731.R01.S.doc Version 5.0 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. DS0000016455.V253731.R01.S.doc Version 5.0 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 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 DS0000016455.V253731.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 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 also 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. DS0000016455.V253731.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven hours on one day in September 2005 and was completed by one inspector. Twenty-two Care Standards for Older People were assessed on this occasion. Of these fifteen exceeded the standard, six met the standard and one was not applicable. Time during the inspection was spent speaking with the Mr and Mrs Elliott, the Manager, staff, residents and visitors at the home. The information gained during this was then cross-referenced with care records and relevant documentation. Hampton House provides care for a particular group of older people who are fairly physically and mentally able. It is not a Home for Life. The residents have minimal care needs, but they require support and supervision with a variety of activities of daily living, companionship and the provision of the support services that the home offers; such as security, laundry, catering and cleaning. Residents spoken with discussed with the inspector their visit to the home, their admission, care, lifestyle and relationship with the care staff and managers at the home. The inspector then spent some time cross-referencing the information about some of the residents care gained in conversation and observing the residents, with the residents’ individual care record. There was also one visitor to the home who was spoken with during the inspection. What the service does well: Each prospective resident visits the home with their relative/friends prior to admission, this familiarises them with the home, its facilities and the staff. They have all their care requirements fully assessed before they are admitted to ensure that the Home is able to meet their needs. Advice is also taken from other people who have been involved in their care at home. Residents spoken with were most complimentary about the standards of care, of the food served and the ample quantity, and the pleasant friendly manner of the staff employed at the Home. Many stated that “the home was lovely and they were pleased with their choice”, “staff are friendly, approachable and helpful”,” they give you good support and assistance when you need it”, ” You are treated with respect and dignity”, “you can choose to participate in activities or not”. “Staff spend time talking and helping with things”. “You can dictate your own daily routine and when you do things.” “The Owners and Manager are very supportive and explain everything to you and are very approachable” and “we have no concerns about approaching anyone at the home about something that is concerning us”. DS0000016455.V253731.R01.S.doc Version 5.0 Page 6 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. DS0000016455.V253731.R01.S.doc Version 5.0 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 DS0000016455.V253731.R01.S.doc Version 5.0 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): 1,2,3,5 and 6 was not applicable. Potential residents and their families are encouraged to visit the home prior to admission to meet the Owners, Manager, staff and other residents who live at Hampton House. They also view the accommodation and facilities on offer. Arrangements are in place to ensure that each prospective resident is fully assessed prior to admission and on admission, to ensure that all their particular care needs can be met by the Home. EVIDENCE: Discussion with several residents who were new to Hampton House confirmed that they visited the home with relatives prior to their admission. They met staff and residents and were shown around the accommodation during their visit. They were also given full written information about the home including what the terms of residency were and the cost. They also confirmed that they had a contract for their care with full terms and conditions. Residents are assessed prior to and on admission and documentation seen confirmed this. Copies of the admission assessments are in the residents care DS0000016455.V253731.R01.S.doc Version 5.0 Page 9 documentation; these provide specific details of care needs, next of kin and general information. Residents spoken with were able to confirm the reasons for their admission and what their care needs were and this was confirmed by care documentation. Each person is admitted for a trial period and is allowed time to settle in before a final decision about permanent residency is made. The home has a waiting list for admissions and avoids emergency admissions to the home. DS0000016455.V253731.R01.S.doc Version 5.0 Page 10 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): 7, 8 & 10 The care planning systems ensures that all members of staff have a clear understanding of the care each person requires and how it is to be given. All Health Care needs are fully met. Residents are treated with respect and dignity. EVIDENCE: On this visit to the Home the inspector was given the opportunity to read the care records relating to several residents spoken with. In all cases thorough care plans had been prepared and developed, based on a full assessment of each person’s care needs. There was evidence that these were reviewed on a monthly basis. There was signed evidence that residents had been involved in the preparation of these plans and residents spoken with confirmed that their details and care had been discussed with them. General and specific risk assessments are well documented and reviewed appropriately. Medical visits are also clearly recorded. Those examined had DS0000016455.V253731.R01.S.doc Version 5.0 Page 11 care plans that reflected the current needs of the resident. Those residents who were self-medicating had risk assessment documentation in place. Residents who are being visited by the district nurse have community care records pertaining to this need that are kept at the home. All equipment needed for residents’ health care is supplied appropriately by the Community Nursing services. DS0000016455.V253731.R01.S.doc Version 5.0 Page 12 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): 12, 14 & 15. Residents continue to have as full and varied lifestyle as they wish. Residents continue to be able to exercise choice and control over their lives and maintain contact with family and friends. The meals at the home continue to be wholesome and nutritious with choice at every meal. EVIDENCE: Residents at the Home are free to spend their day as they wish; they may sit in one of the communal sitting rooms, the garden or in the privacy of their own bedrooms and participate in their own personal hobbies such as knitting, reading, listening to the radio or television etcetera. One resident goes out every day for a walk in the local neighbourhood, others