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Archived: United Response - 45a Hampton Road Good

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Reports


Inspection carried out on 1 September 2017

During a routine inspection

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.

Inspection carried out on 9 March 2015

During a routine inspection

This was an unannounced inspection that took place on 9 March 2015.

The home provides personal care and support for up to five adults who have a physical and/or learning disability. The service is managed by United Response and the building is owned by Thames Valley Housing Association. The home is in Teddington, Middlesex.

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.

In August 2013, our inspection found that the home met the regulations we inspected against. At this inspection the home met the regulations.

Relatives said the home was well manager, provided a good service and people enjoyed living there. People were enabled to choose their activities by staff and they were given the care and support they needed to carry them out.

The home was well maintained, furnished, clean and provided a safe environment for people to live and staff to work in.

The staff we spoke with knew their jobs and people using the service and their needs well. They had appropriate skills, training and were focussed on providing personalised care and support in a professional, friendly and supportive manner. The staff were accessible to people using the service throughout our visit. Staff said they had access to good training, support and career advancement.

The records kept were those required, comprehensive and up to date. The care plans contained clearly recorded, fully completed, and regularly reviewed information. This enabled staff to perform their duties well.

People and their relatives, as appropriate were encouraged to discuss health needs with staff and people had access to community based health professionals, as required. Staff knew when people were experiencing discomfort and made them comfortable.

People were protected from nutrition and hydration associated risks with balanced diets that also met their likes, dislikes, preferences and cultural and religious needs. Relatives were positive about the choice and quality of food available. They also said the management team at the home, were approachable, responsive, encouraged feedback from people and consistently monitored and assessed the quality of the service provided.

Inspection carried out on 6 August 2013

During a routine inspection

During our inspection we met four people who lived at Hampton Road. We haven't been able to speak with people using the service because people using the service had a number of complex needs meaning that it was difficult for people to tell us about their experiences. We spoke with three relatives and one said "my family member gets on very well with the keyworker, they have a great understanding together".

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.

Inspection carried out on 1 August 2012

During a routine inspection

We used a number of different methods to help us understand the experiences of people using the service, because the people using the service had complex needs which meant they were not able to tell us their experiences. We spoke with a relative of one person who told us that they could make their wishes known to senior staff who would act upon the suggestions and comments they made. We also spoke to three of the four staff members on duty.

We gathered evidence of people�s experiences of the service by reviewing comments made by others in the complaints and compliments log. We found that the home was actively listening to family, relatives and friends to meet the support needs of people living at Hampton Road.

Inspection carried out on 28 June 2011

During a routine inspection

The people who live at 45a Hampton Road are not able to communicate verbally. However, when we visited we saw that they appeared happy and comfortable in their home. The staff treated them with kindness and respect and the atmosphere at the home was calm.

We spoke to a relative of someone who lives there. They told us that the service was very well run, the staff were friendly and they were happy with everything at the home.

The staff told us that they felt the service was well managed and that they were given the support and information they needed to care for people.