Inspection on 27/02/07 for Hampton Road, 20

This inspection was carried out on 27th February 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hampton Road, 20 23/06/08

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

CARE HOME ADULTS 18-65 Hampton Road, 20 Erdington Birmingham West Midlands B23 7JJ Lead Inspector Donna Ahern Key Unannounced Inspection 27th February 2007 10:45 Hampton Road, 20 DS0000068553.V328363.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 Road, 20 DS0000068553.V328363.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 Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hampton Road, 20 Address Erdington Birmingham West Midlands B23 7JJ 0121 3776601 0121-3776601 enquires@covwarkpt.nhs.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) Coventry and Warwickshire Partnership Trust Miss Emma Louise Faulkner Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can provide care and accommodation for 4 service users under 65 for reasons of learning disability. That named service user over 65 years can be accommodated and cared for. N/A Date of last inspection Brief Description of the Service: The registered provider changed in October 2006 from North Warwickshire NHS Trust to Coventry and Warwickshire Partnership Trust. Hampton Road is situated in a cul de sac in the Erdington area of Birmingham. The home provides care and accommodation to four adults aged between 18 and 65 years with a learning disability and additional needs including behaviours that can challenge. At the time of the fieldwork three people were living at the home and one person had commenced introductory visits. Shops, pubs, restaurants and places of worship are within walking distance. Public transport systems are also located close to the home. There are two bedrooms on the ground floor and a bathroom and separate shower room. There are two bedrooms on the first floor and a bathroom and separate toilet facility. There is a spacious lounge, dining room and kitchen. There is ramped access to the front of the home. Ground floor hallways and doorways are sufficiently wide to provide access to wheelchair users, however there is no passenger lift therefore the first floor is not accessible to people that cannot use stairs. The rear garden is spacious and has no level changes. Previous inspection reports are available in the hallway of the Home for people to read. The fee level for the Home is £1870 per month. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The fieldwork visit was unannounced involved one inspector and took place over one day lasting six hours. Due to the merging of two NHS Trusts the name of the registered providers changed from North Warwickshire NHS Trust to Coventry and Warwickshire Partnership Trust. This was the homes first key inspection under the change of registered provider in the inspection year 20062007. During the visit the inspector met with all three people who live at Hampton Road, to observe the opportunities and support provided to them, to look at the premises, and to read records about care, staffing, and health and safety. The residents have limited verbal communication so time was spent observing interactions and support from staff. Time was spent with the registered manager and discussions took place with two support staff. A pre-inspection questionnaire was completed by the registered manager and returned to CSCI prior to the fieldwork visit. Information from this was used to help compile this report. The home is required to report incidents, accidents and other events that occur in the home to CSCI. These are called regulation 37 notifications. All information reported via a regulation 37 notifications since the last inspection was analysed prior to the fieldwork visit. Questionnaires were sent to the Home to be given out to relatives and health professionals. Five completed questionnaires were returned to CSCI. All made extremely positive comments including the following; “A well managed home with good qualified staff. Good management”. “Excellent approach by staff I have worked with to ensure clients wishes and choices are respected and that dignity and privacy preserved”. “ All aspects of care are done well. Because the care home is small and due to the dedication of staff, individual needs are catered for”. “The person I visit is well cared for and appears to be happy and settled. The care of residents is excellent”. What the service does well: Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 6 Residents are supported by people they know and who are aware of their individual needs. Staff are friendly to residents and demonstrate through care practice and discussion that they can meet residents individual needs. Residents receive good support to manage their personal care that reflects their race, culture, gender and individual programmes. Much thought, planning and consideration has been given to resident’s holidays so that they meet residents’ individual needs and requirements. Residents have opportunities to make choices and decisions about their lives so that they have some control about things that are important to them. Medication systems are good and ensure service users receive the medication they need. Resident’s benefit from a Home that is well managed. The Home is safe and comfortable. What has improved since the last inspection? What they could do better: The laundry requires painting. It is advised that the layout of the laundry is reviewed so that residents can easily access this area. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 7 Training in dual diagnosis and mental health issues is required so that staff have the skills and knowledge to meet residents assessed needs. Residents who are wheelchair users were observed having difficulty entering their own bedroom and are dependent on staff to open their door. It is strongly advised that this is reviewed and appropriate door opening equipment is provided so that residents can independently access their own bedroom. 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 Road, 20 DS0000068553.V328363.