Inspection on 10/11/05 for Hampton Road East (89)

This inspection was carried out on 10th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hampton Road East (89) 31/08/06

Hampton Road East (89) 25/04/05

Hampton Road East (89) 27/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Hampton Road East (89) Hanworth Middlesex TW13 6JA Lead Inspector Ms Jean Bovell Unannounced Inspection 10th November 2005 12:00 Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 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 East (89) DS0000060680.V259056.R03.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 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 East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hampton Road East (89) Address Hanworth Middlesex TW13 6JA 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) 020 8941 8228 info@gcpcare.com www.gcpcare.com Grove Care Partnership Ltd Ms Elizabeth McKenzie Care Home 7 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: 89 Hampton Road East is a detached house, situated in Hanworth close to a supermarket and with access to the M3. It has a gate, which is locked, and is electronically controlled for security purposes. Parking is available at the front of the house. The home was registered in May 2004 and the Registered Providers are Grove Partnership Ltd. Feltham main line and Hounslow underground stations can be reached by buses which are easily accessible. The home provides accommodation for seven service users of both sexes with learning disabilities and sensory impairment. There were five service users at the time of the inspection. There are seven single bedrooms, four on the first floor and three on the second floor. Each bedroom contains an en suit bath/shower and toilet. There is also a separate bathroom with a walk-in shower and toilet at the home. There is no lift and all areas of the home have to be accessed by stairs. There is a spacious lounge on the ground floor and a nicely furnished conservatory which overlooks a large attractive garden with a summerhouse at the end. There is a kitchen, separate dining area, office, quiet room and a staff sleeping room on the ground floor. A laundry room, with a washing machine and a dryer, is located on the first floor. The staff team provide personal and practical support to the serviced users. The home has its own transport. Leisure and social activities are arranged in accordance with the wishes of the service users and as agreed by the relatives and the placing authorities. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 12 noon and 4 pm on Thursday 10th November 2005. The Registered Manager, two members of the care support staff team and two service users were present. The Inspector was advised that two service users were attending college and one service user was on a family trip abroad. The Inspector spoke to two members of the care support staff team and two service users. Discussions were also held with the Registered Provider who visited the home during the inspection. A tour of the building was undertaken. Records, policies and procedures were viewed and observations were made. Standards that were not inspected and requirements that were made at the last inspection were examined at this inspection. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. What the service does well: The home was clean, hygienic and well maintained. The service users bedrooms were spacious and appropriate for promoting an independent lifestyle within the caring environment of the home. There was a high ratio of staff in relation to the service users and service users were given opportunities and individual support in achieving their separate ambitions and aspirations. A daily programme of shared and individual outdoor activities was in place. The home’s policies, procedures and service users records were satisfactory and indicated that the best interests of the service users were being met. The environment within the home was safe, comfortable and caring. Hampton Road East (89) DS0000060680.V259056.R03.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. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 and 5. Prospective service users and their relatives are required to participate in an initial needs led assessment and this involves a series of visits to the home. A letter confirming that the home will meet specific assessed needs is sent to prospective service users and their relatives prior to admission. Service users or a relative are required to sign the home’s contract/statement of terms at the point of admission. The Requirement made under Standard 2 at the last inspection had been met. EVIDENCE: The Registered Manager confirmed that prospective service users and their relatives participated in an initial needs led assessment to determine the home’s suitability and capacity to meet specific needs. This process involved a series of visits to the home by prospective service users and their relatives. The Inspector was advised that a letter confirming that the home will meet the assessed needs of prospective service users was sent to new service users and their relatives prior to admission. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 9 Service users or their relatives were required to sign the home’s contract/statement of terms at the point of admission. The Inspector was informed by the Registered Manager, that an initial needs led assessment in relation to prospective service users was carried by local authority social workers prior to referral. A subsequent assessment was undertaken by the home prior to admission. This process involved the prospective service user, relatives, social workers and medical professionals, where appropriate. It was evidenced from records seen that appropriate assessments are being undertaken at the home. This complied with the requirement made at the last inspection. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 9 and 10. Service users are able to express their views during regular service users meetings or in one to one sessions with the Registered Manager or members of the care support staff team. The home’s policy relating to confidentiality is satisfactory. A requirement made under Standard 9 at the last inspection had been met. EVIDENCE: It was reflected on records viewed that monthly service users meetings were held at the home. Topics discussed included activities and meals, and individual concerns were expressed. It was indicated that service users views were being heard and acted upon. The Inspector was advised that service users were also able to express their views during one to one discussions with their key workers or directly with the Registered Manager. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 11 Members of the care support staff used various methods such as sign or body language and pictures to communicate with two non-verbal service users. This was observed during the inspection. The service users guide and complaints procedure are clearly written and illustrated in a format suitable for meeting the needs of the service users. The home’s policy relating confidentiality was in place and accessible to service users and their relatives. All service users records were securely kept and the Registered Manager confirmed that the home was respectful of confidential matters relating to the service users. In particular, information disclosed in confidence was not shared with relatives. Risk assessments had been carried out in relation to activities in which the service users were involved. This met with the requirement made at the last inspection. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 16. Service users are encouraged to be independent and their rights are being respected. Service users are regularly involved in a variety of shared and individual activities within the local community. EVIDENCE: Activity programmes relating to individual service users were on display at the home. These indicated that service users participated in daily activities such as college courses, social clubs, swimming, music, art and sport. Two service users were attending college at the time of the inspection and one was on a family trip abroad. The Registered Manager confirmed that service users assisted with routine tasks at the home including cooking, laying the table, laundry, the weekly shop and tidying their rooms. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 13 One service user assisted with the preparation of lunch and laid the table during the inspection. A service user was also observed being enthusiastic and independently preparing for a shared evening activity on the day of the inspection. The Inspector was informed by the Registered Manager that the rights of the service users were being respected and that they were encouraged to be independent within the home. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20 and 21. Service users receive assistance with personal care as required. The storage and administration of medication is essentially satisfactory. However, start dates had not been entered on all administered bottled medication. A policy on ageing, illness and death is not currently in place at the home. EVIDENCE: The Registered Manager reported that one service user was fully capable of carrying out his/her personal care but others required supervision or support. Assistance with personal care was undertaken in privacy within bedrooms or bathrooms, and all service users were able to choose their own clothes, makeup and hairstyle. The home’s policy and procedures in relation to medication was in place and the storage and daily administration of medication was satisfactory. However, start dates on bottled medication were not always noted. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 15 The Inspector was informed by a Team Leader that service users were able to administer their own medication while being supervised. The Registered Provider confirmed that a policy on ageing, illness and death was in the process of being formulated. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 A requirement made under Standard 22 at the last inspection had been met. EVIDENCE: The complaints procedure within the service users guide was viewed and found to be clearly stated and illustrated, and appropriate for meeting the needs of the service users. This complied with the requirement made at the last inspection. The records confirmed that training on the Protection of Vulnerable Adults had been delivered to the members of the care support staff team. It was indicated in the complaints book that four minor complaints had been made to the home at various times following the last inspection. All were appropriately investigated and resolved. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 26, 27, 27, 28 and 29. The service users occupy individual bedrooms and all are suitably fitted and personalised. The bathroom and toilet facilities are sufficient for meeting the needs of the service users. The communal areas are spacious and appropriate for shared activity or individual use. There is no current need for specialist equipment at the home. EVIDENCE: The service users bedrooms were clean and tidy and appropriately fitted and furnished. All contained en suite facilities and reflected personal choices and interests. The toilet and bathroom facilities at the home were sufficient for meeting the private and personal needs of the service users. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 18 The communal areas within the home were spacious and suitable for shared or individual activity. The home contained no specialist equipment at the time of the inspection. The Registered Manager explained that none of the service users experienced physical difficulties. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 36. The service users at the home are aware of the various responsibilities that are held among the staff team. Members of the care support staff team receive appropriat training for meeting the needs of the service users. Requirements made at the last inspection under Standards 32 and 33 had been complied with. EVIDENCE: The Registered Manager confirmed that seven full time members of staff were employed at the home. This number included the Registered Manager and a psychologist. There are also two part time staff members. The home did not employ a cook or ancillary staff but the service users assisted the care support staff with various tasks including laundry, cooking, shopping and tidying their bedrooms. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 20 A key worker system was in operation at the home and service users were aware of the identity/role of their particular key worker and other members of the care support staff team. Three members of the care support staff team have obtained NVQ qualification in levels 2 or 3. The Inspector spoke to three staff members who confirmed that they had received induction and that subsequent training delivered included - Makaton, Challenging Behaviour, Medication and Protection of Vulnerable Adults. This was reflected on records seen. The Inspector was advised that training in Autism was scheduled to take place in December 2005. Members of the care support staff team that were on duty during the inspection were observed to respond competently to the needs of the service users. The Registered Manager confirmed that four permanent members staff had been recruited since the last inspection and that one prospective staff member was awaiting CRB clearance. This met with a requirement that was made at the last inspection. A number of personnel files were viewed at random and they contained all the required documents. This also complied with a requirement made at the last inspection. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 39, 40, 41 and 42. The Registered Manager is experienced and suitably qualified. The home provides a happy and safe environment for the service users in which their aspirations are being promoted. However, quality assurance systems must be put into place for measuring success of meeting aims, objectives and statement of purpose of the home. The records, policies and procedures are satisfactory and the best interests of the service users are being safeguarded. Requirements made under Standard 42 at the last inspection, had been complied with. EVIDENCE: The Registered Manager is appropriately qualified and experienced and has been in post for six months. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 22 The Inspector was informed by the Registered Provider and the Registered Manager, that the home’s ethos was based on developing the individual potential of the service users within a safe, happy and caring environment. Records relating to service users and the home’s policies and procedures were satisfactory and indicated that the best interests of the service were safeguarded at the home. It was indicated on fire safety records that fire drills were regularly undertaken. This complied with requirements made at the last inspection. Hampton Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hampton Road East (89) Score 3 X 2 3 Standard No 37 38 39 40 41 42 43 Score X 3 3 3 3 3 X DS0000060680.V259056.R03.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13(4)(c) Requirement The Registered Person must ensure that start dates are recorded on opened medicines and signed by the appropriate person. Timescale for action 30/11/05 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 Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 25 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Road East (89) DS0000060680.V259056.R03.S.doc Version 5.0 Page 26 - 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. 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