Inspection on 01/11/06 for Hamilton Community Home

This inspection was carried out on 1st November 2006.

CSCI 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 CSCI 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.

Other inspections for this house

Hamilton Community Home 30/12/08

Hamilton Community Home 13/12/05

Hamilton Community Home 26/08/05

Hamilton Community Home 20/01/05

Hamilton Community Home 27/09/04

Hamilton Community Home 24/10/02

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Hamilton Community Home 31-33 Highfield Street Leicester Leicestershire LE2 1AD Lead Inspector Kim Cowley Unannounced Inspection 1st November 2006 3:00pm Hamilton Community Home DS0000028491.V317837.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 Hamilton Community Home DS0000028491.V317837.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. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton Community Home Address 31-33 Highfield Street Leicester Leicestershire LE2 1AD 0116 254 0724 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) Mr Stan Pawluczyk Mrs Michelle Allen Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19) of places Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 13.12.05 Brief Description of the Service: Hamilton Community Home is situated in a multi-cultural area of Leicester close to London Road and Victoria Park. It is registered for up to 19 younger adults with mental health needs. The home comprises of two adjoining Victorian houses with occupancy over three floors. All bedrooms except one are single. There are two lounges on the ground floor, where smoking is permitted. A non-smoking lounge is on the first floor adjacent to a small kitchenette. At the rear of the home is a garden with a lawn, patio, and seating areas. Fees range from £370 to £650 per week. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also met with the Owner, two carers, and four further residents. What the service does well: Hamilton Community Home provides good all-round care to residents in a homely and relaxed environment. It is run along non-institutional lines with the emphasis being on resident choice, and residents are encouraged to speak out and determine their own care and lifestyles. All residents interviewed made many positive comments about the home including: ‘I’m happy living here. I’m determined to stay for the rest of my life.’ ‘It feels like home here to me.’ ‘This is a great home – it’s lovely.’ ‘I’ve got a lot of good friends here – staff and residents.’ ‘It’s lovely living here. I’ve been here a long time.’ ‘It’s a good place and it’s run well.’ Activities are geared towards each resident’s individual requirements and interests, although some group activities are organised including meals out, day trips, and games evenings in the home. Some residents attend drop-ins and colleges. One resident said, ‘No-one pushes me, but the staff do try and get me to do things. I certainly do a lot more now than I did when I first came here.’ The home has an established staff team, the majority of whom have worked there for over five years. Staff turnover is low and as a result residents have Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 6 had the benefits of continuity of care. One resident said, ‘One of the carers has been here for 10 years which is as long as I have. She knows me well and I trust her.’ All residents interviewed praised the staff team and the following comments were made: ‘The staff respect you here.’ ‘All the staff are lovely.’ ‘The staff are hard working and would do anything for us.’ ‘The staff are like family to me because I’ve got no-one else.’ Residents interviewed said staff were good at supporting them if they felt down. One said, ‘The staff are always here for us. If I get fed up I just sit and talk to them till I feel better.’ What has improved since the last inspection? What they could do better: No areas in need of improvement were identified at this inspection. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 7 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 8 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 Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. (Standard 2 was inspected.) EVIDENCE: The home has a standard assessment procedure. The Manager assesses all potential residents, and also takes account of any social work or health care assessments they might have. New referrals are invited to visit the home when they have the opportunity to meet existing residents. The person in charge said current residents are involved in decisions about new admissions, as it is important that all the residents get on well together. Records of admissions were inspected and discussed with the person in charge. It was acknowledged that potential residents are encouraged to make as many visits to the home as they want, prior to making decisions about moving in. This is good practice. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and social care needs are met. (Standards 6, 7, and 9 were inspected.) EVIDENCE: Care plans are in the process of being re-organised and those completed are clear and user-friendly. All residents interviewed were aware they had care plans and understood their purpose. Care plans are produced in conjunction with residents, where possible. They are holistic and contain information about residents’ social and leisure interests, preferred lifestyle, and goals and aspirations. Since the last inspection a key working system has been set up. Key workers each have responsibility for a small number of residents. They check their care records daily, and have a weekly meeting with them. This system gives residents the opportunity to have one-to-one time with a member of staff. It also helps staff to gain an overview of the care of each resident in the home. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 11 Residents are encouraged to become independent and to make choices about their lifestyles. One resident said, ‘No-one pushes me, but the staff do try and get me to do things. I certainly do a lot more now than I did when I first came here.’ Risk assessments are in place for all residents. Those examined were of good quality with clear instructions to staff on how best support residents when they take responsible risks. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities enable residents to lead full lives. (Standards 12, 13, 14, 15, 16, and 17 were inspected.) EVIDENCE: Activities are geared towards each resident’s individual requirements and interests, although some group activities are organised including meals out, day trips, and games evenings in the home. Some residents attend drop-ins and colleges (taking classes in art, pottery, basic skills, computers, and cookery). Every summer a charity day is organised and residents raise money by taking part in a chosen activity. This year they completed a sponsored walk to raise money for a cancer charity. One resident said, ‘The staff encourage us to do things. They were asking me today if I wanted to go to a drop-in or to college.’ Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 13 The home is well established in the local community and residents regularly use local shops. Residents are encouraged to get out and about. Staff give them advice on personal safety and training in assertiveness using role-play. Residents’ families and friends are made welcome at the home and are invited to social events held there. Residents are encouraged to help in the home. Some do their own laundry and clean their rooms with staff help where necessary. The home has a central kitchen where main meals are prepared, and two small kitchens for snacks/drinks. Care staff do the cooking and cater for a range of diets including vegetarian and low-cholesterol. Shopping in done ‘on line’ with a major supermarket. Menus are planned in conjunction with residents, but are flexible. Those inspected showed a healthy and varied diet being provided with plenty of choice. Most of the food is homemade. Breakfast is served from 8am to 9am and consists of cereal and toast. At weekends there is a cooked breakfast. A light lunch is served at 12.30pm. Dinner, the main meal of the day, is from 4.30pm to 5.30pm. Supper (hot and cold snacks) is from 8.30pm to 9pm. However all these times are flexible to fit in with residents’ lifestyles and activities. Every morning the menu for the day’s meals is displayed in the downstairs hallway. Residents have a look at this and tell the cook what they would like. One resident does his own shopping and cooking and has been allocated one of the small kitchens for his sole use. All residents made many positive comments about the food including: ‘We’ve got a choice at meals – it’s on the menu board every day.’ ‘There’s always a vegetarian option.’ ‘The food’s lovely. I’m very fussy but they still manage to feed me.’ ‘The carers are all good cooks.’ Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are met. (Standards 18, 19, and 20 were inspected.) EVIDENCE: Most residents are self-caring although a few need some assistance, for example staff run their baths for them, or help them to shave. Water is thermostatically controlled which reduces risk to residents who wash unaided. All residents are registered with local GPs and records showed their other health needs are met locally. CPNs, social workers, and consultants visit when necessary. Staff will accompany residents to their health appointments where necessary. All residents said staff were good at supporting them if they felt down. One said, ‘The staff are always here for us. If I get fed up I just sit and talk to them till I feel better.’ Senior carers administer medication, which is kept securely in a designated medication room. All residents on medication are monitored and if side effects are a problem, or if they appear over-medicated, their consultants/GPs/CPNs are contacted and staff ask for a review. All care staff who administer Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 15 medication have completed a ‘Safe Handling of Medication’ course. Two residents self-medicate supported by staff Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel able to talk to staff about any concerns they might have. (Standards 22 and 23 were inspected.) EVIDENCE: There is a written complaints procedure, which is displayed in the home. Staff remind residents about this and support them if they want to make a complaint. In addition there is a Suggestions Box which residents can use (anonymously if they wish) to comment on the home and to give their views about how the service could be improved. Residents’ meetings are held once a month and residents are asked at these if there is anything about the home they are not happy with. The person in charge said, ‘We encourage residents to come to us with any concerns they might have, however small. These are recorded in their daily case records along with the action taken to resolve them. Sometimes residents fall out with each other. If this happens we try and get them together to sort it out. We sit with them and help them to talk to each other and try and understand each others point of view.’ One resident commented, ‘If we’ve got problems we go to the staff.’ Another said, ‘Any problems and the staff sort them out.’ Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 17 There have been no complaints since the last inspection Good written policies and procedures are in place to assist staff in protecting vulnerable adults. Staff have had in-house training in this area. Staff on duty were knowledgeable about safeguarding the residents in the home. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is safe and well maintained. (Standards 24 and 30 were inspected.) EVIDENCE: The premises are homely, comfortable and clean. There are two lounges on the ground floor, where residents can smoke. A further non-smoking lounge is on the first floor. At the back of the home are a secluded garden with a lawn and a patio with seating. Some residents are involved in tending the garden. A recycling area has been created. Records show that the premises have been subject to continual updating and resources have been allocated for this to continue. Since the last inspection the following improvements have been made: • • • the front lounge has been completely refurbished. New carpets have been fitted and new furniture supplied there is a new carpet in the back lounge the steps to the front of the house have been renovated DS0000028491.V317837.R01.S.doc Version 5.2 Page 19 Hamilton Community Home One member of staff is currently doing an audit of every room in the house to identify any further improvements that might be necessary. This should help to keep the premises safe and in good order. A part-time cleaner is employed to look after most of the communal areas. Care staff, helped by residents where possible, are responsible for the bedrooms, the kitchen, the dining room, and the laundry room. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-trained and professional staff meets residents’ needs. (Standards 32, 34, and 35 were inspected.) EVIDENCE: The home has an established staff team, the majority of whom have worked there for over five years. Staff turnover is low and as a result residents have had the benefits of continuity of care. One resident commented, ‘One of the carers has been here for 10 years which is as long as I have. She knows me well and I trust her.’ The staff team consists of the Manager, the Assistant Manager, senior carers and carers. There are three to four members of staff on duty during the day, and two at night. Staffing levels exceed the recommended minimum. All the residents interviewed praised the staff team and the following comments were made: ‘The staff respect you here.’ ‘All the staff are lovely.’ ‘The staff are hard working and would do anything for us.’ ‘The staff are like family to me because I’ve got no-one else.’ Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 21 The staff team are commended for their effective work in the home. ‘ Records showed that all staff have satisfactory CRB/POVA checks, two written references, and regular supervision sessions and staff meetings. This will help to ensure that residents are safeguarded. The majority of staff have NVQ level 2 or above and a current first aid certificate. Recent training courses attended by staff include: Food Hygiene and Mental Heath and Medication. One member of staff commented, ‘I’m very pleased with the training here. I do all the courses on offer.’ Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is safe and well managed. (Standards 37, 39, and 42 were inspected.) EVIDENCE: The Manager is experienced and runs the home along non-institutional lines with the emphasis being on resident choice. The result is a homely environment with residents who are encouraged to speak out and determine their own care and lifestyles. The Manager is currently overseeing care at another of the Owner’s homes, so the Deputy Manager is in charge at Hamilton, supported by the Manager who is on call 24/7. Residents are asked for their views on the home at residents’ meetings, which are held approximately every three months. Staff attend where necessary and minutes are taken. Staff also talk to residents on a one to one basis every day. Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 23 Residents who wish to give their views anonymously can use the home’s Suggestions Box. Records showed that the health, welfare and safety of residents and staff is a priority in the home. Appropriate checks and servicing of equipment has been carried out, as has consultation with the Fire Department and the home’s Environmental Health Officer. Hamilton Community Home DS0000028491.V317837.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 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 X 2 3 3 X 4 X 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Hamilton Community Home DS0000028491.V317837.R01.S.doc Version 5.2 Page 27 - 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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