go out with family or friends and some residents do not wish to go out at all. Staff were observed knocking on doors when entering rooms and addressing residents respectfully. All service users are addressed by the name they would prefer and this is documented in the care record on admission. Residents are able to entertain visitors either in their own rooms, or in the communal lounge/or sitting areas of the home if they wish. Visitors are welcome in the Home at any time. Some of the residents have had telephones DS0000016455.V253731.R01.S.doc Version 5.0 Page 13 installed in their own rooms; others make use of the portable telephone facilities provided at the Home. Through discussion with residents it was evident that personal autonomy and choice are promoted fully at Hampton House. All service users or their relatives/ representatives manage their financial affairs. Residents are able to bring their own furniture and personal possessions with them to the home. Residents reported that lunch was very tasty and well cooked with the meat and vegetables being tender and succulent. It was well presented on the plates and was sufficient in quantity for the individual appetites and second helpings were offered for those who wished for a little more. Carers wore tabards to serve the meals and served them in a polite, unhurried manner. Most of the service users sat in the dining room; one lady preferred to remain in her own room to eat her meal. DS0000016455.V253731.R01.S.doc Version 5.0 Page 14 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): 16. Complaints procedures are in place. EVIDENCE: The Home’s Complaints Policy is included in the Statement of Purpose and brochure. Complaints and concerns are raised with the Manager and care staff and are dealt with immediately. No complaints have been received since the last inspection. DS0000016455.V253731.R01.S.doc Version 5.0 Page 15 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): 19, 23, 24 & 26 Residents live in a homely environment, which benefits from ongoing improvements EVIDENCE: The Home is well maintained with an ongoing programme of maintenance and decoration to ensure the environment maintains a homely comfortable ambience for the residents. All the required furnishings are supplied in communal areas and in residents’ rooms if required; many residents have personalised their rooms with their own furniture and pictures making them personal and homely. Cleanliness is of a high standard and no infection control issues were identified. The laundry was not examined on this occasion. DS0000016455.V253731.R01.S.doc Version 5.0 Page 16 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, 28 & 29 Staffing is adequate to meet the care needs of the residents living in the Home at the present time. Service users safety and well-being is paramount at all times EVIDENCE: On the day of the inspection, there were twenty-one residents with three in hospital due to ill health. Hampton House continues to provide staffing in line with those agreed when the home was first registered. Inspection of the rota sheets showed that there was normally a Manager and two carers on duty each morning 8am until 2pm. A Manager and two carers on each afternoon 2pm until 5/6pm and two carers 5pm until 8pm in the evening. Care staff are supported by the cook from 9am until 2pm each day, a housekeepers (20hrs per week) and Handyman (18hrs per week) and Mr and Mrs Elliott are also available in the home most days or on-call. There are two carers on duty from 8pm until 11-30 and then they are on-call overnight from 11-30 until 7am. The emergency call system is audible in the flat immediately above the property if assistance is required during the night. These staffing levels appear to meet the needs of the current service users and are constantly reviewed. The recruitment records (personnel files) of the six new staff were examined at the inspection and all were found to contain all the required information. Evidence was seen from training files that all staff had or were in the process of receiving their mandatory training. DS0000016455.V253731.R01.S.doc Version 5.0 Page 17 All mandatory training for staff is ongoing and other training is given to underpin knowledge and improve skills and abilities. The inspector discussed with Mrs Elliot the requirement now for the application form to request a full employment history from the applicant in line with the amended Regulation 19. The application form has been amended following the inspection. There was also a discussion about references and ensuring that the last employer was always contacted for a reference even if the applicant had not put them down as a referee. There was discussion relating to the Accession State Workers Registration Scheme for staff from the EU and the necessity for Mr and Mrs Elliott to have a copy of this on the individual personnel file. Mrs Elliot has begun this process with the individual concerned. DS0000016455.V253731.R01.S.doc Version 5.0 Page 18 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): 31, 32 & 38 There is good leadership, guidance and direction to staff from the cohesive management team at the home. This ensures residents receive consistent quality care and results in practice that promotes and safeguards the health, safety and welfare of the people using the service and staff. EVIDENCE: Staff get good support and leadership from the Managers and feel they are approachable. There is now a Manager and two deputies who with Mr and Mrs Elliot form the management team and there are clear lines of accountability and management within the home. A monthly management team meeting to look at the strategy for the home and improvements that they can make has been implemented. Through this they have devised a variety of ways to reward staff for commitment to the home, which has reportedly increased staff motivation and makes them feel valued. DS0000016455.V253731.R01.S.doc Version 5.0 Page 19 The fire safety checks are being completed satisfactorily and the annual fire alarm service was arranged for the day following the inspection. There was evidence that all new staff have been trained in Fire safety within the home. A waste contract is in place. Monthly hot water and weekly bath water temperatures are checked and recorded. All wheelchair maintenance is undertaken and recorded evidence was seen of this. Evidence displayed confirmed that the Home is fully insured. DS0000016455.V253731.R01.S.doc Version 5.0 Page 20 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 4 3 4 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 X 4 X X X 4 4 X 4 STAFFING Standard No Score 27 3 28 3 29 4 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 X X X X X 3 DS0000016455.V253731.R01.S.doc Version 5.0 Page 21 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. 1. Refer to Standard OP29 Good Practice Recommendations A copy of the Accession State Worker Registration scheme paperwork to be kept on the individual personnel file. 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