Inspection on 31/08/06 for Hampton Road East (89)

This inspection was carried out on 31st August 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hampton Road East (89) 10/11/05

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 Jean Bovell Key Unannounced Inspection 31st August 2006 12:30 Hampton Road East (89) DS0000060680.V309084.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 East (89) DS0000060680.V309084.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 East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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 8 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 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. The home is entranced via a locked gate which 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. Accommodation for seven service users, of both sexes, with learning disabilities and sensory impairment is provided at the home. There are seven single bedrooms, four on the first floor and three on the second floor. Each bedroom has en-suite facilities, comprising a bath, shower attachment, toilet and basin. A separate bathroom with a walk in shower and a toilet is available. 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, well-maintained 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 provides personal and practical support to the service 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.V309084.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 12:30 pm and 5:30 pm on the 31st August 2006. The Registered Manager, one team leader, one care support worker and four service users were at the home. The Inspector was advised that one service user accompanied by a care support worker was visiting the GP and that two service users were on holiday with relatives. During the course of the inspection the home’s records, policies, procedures and documents were viewed. A tour of the building was undertaken and observations were made. The Inspector spoke to two service users, one visiting relative and two members of the care support staff team. One requirement made at the last inspection and all key Standards were examined. In undertaking this inspection, the Inspector received co-operation and assistance from the Registered Manager, a Team Leader and the Registered Provider who visited the home at the time of the inspection. What the service does well: The service users appeared appropriately dressed, well cared for and comfortable within their environment and those spoken with indicated that they were happy at the home. One visitor reported that he/she was very happy with the standard of care and support that was being provided to a close relative. Care support workers expressed satisfaction with the level of training, supervision and general support they received and were observed being competent and attentive in meeting the needs of the service users. Overall, the home was found to be clean, hygienic, airy and well maintained. The environment was safe, relaxed and homely. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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.V309084.R01.S.doc Version 5.2 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.V309084.R01.S.doc Version 5.2 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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s statement of purpose and service users’ guide are satisfactorily detailed. Prospective service users are comprehensively assessed and the process includes visits to the home and overnight stays. Letters confirming the home’s capacity to meet specific assessed needs are sent to prospective service users prior to admission and they and/or their relatives are required to sign the home’s contract/statement of terms and conditions. EVIDENCE: The home’s service user’s guide and statement of purpose were in place and contained all the required information. It was evidenced on service users files that detailed needs led assessments which included identification of individual goals and aspirations, had been undertaken in relation to prospective service users and that social workers, relatives, previous carers and medical professionals – where appropriate, participated in the assessment process. Prospective service users were invited to the home and overnight stays were arranged. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 9 It was indicated also, that letters of confirmation that specific assessed needs would be met at the home were sent to prospective service users and that they and/or their relatives were required to sign the home’s contract/statement of terms and conditions at the point of admission. Prospective service users were initially place on a six-week trial basis after which a review was held to determine the home’s capacity to meet separate assessed needs and aspirations. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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): 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. Care plans are being satisfactorily undertaken. Service users receive appropriate support and encouragement in being independent and are able to make personal decisions in relation to their daily living routines. EVIDENCE: Appropriately drawn up care plans were reflected on service users’ files. Separate social, personal and health care needs were assessed. Appropriate action plans and goals were put into place and risk assessments were undertaken in relation to specific identified activities. It was indicated that service users, relatives, social workers and medical professionals – where appropriate, participated in annual reviews of care plans. Risk assessments were reviewed on a three monthly basis. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 11 The independence of the service users was reflected in their individual bedrooms. Each bedroom was lockable, contained en-suite facilities and reflected individual choices and preferences including small fridges in which drinks were stored. A key worker confirmed that service were able to make decisions in relation to activities, meals, clothing and personal purchases but required differing levels of support, assistance or supervision in relation to their everyday routines. Service users were observed being comfortable and relaxed and moved freely around the house and garden at the time of the inspection. