Background to this inspection
Updated
19 October 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was an unannounced inspection and took place on 1 September 2017.
The inspection was carried out by one inspector.
During the visit, we spoke with three people, three staff, the team manager and made contact with two relatives. The registered manager was not present as they were on annual leave. There were five people living at the service.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also checked notifications sent to us by the provider, safeguarding alerts raised regarding people living at the home and information we held on our database about the service and provider.
During our visit we observed care and support, was shown around the home and checked records, policies and procedures and maintenance and quality assurance systems. We also looked at the personal care and support plans for two people and two staff files.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
19 October 2017
This was an unannounced inspection and took place on 1 September 2017.
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.