Archived: United Response - 45a Hampton Road

The home provides care and support for up to five adults who have a physical and/or learning disability. The service is managed by United Response and located in Teddington, Middlesex.

At the time of our inspection the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

At the last inspection on 9 March 2015 the home met all the key questions and was rated good in each with an overall good rating.

Some people had limited speech and therefore relatives spoke on their behalf. We also based our findings on the observation of staff care practices and peoples’ responses to them. Relatives said that people enjoyed living at Hampton Road and staff treated them with respect and supported them well. People were supported to choose their activities and when they wanted to do them. There was a variety of activities provided at home, within other homes in the organisation and in the community. People were kept safe at home and when out in the local community. We found the home to be warm, welcoming and friendly for the people living there with positive interaction between people and staff.

The home’s records were up to date, accessible and covered all aspects of the care and support people received. This included the choices they made, the activities they attended and their safety. Peoples’ care plans were fully completed, up to date and the information they contained was regularly reviewed. This supported staff to perform their duties efficiently and in a professional way. People had their health needs addressed and access to GP’s and other community based health professionals, through the staff. The staff team supported people to choose healthy meal options and maintain balanced diets whilst meeting their likes, dislikes and preferences. This enabled them to be protected from nutrition and hydration associated risks. People’s body language and their smiles showed that they liked the choice and quality of their meals.

People knew the staff that supported them well and the staff were aware of people’s preferences and routines. People were well supported and enjoyed the way staff delivered their care. Staff provided care in a friendly and professional, person centred way. Trained staff were available to people when they required support. Staff told us they enjoyed working at the home and had received good training and support from the registered manager.

Relatives said the registered manager listened to them and was approachable and responsive to them and people’s needs. The quality of the service provided was consistently monitored and assessed.

People are supported to have maximum choice and control of their lives and staff supports them in the least restrictive way possible with the policies and systems in the service supporting this practice.

We spent time engaging with people at the home. We saw that people were well supported. People we met looked well cared for, groomed and appropriately dressed. One relative commented "I'm very happy with the home and how they care for the people living there".

As part of our review we asked about the medication people received. Staff informed us of the medication needs of people at the home. We looked at the Medication Administration Record (MAR) sheets of four people and noted that two staff members checked and signed each medication administered, in line with the service policy.

We asked relatives about staffing levels. The relatives we spoke with described a caring workforce, consistent, with few staff changes. One relative however, said "I feel the home need more staff at meal times, to support people, particularly at lunch time". We looked at the files of three people receiving support. We found that staff were accurately recording information which was clear, comprehensive and current, and provided details about changes in people's needs.