Inspection on 18/09/09 for Hamilton Park

This is the latest available inspection report for this service, carried out on 18th September 2009.

CQC has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CQC judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Hamilton Park 6 Hamilton Road Taunton Somerset TA1 2EH Lead Inspector Kathy McCluskey Key Unannounced Inspection 18th September 2009 09:45 DS0000073154.V377163.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton Park Address 6 Hamilton Road Taunton Somerset TA1 2EH 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) 01823 256650 Sentimental Care Limited Mrs Lynne Sharon Williams Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Hamilton Park DS0000073154.V377163.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 with Nursing - Code N to service users of either gender whose primary needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 30. N/A Date of last inspection Brief Description of the Service: Hamilton Park Nursing Home is registered with the Care Quality Commission (CQC) to provide general nursing care to up to 30 older people. In March 2009, the Commission approved an application from Sentimental Care Ltd to become the registered provider. The registered manager Ms Williams remains in post. The home is located not far from the centre of Taunton. Accommodation is arranged over three floors with a shaft lift providing access to the first and second floors. All bedrooms are for single occupancy. All areas are wheelchair accessible. A nurse call system is available throughout the home. The home is comfortable and well maintained. People have access to a small pleasant garden area and there is ample parking. We were informed that fee levels are currently between £539.86 & £635.00 per week. The home accepts people who are funded by the local authority. Full information regarding fees should be obtained from the home. Fees do not include chiropody, hairdressing, newspapers and personal items. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means that people who use the service receive Good quality outcomes. This unannounced key inspection was conducted over one day (6.5hrs) by regulation inspector Kathy McCluskey. This was the home’s first inspection since a change in provider registration was approved by the Commission in March 2009. The home completed its’ Annual Quality Assurance Assessment (AQAA) and returned to the Commission within agreed timescales. The AQAA is a self assessment which focuses on how well outcomes are being met for people using the service. It also provides us with some numerical information. As part of this inspection we sent comment cards to a number of people using the service, staff and health care professionals to seek their views on the quality of the service provided. We received completed comment cards from 2 people using the service, 1 staff member and 1 health care professional. Comments were positive and have been included in this report as appropriate. The registered manager was available throughout this inspection and all records required for this inspection were made available to us. During this inspection we were able to speak with a number of people using the service and four members of staff. We were also able to spend time observing staff interactions with people using the service. We would like to thank all those involved for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: The home provides people with a comfortable and well maintained environment. Aids and adaptations are appropriate to the needs and number of people using the service. The standard of cleanliness is very good and procedures are in place to reduce the risk of the spread of infection. The home ensures that people have the information needed to enable them to make an informed decision about moving to the home. The home’s Statement of Purpose and Service User Guide provide information about the home and Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 6 services offered and people are provided with opportunities to visit the home before making a decision to move there. The home ensures that placements are offered only following a satisfactory pre-admission assessment which is carried out by the home’s registered manager. The home also obtains assessments from other health care professionals where available. This enables the home to ensure that placements are only offered where the home is sure that it can meet an individuals assessed needs. Assessments are used to formulate a plan of care which clearly sets out peoples’ assessed needs and how these should be met by staff. The home ensures that care plans are regularly reviewed. People have access to a range of appropriate health care professionals and the home ensures that peoples’ health care needs are met. The home ensures that staffing levels are appropriate to the needs of people using the service. The registered manager confirmed that staffing levels are increased to meet any changes in dependency levels. People benefit from a stable staff team and staff morale was noted to be very good. All staff are provided with the training needed to enable them to meet the needs of people using the service. Systems are also in place to ensure that all staff receive up to date mandatory training. The number of care staff who have achieved a minimum of an NVQ Level 2 in Care exceeds the recommended 50 of the National Minimum Standards. People using the service commented on the kindness of the staff. They told us that they felt safe and well cared for. They also told us that staff always had time for a chat. Staff told us that they enjoyed working at the home and felt well supported. We observed staff interactions with people throughout the day. These were noted to be very kind and respectful and people responded positively to staff. The home follows safe and well organised procedures for the management and administration of peoples’ medication. A range of policies and procedures are in place and followed which reduce the risk of harm or abuse to the people using the service. The home has up to date procedures in place to ensure the health and safety of persons at the home. