Care Home: Hampton Road East (89)

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What the care home does well The home provides a service to people who have different cultural, racial and religious needs and is reflected in the diverse staff group. The needs of prospective residents are comprehensively assessed prior to admission. People who use the service are encouraged to make decisions regarding their daily living routines. They receive opportunities for personal development and are supported in regular activities of individual choice within the community. Staffing levels are good and regular training and refreshers are delivered to Support Workers for meeting the needs of residents.Health and safety records were satisfactory and reflective of the safety and welfare of residents being protected. Residents were appropriately dressed and appeared comfortable and well adjusted within their environment. They were observed relating to support workers in a friendly manner and residents spoken with reported being happy at the home. Overall, the home was clean, hygienic and very well maintained. The environment was safe, lively and homely. What has improved since the last inspection? One requirement was made at the last inspection and had been met. This related to complaints. Specifically, it was indicated in the complaints book that investigation processes were being clearly recorded. CARE HOME ADULTS 18-65 Hampton Road East (89) Hanworth Middlesex TW13 6JA Lead Inspector Ms Jean Bovell Key Unannounced Inspection 26th June 2008 2:00 Hampton Road East (89) DS0000060680.V366544.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.V366544.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.V366544.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 (8) registration, with number of places Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 8 31st August 2006 Date of last inspection 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 Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 5 accordance with the wishes of the service users and as agreed by the relatives and the Placing Authorities. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for the service is TWO STAR this means the people who use the service experience GOOD quality outcomes. This unannounced inspection was carried out between 2:00pm and 6:00pm on 26th June 2008. Two residents, two Support Workers and a Team Leader were at the home. We were informed by a Team Leader that four residents were being supported in separate activities in the community and that the Registered Manager was on annual leave. During the course of the inspection, the home’s records, documents, policies and procedures were viewed. A tour of the building was undertaken and observations were made. Three residents and three Support Workers were spoken with. A completed Annual Quality Assurance Assessment – self assessment document was considered. The requirements that were made at the last inspection and all key Standards were examined. We were provided with appropriate assistance by a Team Leader and also the Registered Provider who visited the home at the time of the inspection. What the service does well: The home provides a service to people who have different cultural, racial and religious needs and is reflected in the diverse staff group. The needs of prospective residents are comprehensively assessed prior to admission. People who use the service are encouraged to make decisions regarding their daily living routines. They receive opportunities for personal development and are supported in regular activities of individual choice within the community. Staffing levels are good and regular training and refreshers are delivered to Support Workers for meeting the needs of residents. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 7 Health and safety records were satisfactory and reflective of the safety and welfare of residents being protected. Residents were appropriately dressed and appeared comfortable and well adjusted within their environment. They were observed relating to support workers in a friendly manner and residents spoken with reported being happy at the home. Overall, the home was clean, hygienic and very well maintained. The environment was safe, lively and homely. 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 Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 8 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 9 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.V366544.R01.S.doc Version 5.2 Page 10 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, 2 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User’s Guide are clearly detailed. The needs of prospective residents are comprehensively assessed prior to admission. The home’s contract/statement of terms and conditions are not in each case being signed as required. EVIDENCE: The Statement of Purpose and Service User’s Guide were appropriately detailed and written in a format suitable to meeting the needs of the people who use the service. The files of four residents were inspected at random. Each file contained a written assessment including family history which had been submitted to the home by the placing Authority at the point of referral. There was also, recorded evidence that a comprehensive needs led assessment was carried out by the home prior to the admission of new residents. Relatives, social workers, Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 11 healthcare professionals and prospective residents, were involved in the process of assessing and determining the capacity of the home to meet separate identified needs and aspirations. Although a copy of the home’s written contract/statement of terms and conditions was within each filed viewed, only one contract had been signed as required. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 12 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. Although care plans are being drawn and are regularly reviewed, they are not clearly detailed. People are encouraged and supported in making decisions in relating to their daily living routines. Risk assessments are being carried out satisfactorily. EVIDENCE: It was evidenced on all files viewed that care plans were being drawn up and regularly reviewed. Nonetheless, separate identified needs, action plans and set goals were not clearly and/or specifically detailed. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 13 We were informed by a Team Leader that people were able to make decisions regarding their daily living routines such as what they wore each day, meals, activities and personal purchases. Residents were observed moving freely around the house and their individuality was reflected in their different hairssstyles, choice of clothing and personalised bedrooms. Separate risk assessments relating to activities identified within care plans had been carried out and included absconding, self-harm and road safety. The behavioural patterns of those who present particular challenges were monitored and recorded. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 14 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, 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 are supported in participating in activities of their choice within the local community. They are able to maintain regular contact with relatives and/or friends and personal relationships are supported and facilitated. People are encouraged to carry out housekeeping tasks where appropriate. An adequate variety of cooked meals are being provided to residents. EVIDENCE: The home provides a service to people of different racial, cultural and religious needs and these differences are also reflected in the diverse staff group. