Care Home: Hampshire House

What the care home does well Residents are aware of the key information on the service with care plans viewed including copies of signed contracts, the service user guide and statement of purpose. Residents to the home are assessed with records maintained to evidence this and to evidence them being inducted into the home Person centred care plans are in place which outlines the support required in supporting the resident to meet their identified needs, whilst promoting their involvement and independence. They showed evidence of resident involvement in their development and were kept up to date and reviewed. A requirement was made at the previous key inspection that a record is maintained of limitations agreed with a service user as to their freedom of choice. This was specific to a resident that has since moved on. Care plans viewed included restrictions on residents privacy to promote their safety, which was agreed and signed by them. The care plans included a range of up to date generic and person centred risk assessments including moving and handling risk assessments and risk assessments which promoted their involvement in activities of daily living. An activities coordinator is in post which promotes residents involvement in a range of in house and external activities. Staff support residents with an annual holiday with UK holidays and one holiday abroad booked for later in the year. Care plans outlined the support required in meeting personal and health care needs andthe support required in attending health appointment. At the time of the inspection the home had residents on different levels of self medication, including residents that staff administer medication to. The home has recently purchased individual lockable medication cabinets for each resident. These have been fitted in their bedrooms and individual risk assessments were being completed to address potential risks in relation to medication administration prior to them being put into use. Staff are responsible for the ordering, receipt, disposal , storage and administration of medication. Staff are trained in this role with a training matrix made available to evidence this. The home has a complaints procedure which is accessible to residents and staff. Residents fed back in surveys that they know how to make a complaint. The home has a complaints log in place which evidences that complaints are dealt with appropriately. The Commission have received no complaints in respect of this service. The home has a safeguarding and whistle blowing policy in place which has been developed in line with Local Authority safeguarding procedures. The training matrix provided evidences that staff have up to date safe guarding training with updates booked for staff who required it. Allegations of potential safeguarding incidents are handled appropriately and the home has had two safeguarding referrals and investigations during the period 2010. The requirements made at the previous inspection in relation to improvements to the environment have been complied with. A full tour of the home was not conducted but areas viewed were found to be clean and comfortable. Written feedback from residents confirm that the home is always and usually fresh and clean. Written feedback from residents confirm that staff treat them well. They listen and act on what they say. The home has a full staff team, following the deployment of staff from another service on site that is closing which promotes residents well being and safety. Staff have access to mandatory and specialist training to support them in their roles. The registered manager is qualified and experienced. He is accessible to staff and residents and works alongside staff in supporting residents. What the care home could do better: The outcome of residents health appointments are recorded in the daily records however a separate individual records of appointments with health professionals should be put in place to make access to this information more accessible. Medication administration records showed gaps in administration of prescribed medication. The home has recently introduced weekly medication audit checks which were not being fully completed and a stock check of medication is not maintained to be able to track gaps in administration. This must be addressed.The onsite pharmacy should carry out advisory visits to monitor and audit medication administration. Random inspection report Care homes for adults (18-65 years) Name: Address: Hampshire House The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 0RJ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Maureen Richards Date: 2 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: Hampshire House The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 0RJ 01494601427 01494871927 ian.henry@epilepsynse.org.uk www.epilepsysociety.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Ian Lee Henry Type of registration: Number of places registered: Conditions of registration: Category(ies) : The National Society for Epilepsy care home 12 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 12 1. The registered person may provide the following category/ies of service only: Care Home only - (PC) to service users of the following gender: Either Whose primary needs on admission to the home are within the following categories: Physical Disabilities (PD) 2. The maximum number of service users to be accommodated is 12. Date of last inspection Brief description of the care home Hampshire House provide a rehabilitation service for people with epilepsy. The service is based at the National Society for Epilepsy (NSE) centre in Chalfont St Peter, Buckinghamshire. Hampshire House provides accomodation for 12 service users in Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home single rooms on two floors. The homes aims include the development of service users independence. The home is an integral part of the NSE and benefits from a wide range of support services provided by the organisation. Please contact the Provider for the current range of fees. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This unannounced random inspection took place as the home has not had a visit from the Commission since the 27th September 2007, when they received a good rating. The inspection lasted for four hours and was facilitated by the registered manager. It consisted of looking at records in relation to key outcome areas which included care planning, risk assessments, personal and health care needs of residents, including the safe administration of medication, complaints and safeguarding, staffing and management. Resident surveys were sent to the home prior to the inspection and the feedback received from those indicate that residents who responded are happy with the care and support they receive. The inspection also included a discussion with one resident as requested by them on their completed survey. What the care home does well: Residents are aware of the key information on the service with care plans viewed including copies of signed contracts, the service user guide and statement of purpose. Residents to the home are assessed with records maintained to evidence this and to evidence them being inducted into the home Person centred care plans are in place which outlines the support required in supporting the resident to meet their identified needs, whilst promoting their involvement and independence. They showed evidence of resident involvement in their development and were kept up to date and reviewed. A requirement was made at the previous key inspection that a record is maintained of limitations agreed with a service user as to their freedom of choice. This was specific to a resident that has since moved on. Care plans viewed included restrictions on residents privacy to promote their safety, which was agreed and signed by them. The care plans included a range of up to date generic and person centred risk assessments including moving and handling risk assessments and risk assessments which promoted their involvement in activities of daily living. An activities coordinator is in post which promotes residents involvement in a range of in house and external activities. Staff support residents with an annual holiday with UK holidays and one holiday abroad booked for later in the year. Care plans outlined the support required in meeting personal and health care needs and Care Homes for Adults (18-65 years) Page 4 of 9 the support required in attending health appointment. At the time of the inspection the home had residents on different levels of self medication, including residents that staff administer medication to. The home has recently purchased individual lockable medication cabinets for each resident. These have been fitted in their bedrooms and individual risk assessments were being completed to address potential risks in relation to medication administration prior to them being put into use. Staff are responsible for the ordering, receipt, disposal , storage and administration of medication. Staff are trained in this role with a training matrix made available to evidence this. The home has a complaints procedure which is accessible to residents and staff. Residents fed back in surveys that they know how to make a complaint. The home has a complaints log in place which evidences that complaints are dealt with appropriately. The Commission have received no complaints in respect of this service. The home has a safeguarding and whistle blowing policy in place which has been developed in line with Local Authority safeguarding procedures. The training matrix provided evidences that staff have up to date safe guarding training with updates booked for staff who required it. Allegations of potential safeguarding incidents are handled appropriately and the home has had two safeguarding referrals and investigations during the period 2010. The requirements made at the previous inspection in relation to improvements to the environment have been complied with. A full tour of the home was not conducted but areas viewed were found to be clean and comfortable. Written feedback from residents confirm that the home is always and usually fresh and clean. Written feedback from residents confirm that staff treat them well. They listen and act on what they say. The home has a full staff team, following the deployment of staff from another service on site that is closing which promotes residents well being and safety. Staff have access to mandatory and specialist training to support them in their roles. The registered manager is qualified and experienced. He is accessible to staff and residents and works alongside staff in supporting residents. What they could do better: The outcome of residents health appointments are recorded in the daily records however a separate individual records of appointments with health professionals should be put in place to make access to this information more accessible. Medication administration records showed gaps in administration of prescribed medication. The home has recently introduced weekly medication audit checks which were not being fully completed and a stock check of medication is not maintained to be able to track gaps in administration. This must be addressed. Care Homes for Adults (18-65 years) Page 5 of 9 The onsite pharmacy should carry out advisory visits to monitor and audit medication administration. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The registered manager 31/07/2010 must ensure that medication is administered as prescribed with effective audits and stock checks in place to address gaps in administration of medication in a timely manner. To safeguard residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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