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 & 5 – Standard 6 is not applicable. People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are thinking about using the service are provided with information which helps them to make an informed decision about moving to the home. The home ensures that peoples’ needs are assessed before a placement is offered. People can feel confident that the home will be able to meet their needs. EVIDENCE: The home have produced a Statement of Purpose and Service User Guide which provide people with information about the home and the services offered. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 10 We examined care plans and were able to see evidence that people are appropriately assessed before a placement is offered. We were informed that people are assessed in their own homes/hospital by the registered manager. Completed pre-admission assessments were seen in the care plans examined. We were unable to see evidence that people and or their representatives had been involved in the pre-admission process. We have recommended that people and/or their representatives are encouraged to be involved in this process as this would help to promote a more person centred approach to care. We were able to see that the home had obtained assessments from other health care professionals where appropriate. The home ensures that people thinking about using the service are provided with opportunities to visit the home prior to making a decision to move there. During this inspection we met with two people who had recently moved to the home and both confirmed that that had been able to make an informed decision about moving there. Two people using the service completed comment cards for the Commission and both confirmed that they had received enough information to help them decide if the home was the right place for them. The home has an appropriate supply of aids and adaptations to meet peoples needs and the home have ensured that staff have the skills to meet the needs of people using the service. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples’ assessed needs are clearly set out in their plan of care. The home could further promote a more person centred approach to care by ensuring people are involved in the care planning and review process. The home’s arrangements for ensuring peoples health care needs are met are very good. People are treated with respect and their right to privacy is upheld. The home follows safe procedures for the management and administration of peoples’ medication. EVIDENCE: Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 12 We examined four care plans at this inspection and these were found to contain up to date information about the assessed needs of the individuals. Care plans contained a range of assessments which contained appropriate information. These included reducing the risk of pressure sores, moving and handling and environmental risks. We were able to see that care plans had been raised where there was an assessed need. Staff told us that they found the care plans ‘easy to use’ and that they ‘always contained up to date information about peoples needs’. Care staff told us that they were encouraged to read and record information in peoples care plans. The home need to ensure that people using the service and/or their representatives, are encouraged to be involved in the care planning process. We found that care plans had not been signed/agreed by people. Care plans contained evidence that peoples’ health care needs were being met. Records are maintained for each persons contact with health care professionals and we were able that appropriate health care professional input had been sought where required. The home monitors peoples’ weights each month. We received a completed questionnaire from one health care professional and comments were positive. They confirmed that the home ‘Always’ ensured that peoples social and health care needs were properly monitored, reviewed and met. In response to the question, ‘Do the staff and manager have the right skills and experience to support peoples’ social and health care needs? they responded ‘Always’. They also made the following comments about the home; ‘It comes across as an efficient and caring establishment’ and ‘the patients all seem happy and well cared for’. Two people using the service completed comment cards for the Commission and both confirmed that they received the medical support that they needed and that staff listened and acted on what they said. They also made the following comments; ‘They make me feel comfortable and well cared for’, ‘The staff are friendly and helpful and that will always stop for a chat’, ‘The staff are polite and cheerful’. We were able to speak with a number of people living at the home and we were able to observe staff interactions with people throughout the day. People told us that they felt safe and well cared for. They also confirmed that they were able to make choices about their lives and that staff treated them with respect. They also told us that staff responded promptly to call bells. We observed staff interacting with people in a very kind and respectful manner. When assisting people with a task i.e transferring in a hoist, staff were heard explaining the process to the individual and were observed assisting them in a dignified and unhurried manner. We examined the home’s procedures for the management and administration of peoples’ medication. Medicines are only administered by the registered Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 13 nurse on duty. The home uses the monitored dosage system (MDS) with preprinted medication administration records (MAR). We examined all available MAR charts and found these to be very well maintained. All medicines were found to be securely stored and there were no excess stocks apparent. Appropriate procedures are followed for the receipt and disposal of medicines. We found limited use of controlled medication and found that appropriate procedures were being followed. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensure that people have the opportunity for social stimulation. People supported to exercise choice about their lives and staff promote an environment which is relaxed and welcoming. The home ensure that people receive a wholesome and varied menu in line with their assessed needs and preferences. EVIDENCE: People using the service told us that there was ‘always something going on at the home if you wanted to join in’. A varied activity programme was seen to be displayed in the home and there were lots of photographs of recent activities enjoyed by people. We were informed that activity hours are provided everyday in addition to care hours. On the afternoon of this inspection many people were observed enjoying a sing-a-long. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 15 Staff interactions were noted to be very good and we noted that staff offered everybody the opportunity to join in. One to one time was also seen to be given. The home’s completed AQAA stated that the home offer a ‘wide variety of activities including trips out, arts and crafts, entertainment, social events and religious services’. It also stated; ‘We have visiting musicians and an exercise teacher’. People told us that they were able to choose how and where to spend their day. We heard staff offering more dependant people choices about where they wanted to be and what they wanted to do. Throughout the day the atmosphere in the home was calm and relaxed. Staff morale was noted to be very good and people told us that the staff were ‘happy and kind’. Staff told us that they always had time to spend ‘quality time’ with people. People told us that their relatives were always made to feel welcome and could visit at any time. This was also confirmed in the comment cards received. All meals are prepared and served by the home’s catering staff. A four weekly varied menu is available and the home cater for specialised diets. Information about peoples’ dietary preferences and specialised dietary needs were available in the care plans examined. We were able to see lunch being served during this inspection. Tables were seen to be attractively laid and menus were available on each table. People told us that the food was good and that there was plenty to eat. The meal served looked appetising and plentiful. We observed staff assisting people in an appropriate manner. The mealtime experience appeared a relaxed and pleasant experience for people. Meals are currently served plated from the kitchen and drinks are given out by staff. We have recommended that the home consider the use of serving dishes and providing jugs of drinks on the table where appropriate as this may further enhance the mealtime experience, promote independence and allow more choice. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to raise concerns and feel confident that their concerns will be listened to and acted upon. The home have procedures in place which reduce the risk of harm or abuse to the people living there. EVIDENCE: The home displays an appropriate complaints procedure and people using the service told us that they knew how to make a complaint and that they would feel confident in raising concerns if they had any. No concerns were raised with us during this inspection. In their completed AQAA, the home identified that it could further improve the complaints procedure by making it available in a variety of formats. The home has received two complaints since its’ registration (change of provider) in March 2009. We were able to see that these were investigated and responded to in line with the home’s complaints procedures. No concerns have been raised directly with the Commission. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 17 The home has procedures in place to ensure that people are protected from the risk of harm or abuse. Staff spoken with were aware of the procedures and of how to raise concerns both within the home and to outside agencies. The staff training matrix made available to us confirmed that staff had received up to date training in the protection of vulnerable adults. The home’s completed AQAA stated, ‘All staff receive training in abuse awareness and neglect, discrimination, equal opportunities and confidentiality as part of their induction and on-going supervision’. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24 & 26 People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable and well maintained environment which promotes a ‘homely’ feel. People have access to a range of equipment to meet their assessed needs and the home is suitably adapted to assist peoples’ mobility. People have their own bedrooms which they can personalise. The standard of cleanliness is very good and procedures are in place to reduce the risk of the spread of infection. EVIDENCE: Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 19 The home is located not far from the centre of Taunton and provides comfortable and suitably adapted accommodation for up to 30 older people who require general nursing care. Ramps and grab rails are appropriately sited and a nurse call system is installed throughout the home. Communal lounge/dining areas are located on the ground floor and have been arranged so that people can sit in smaller groups. Bedrooms are located over three floors with a shaft lift giving access to the first and second floors. All bedrooms are for single occupancy. It was apparent that people are able to personalise their bedrooms. Assisted bathrooms are available on each floor. All areas of the home seen at this inspection were well maintained and comfortably furnished providing people with a very homely environment. The home follows appropriate procedures to reduce the risk of the spread of infection. Staff hand washing facilities and sanitising gels are appropriately sited throughout the home. We were able to see that staff have access to a good supply of protective equipment. The home employs domestic staff. We found the standard of cleanliness to be very good and there were no malodours. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensures that staffing levels are reflective of the assessed needs of people using the service. People benefit from a well trained workforce. The home’s procedures for staff recruitment are generally good. EVIDENCE: We were informed that staffing levels at the home are determined by the assessed needs of people using the service. The registered manager told us that staffing levels would be increased in line with peoples needs. We spoke with four care staff at this inspection and all confirmed that they were able to meet peoples’ needs and that additional staff are made available where peoples’ needs change. Staff also told us that they always had time to spend ‘quality time’ with people. People using the service did not raise any concerns about staffing levels at the home. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 21 We were informed that, for the 29 people currently living at the home, minimum staffing levels consisted of 1 registered nurse throughout the day with 5-6 care staff in the morning, 4 in the afternoon and 4-5 in the evenings. Nights are covered by waking staff consisting of 1 registered nurse and 2 carers. The registered manager informed us that she regularly ‘works on the floor’ and also has three days supernumerary management time. An administrator is also employed. The home’s completed AQAA told us that of the 22 permanent care staff employed, 14 have already achieved a minimum of an NVQ level 2 in care. This equates to 64 which exceeds the recommended 50 of the National Minimum Standards. Staff told us that they felt training opportunities at the home were good. They told us that they had undertaken all mandatory training and a range of specialised training. They also told us that they were encouraged to express training needs/preferences during their regular supervision sessions. We were provided with a training matrix which confirmed staff training. We examined the home’s procedures for staff recruitment. We looked at recruitment files for three staff members recently employed. We found that all required information was available. We have recommended that where a staff member commences employment pending a POVA first, a risk assessment is completed which clearly sets out the restrictions imposed on the employee during this period and sets out the arrangements as to how the employee will be supervised during this period. This should be signed by the home and the employee. We were able to see that newly appointed staff undertake a period of induction on commencement of employment. Staff initially complete a one day in-house induction followed by a 12 week induction programme which follows the Skills for Care Common Induction programme. We were able to speak to staff recently employed and they confirmed that the induction programme provided them with the skills and training needed to enable them to fulfil their role. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit a from a home which is effectively managed and a staff team who are appropriately supervised. The home’s quality assurance procedures could be further improved so that the quality of the service delivered is regularly audited. The home’s procedures for the management of peoples’ money reduce the risk of abuse. Up to date procedures are followed to ensure the health and safety of persons at the home. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has been in post since January 2001 and remains in post following the change of provider earlier this year. The registered manager is a registered general nurse with over 15 years experience in caring for older people. People using the service and staff spoken with during this inspection were very positive about the registered manager and of the care and support they received. The home has some quality assurance procedures in place but these could be further improved if more formal systems were introduced. Quality questionnaires are available in the home’s reception area for visitors to take as they wish. Few responses are received. The home should consider sending questionnaires to peoples’ representatives and other stakeholders such as GP’s/health care professionals on an annual basis so that results can be formally analysed and used as a tool to measure the quality of the service provided. Formal meetings are not currently held for staff or people using the service though the registered manager confirmed that this was something she was in the process of addressing. As part of the home’s quality assurance procedures and in line with the Care Homes Regulations 2001, we were able to see evidence that a company representative was conducting monthly visits to the home. Appropriate reports were available at the home. The home assists people as required/requested to manage small amounts of spending money. Monies were seen to be securely stored. Individual records of transactions are maintained with receipts available. Transactions are confirmed with two staff signatures and transactions and balances are regularly audited. The home follows appropriate procedures which ensure that staff are appropriately supervised. Documented evidence was available in the recruitment files examined. A matrix is maintained to ensure that staff receive formal supervision at least six times a year in line with the National Minimum Standards. Staff told us that they found supervision sessions useful and these sessions were also used to discuss any training needs or requests. Appropriate and up to date procedures are in place and followed to ensure the health and safety of persons at the home. Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 x 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 3 x 3 Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations The home should ensure that people and/or their representatives are involved in the pre-admission assessment process as this will help to promote a more person centred approach to care. The home should ensure that people and/or their representatives are involved in the care planning and review process. To further enhance independence and choice, where appropriate the home should give consideration to the use of serving dishes and jugs of drinks on dining tables during meals. The home should ensure that risk assessments are completed for staff commencing employment on a POVAFirst pending a full CRB. This should detail the restrictions imposed on the employee during this period and the arrangements for ensuring the employee is supervised at all times. Records should be signed by the DS0000073154.V377163.R01.S.doc Version 5.2 Page 26 2. 3. OP7 OP15 4. OP29 Hamilton Park 5. OP33 home and the employee. The home need to formalise its’ quality assurance procedures so that the views of people using the service and other stakeholders are regularly sought. The home need to ensure that regular meetings are held for staff and people using the service. Minutes should be maintained. 6. OP33 Hamilton Park DS0000073154.V377163.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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