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 15 We were informed by a Team Leader that residents were involved in separate cultural and religious activities during weekend visits with relatives. The home has an activities room and bicycles are available for use by residents. People are encouraged to pursue separate interests such as music, computing, gardening and art. This was reflected in personalised bedrooms which contained computers, stereo systems, televisions, DVD players and various other items of interest. There was recorded evidence that people who use the service received opportunities and support with participating in separate outdoor activities on a daily basis. These included swimming, shopping, bicycle rides, evening clubs, visiting farms and attending college. Residents were observed being accompanied to or returning from separate activities within the community during the course of the inspection. An open visiting policy is in place and we were advised that residents spent their weekends at home with relatives. None of the residents were involved in personal relationships at the time of the inspection but we were assured that personal friendships and relationships would be supported and facilitated. Residents are supervised or receive assistance with carrying out housekeeping tasks such as preparing vegetables, making sandwiches, clearing tables, tidying bedrooms and sorting/putting away laundry. Meals are prepared by Support Workers and menus were reflective of adequate varieties of nutritional meals being provided. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 16 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. People receive appropriate assistance with personal care and healthcare needs are being met satisfactorily. Policies and procedures on medication are in place but signatures are not at all times entered following the administering of medication. EVIDENCE: We were informed by a Team Leader, that all residents at the home required assistance or prompting with their personal care routines. However, people’s privacy and dignity were respected and they were able to choose what they wore each day. The records were indicative of people’s healthcare needs being met satisfactorily. Residents received access to healthcare professionals when Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 17 required and were accompanied to medical appointments. It was, nonetheless, indicated on the AQAA that improvements should be made in motivating people who were reluctant to keep dental or other healthcare appointments. Policies and procedures on medication were in place and there was documented evidence that training on medication had been delivered to support staff. Medication prescribed to residents was mostly contained in blister packs but all medicines were appropriately stored and records were maintained of all medication received or returned to the Pharmacist. The medication administration records were inspected. It was noted that in one case the MAR sheet was not signed by the person who administered medication to a resident on the morning of the inspection. This omission was brought to the attention of a support worker. We were informed by a support worker that none of the residents selfadministered their medication. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 18 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 procedure is appropriately detailed. People are being protected from abuse and neglect but regulation 37s are not being submitted to the CSCI in every case, where appropriate. EVIDENCE: The home’s policy and procedures on complaints were clear and concise and included within the Service User’s Guide. However, a copy of the complaints procedure was not displayed at the home. It was indicated in the complaints book that one complaint had been made to the home following the last inspection and that it was appropriately investigated and resolved. Although incidents and accidents were recorded, Regulation 37 forms were not completed and submitted to the CSCI, where necessary, in each case. Policies and Procedures on the Protection of Vulnerable Adults were in place and there was recorded evidence that POVA training had been delivered to all care staff. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 19 We were advised by a Team Leader that personal allowances were being held in safekeeping at the home. Residents’ monies were seen to be placed in separate lockable tins secured within a locked safe. Individual financial records were viewed and no discrepancies were identified. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 20 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, 25, 26 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All bedrooms are suitably furnished and fitted and are personalised. The home is generally well maintained. The environment is safe and homely. EVIDENCE: The communal areas at the home are spacious and suitable for shared and/or individual activity. The home is fully and comfortably furnished and all furnishings, fittings and equipment are of good quality. The garden is maintained and accessible to residents. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 21 The laundry contained all necessary appliances and no issues were identified. Residents occupy single bedrooms with en suite bath/shower/toilet facilities. Each bedroom is attractively decorated, suitably furnished and reflective of individual interests and choices. Overall, the home clean, hygienic and well maintained. The environment was bright, airy, lively and homely. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 22 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, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support workers are suitably trained and qualified for meeting the needs of the people who use the service. The recruitment policies and procedures are satisfactory. EVIDENCE: We were informed by a Team Leader that of twelve permanent support workers, five had achieved National Vocational Qualification in levels 2 and/or 3, and two were receiving NVQ training. Staff recruitment files could not be accessed at the time of the inspection as the Registered Manager was on annual leave. However, it was indicated on the AQAA that all care staff had received satisfactory pre-employment checks. Policies and procedures on recruitment were in place. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 23 It was reflected on training records that training such as Behavioural Techniques in Working with People with Autism had been delivered to care staff. This was confirmed by support workers that were spoken with and they were observed being competent in meeting the needs of residents. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 24 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. The Registered Manager is suitably trained, qualified and experienced. An annual quality assurance assessment was undertaken. The health and safety of residents are being protected. EVIDENCE: Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 25 The Registered Manager is suitably trained, qualified and experienced. We were informed by care staff that the Registered Manager was approachable, helpful and supportive. The Annual Quality Assurance Assessment –AQAA - was completed satisfactorily and returned to the CSCI at the required time. Health and safety records were up-to-date and included checks for water temperature, fire safety and portable appliances. Fire drills were regularly carried out and environmental risk assessments were in place. Records were reflective of training on Health and Safety, First Aid, Moving and Handling, Food Hygiene and Fire Awareness being delivered to care staff. The overall environment of the home was safe and secure. Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 26 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 2 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 4 25 4 26 4 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Hampton Road East (89) DS0000060680.V366544.R01.S.doc Version 5.2 Page 27 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 YA5 Regulation 5 Requirement The Registered Person must ensure that the home’s contract/statement of terms and conditions is signed by each resident or relative and the Registered Manager. The Registered Person must ensure that MAR sheets are signed by support workers after medication is administered to avoid potential risks to people’s health and welfare. Timescale for action 15/08/08 2. YA20 13(2) 18/07/08 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.V366544.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 East (89) DS0000060680.V366544.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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