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 Road, 20 DS0000068553.V328363.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 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have the information they need to make an informed choice about whether or not they want to live at the home. Thorough systems are in place to ensure resident’s individual needs and aspirations are assessed prior to admission to ensure their needs can be met at the home. EVIDENCE: The statement of purpose and service user guide was looked at and describes the services and facilities provided at Hampton Road and had been produced in an easy read format making it more accessible for the people who live at the home. A copy is given to residents so they have information about the home. Due to the merging of two NHS Trusts the name of the registered providers changed from North Warwickshire NHS Trust to Coventry and Warwickshire Partnership Trust. This change was reflected in the documentation looked at. Three people live at the Home and one person was being supported through the admission procedure and had made a number of visits to Hampton Road. The person’s bedroom was being painted and new furniture had been provided. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 10 The resident had been fully involved in choosing the colour for the bedroom and the furniture that they wanted. Significant time and effort had been put into the assessment and admission process. There was detailed paper work to support the work that had been done by the manager. The pre assessment information completed by the manager was detailed. There were minutes of resettlement planning meetings on file and detail notes of observations of the resident in their current living environment. There was also information about their visits to Hampton Road. Now that the bedroom was near completion the manager said an overnight stay had been planned with a proposed move in date scheduled for March 2007. Hampton Road, 20 DS0000068553.V328363.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information in individuals care plans so they know how to meet individuals needs. Residents are supported to make decisions about their lives so that they have some control about things that are important to them. Arrangements are in place to ensure that residents are supported to take risks within a risk assessment framework so helping them to keep safe. EVIDENCE: The people who live at Hampton Road have very complex needs and associated disabilities including behaviour that challenges. Comprehensive information is available on each resident so that staff know how to meet residents very individual needs. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 12 Two care plans were looked at. The individual plans had details of how staff should support people with their health, communication, personal care and social needs. It contained clear information about the person’s likes and dislikes. Information was easy to find and follow. It was written in an easy read style and pictures and photographs were used so making them easier to understand and more accessible to residents. It is essential for personal growth and development that opportunities to maintain independent living skills are provided. People’s care plans refer to personal development. Observations during the fieldwork were very positive and indicated that residents personal development is promoted such as making drinks, taking their washing to the laundry, opening the front door to visitors, helping out in the kitchen. Communication books and life books have been developed using pictures, photographs, drawings and illustrations and was an excellent example of developing relevant information in a suitable format. There are plans in place to develop this further and implement person centred plans for all residents. Records looked at included individual risk assessments. These were detailed and had recently been reviewed and updated where necessary to reflect any changes. They included the action that staff needed to take to minimise the risks due to fire, behaviour, using public transport, bathing, going out in the community and accessing the kitchen. The previous inspection report required that risk assessments were implemented for the support residents require during the night from waking night staff. This had been actioned but required some further development so that they include specific information about how residents are checked on during the night for instances are discreet checks done from outside a person’s room or do night staff specifically check a person, if so why and how these checks are done must be documented. It was advised that review sheet are attached to risk assessments so that any changes made are documented. Hampton Road, 20 DS0000068553.V328363.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):12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents take part in meaningful activities and are supported to keep in touch with their friends and relatives. Resident’s rights are respected by the practice of staff within the home. EVIDENCE: Residents do not take part in employment or attend day services, instead activities are provided on either a 1:1 or small group basis. On the day of the fieldwork visit one resident went to the local shops to buy some flowers and food for lunch. One resident went out briefly for a walk but indicated they wanted to return home and this was supported. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 14 Although residents have high support needs they are encouraged to take part in household tasks and activities including taking their clothes to the laundry, returning cups and plates to the kitchen and helping to look after their own bedrooms. Some of the residents like to spend time with staff in the kitchen whilst meals are being prepared and staff were seen to support individuals well during this time. Discussions with staff indicated that they really value resident’s relationship with their families and will facilitate contact. Care plans contained contact details and arrangements. Discussions at the time of the fieldwork visit indicated that much thought and consideration has been given to resident’s holidays so that they meet the specific needs of the individual residents. All residents had enjoyed individual holidays last summer and plans were already I place for summer 2007. One resident is being supported to go to Italy. The inspector joined people for lunch. Residents received appropriate support from staff to eat their meal. Menus and records of food showed that culturally appropriate food is available. Sampled records did show variety of meals and food offered matched individuals food likes recorded in their care plans. Menus seen included the five a day recommendations of fruit and vegetables. Hampton Road, 20 DS0000068553.V328363.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. Residents receive support to manage their personal care needs in a way that reflects their race, culture, gender and individual programmes. The systems in place to monitor resident’s health are generally robust. Medication systems are good and ensure residents receive the medication they need. EVIDENCE: Care plans had details regarding how residents should be supported with their personal care needs. These had been written in a very resident focused way, which promoted the wellbeing and independence of the resident. Residents personal appearance was good and indicated that residents receive good support to attend to their personal care needs and hair care. They wore clothing appropriate to their age, culture and time of year. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 16 The home has a stable staff team which gives continuity of care. There is a good balance of female and male carers, which is positive for the residents so that they can receive intimate care by a person of the same gender when possible. The manager and staff team have continued to develop health action plans; a health action plan is a plan of what a person needs to do to stay healthy. Specific health needs had been identified and goals set to promote good health. A pictorial format has been used which is more appropriate for residents. Resident’s files had details of visits to a range of professionals. There was good detail about the outcome of appointments, which enables staff to carry out thorough monitoring and follow up of resident’s health care needs. Sampled files had moving and handling assessments and included details of equipment to be used. Transfer guidelines are in place and there were guidelines in place for the use of wheelchairs and when posture belts should be used. Which all ensure the safe moving and handling of residents. Medication is stored in a separate locked storage area off the main corridor. The Medication Administration Records (MARS) sampled were signed appropriately. Written protocols to direct staff as to when to administer ‘as required’ medication were observed to be in place. Copies of prescriptions are retained so that staff can check the correct medication has been received from the chemist. A designated staff member undertakes regular audits of the medication. Staff training updates in the safe administration of medication is scheduled so that they have a good understanding of the medicines they give to individuals, the effects they may have and how to administer and store them safely. Hampton Road, 20 DS0000068553.V328363.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. The complaints and adult protection procedures if followed should ensure that residents are protected from harm. EVIDENCE: The home had not received any complaints since the previous inspection and CSCI had not received any concerns, complaints or allegations about the home. A complaints log has been implemented as required at the previous inspection so that any concerns or complaints are logged and there is evidence of what action the manager has taken to resolve the situation. A log of compliments has also been set up and it was positive to read the compliments that had been made by relatives and other professionals. Residents would require considerable support to raise concerns and therefore are dependent on a proactive staff team to protect their wellbeing. Staff had received training in adult protection and the prevention of abuse. Staff records sampled included evidence that a satisfactory Criminal Records Bureau (CRB) check had been undertaken before the individual started working at the home. This is to ensure that suitable people are employed to work with residents. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 18 The policy for Adult Protection was underpinned with a copy of the Birmingham Multi Agency Guidelines. Regulation 37 reports had been completed logged and forwarded to CSCI and indicate that incidents that have occurred in the Home have been dealt with appropriately. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 19 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. Residents live in a comfortable home with facilities provided to suit their needs. Some of the furnishings and décor required attention to ensure the comfort and safety of residents. EVIDENCE: There is a good range of communal space including a lounge, spacious kitchen and dining room. Two residents showed the inspector their bedrooms, which were very personalised; residents are supported by staff to have a bedroom that reflects their gender, age and culture. The laundry requires painting. Access and layout of the laundry is poor and is restrictive for residents use. It is advised that the layout is reviewed. The Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 20 manager said that there were plans in place to refurbish the toilet on the first floor. Both of these issues remain outstanding from the last inspection. Residents who are wheelchair users were observed having difficulty entering their own bedroom and are dependent on staff to open their door. It is strongly advised that this is reviewed and appropriate door opening equipment suitable for the assessed needs of residents is provided. This was a requirement at the previous inspection. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 21 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An effective staff team supports residents. Residents are protected by the home’s recruitment practices. EVIDENCE: The rota shows a minimum of three staff is provided on duty. The manager’s hours are in addition to this. Staff work a twelve-hour shift which they feel provides continuity of care for residents and if residents want to they can go out for the whole day and they do not have to return home in the afternoon due to staff going of duty. Two staff are on maternity leave. Staff were doing extra bank shifts to cover any shortfalls. Two part time staff have recently been recruited and will commence employment soon subject to satisfactory checks. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 22 Staff allocation was adequate for residents to undertake activities of their choice, and to receive the level of support they require. The home has a stable staff team. Staff spoken to presented as enthusiastic and knowledgeable of residents needs. Interactions between staff and residents were positive, and the way residents were supported was sensitive and respectful. Three staff files were assessed. The records of staff recruitment contained all the required documents and ensure that residents benefit from appropriately recruited staff to protect them from harm. A recent photograph was available on staff files looked at which was a requirement at the previous inspection. Staff had received a variety of training including mandatory training and training specific to residents needs including specific training around behaviour that presents a challenge. So that staff can meet the needs of the resident who is due to move into the home specific communication training is to be provided “in-house” for all staff. The previous inspection report required that staff had training in dual diagnosis and mental health issues so that staff have the skills and knowledge to meet residents needs. This remained outstanding. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 23 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. Resident’s benefit from a well run home. Arrangements are sufficient to ensure that the health, safety and welfare of residents are promoted and protected. EVIDENCE: The manager is an experienced manager and has significant experience in supporting the needs of this service user group. Through discussion with the manager it was clear she had strong values regarding the care and support of residents and the development of the Home. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 24 She was welcoming and open to the inspection process and welcomed any suggestions to improve the service for the benefit of residents. Really good progress had been made on previous requirements. Eight of the ten requirements had been addressed. The two outstanding, which are work to the laundry and staff training in mental health issues, are the responsibility of the registered provider. The manager had made progress on developing effective quality assurance and quality monitoring systems. These were briefly examined at the previous Key inspection. Letters and surveys have been developed and sent out to relatives and other professionals to seek their views. Letters had been sent to all relatives giving an update on the home and details of CSCI inspections. A copy of the report is also sent to all relatives. Quality audits on required documentation are scheduled to take place in the near future and will be followed up on at future inspections. A number of health and safety records were looked at. The manager had also completed the pre inspection questionnaire to confirm dates of health and safety checks. Fire safety records showed that the fire alarm system is tested and serviced as required so that it is kept in a safe working condition. Fire drills were being carried out every six months so that residents and staff have the opportunity to practice safe evacuation in the event of an emergency. Water temperature checks are completed weekly to prevent the risk of scalding. Certificates were in place, which showed that electrical appliances, gas and bathing equipment had been tested and serviced for the protection of residents. Regulation 26 visits and reports have been undertaken monthly as required and a copy of the report has been forwarded to CSCI. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 26 Yes 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 YA9 Regulation 13 (4) (c) Requirement Risk assessments in place for nightime support required some additional information. The laundry requires painting. Access and layout of the laundry is poor and is restrictive for residents use and must be reviewed. Previous requirement outstanding from 30/11/06. Training in dual diagnosis and mental health issues is required so that staff have the skills and knowledge to meet residents needs. Previous requirement outstanding from 30/12/06 Timescale for action 31/03/07 2 YA24 23 (2) (a, b) 31/05/07 3 YA35 18 (1) (c) 30/06/07 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 YA9 Good Practice Recommendations To attaché review sheets to risk assessments so there is DS0000068553.V328363.R01.S.doc Version 5.2 Page 27 Hampton Road, 20 2 YA29 documented evidence that the controlled factors in place have been reviewed in full. Residents who are wheelchair users were observed having difficulty entering their own bedroom and are dependent on staff to open their door. It is strongly advised that this is reviewed and appropriate door opening equipment is provided so that residents can independently access their own bedroom. Hampton Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Road, 20 DS0000068553.V328363.R01.S.doc Version 5.2 Page 29 - 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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