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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, 14, 15, 16 and 17. This judgement has been made using available Quality in this outcome area is good evidence including a visit to this service. The service users are able to pursue individual interests and hobbies and are appropriately supported during activities within the community. The rights of service users are being respected and contact with family and friends are encouraged. Varied and wholesome meals are being provided. EVIDENCE: It was evidenced on service users care plans that they attended various college courses such as literature, arts and crafts, promoting independence, information technology, cooking and makaton. Individual activities programmes were on display and indicated that activities in the community included bowling, swimming, basketball, meals out, the Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 13 cinema, day trips, holidays and shopping. Service users also attended day centres and social clubs. Service users are able to pursue personal interests and hobbies including art, needlework and music. Various drawings and painting that had been undertaken by the service users were on display and a musical instrument was played at the time of the inspection. An open visiting policy is in place and contact with relatives and friends are encouraged and facilitated. Weekend home visits occur on a regular basis and service users are able to develop and maintain personal relationships One relative visited the home during the inspection and two service users were on holiday with their respective relatives. Care support workers were observed relating to service users in a friendly and respectful manner and knocked on bedroom doors prior to entering. A team leader confirmed that service users were monitored while undertaking housekeeping tasks such as laundry, tidying bedrooms and/or laying/clearing tables. A variety of nutritional meals where reflected on the menus and a wholesome and appealing lunch was served to the service users at the time of the inspection. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The dignity and privacy of the service users are being upheld and their health care needs are being met appropriately. The home’s policy and procedures on medication are satisfactory and service users are able to administer their own medicines with supervision. EVIDENCE: It was confirmed by a team leader that the dignity and privacy of the service users were being respected and that all personal care tasks, which may include supervision, monitoring or assistance, were carried out within individual ensuite bathroom facilities. The health care needs of the service users were reflected within care plans and it was indicated that there were annual health, eye and dental checks. Service users received appropriate access to GPs, Psychiatrists and Psychologists, and were accompanied during medical appointments. One service user received appropriate support during a visit to the GP at the time of the inspection. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 15 The home’s policy and procedures on medication were in place and it was indicated that medication training had been delivered to all members of the care support staff team. Storage, disposal and administration of medicines were satisfactory. The Inspector was informed by a team leader that one service user selfadministered his/her medication whilst being supervised. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The stages of investigated complaints are not being clearly recorded within the complaints book. The service users are being satisfactorily protected from abuse. EVIDENCE: The complaints procedure was clearly written and illustrated in a format suitable for meeting the needs of the service users. However CSCI contact details had not been updated. Five complaints were documented within the complaints book but recordings relating to action taken and outcomes had not been entered in the relevant headed columns. The London Borough of Hounslow manual on the protection of vulnerable adults was in place and the records indicated that training on the protection of vulnerable adults had been delivered to all members of the care support staff team. The Registered Manager confirmed that relatives were responsible for the financial affairs of the service users but that individual allowances were Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 17 safeguarded at the home. No discrepancies were identified on financial records examined. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is satisfactorily safe, homely and well maintained. EVIDENCE: The home is spacious, appropriately furnished and the communal areas are suitable for shared or individual activity. The garden was well maintained and easily accessible to the service users. There were no issues regarding the laundry. Overall, the home was found to be clean, hygienic and in good decorative order. The atmosphere was comfortable, lively and homely. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care support workers receive adequate support and supervision and are appropriately trained for meeting the needs of the service users. The home’s recruitment policy and practices are satisfactory. EVIDENCE: The Inspector was informed by the Registered Manager that three members of the care support staff team were currently undertaking national vocational training in health and social care. A number of personnel files were viewed at random and all contained the required documents such as CRB disclosure certificates, photo-identification, application forms, references and signed contract/statement of terms and conditions. There was a training programme in place which indicated that staff training delivered included protection of vulnerable adults, challenging behaviour, introduction to autism, moving and handling, basic food hygiene and fire awareness. Refresher training is also regularly provided. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 20 It was evidenced on records viewed that care support workers received regular supervision and those who spoke to the Inspector expressed satisfaction with the support they received within the team and from the Registered Manager. Care support workers were observed being attentive and competent in meeting the needs of the service users. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The Registered Manager is appropriately qualified and the home is organised and well run. Quality assurance exercises have been initiated and the health and safety of the service users are being protected. EVIDENCE: . The Registered Manager has had 21 years experience in the care profession and has occupied her present position for 18 months. Care support workers who spoke to the Inspector reported that the Registered was approachable and supportive. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 22 The Inspector was informed by the Registered Provider that systems were in place for undertaking quality assurance and that the process had been initiated. The records were reflective of service users, relatives and social workers being involved in reviews and in the drawing up of care plans. Records relating to fire safety checks, water temperature and fire drills were up-to-date. The Manager confirmed that tests for gas and electrical appliances had been undertaken but documented evidence could not be located at the time of the inspection. Environmental risk assessments had been appropriately carried out. Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 X Hampton Road East (89) DS0000060680.V309084.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA22 Regulation 22(3) Requirement The Registered Person must ensure that the stages of investigations are reflected within the complaints book. Timescale for action 30/09/06 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.V309084.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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.V309084.R01.S.doc Version 5.2 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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