Inspection on 30/06/05 for Hamilton Court

This inspection was carried out on 30th June 2005.

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 Court 19/07/07

Hamilton Court 08/05/06

Hamilton Court 12/09/05

Hamilton Court 06/10/04

Hamilton Court 18/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hamilton Court 50 Smith Crescent Coalville Leicestershire LE67 4JE Lead Inspector Linda Clarke Unannounced 30 June 2005, 2:30pm th 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 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 Stationary 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 Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hamilton Court Address 50 Smith Crescent Coalville Leicestershire LE67 4JE 01530 831767 01530 835046 None Leicestershire County Council Social Services Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Avril Wilson Care Home 10 Category(ies) of Learning disability (10), Sensory impairment (1) registration, with number of places Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No one falling within category SI may be admitted into the home when there is 1 person of category SI already accommodated within the home No one falling within category SI may be admitted to the home unless that person also falls within category LD ie dual disability To be able to admit the person aged over 65 years of age who falls within category LD(E) named in correspondence from the Leicestershire County Council dated the 2nd July 2003 Date of last inspection 6th October 2004 Brief Description of the Service: Hamilton Court is a care home providing personal care and accommodation for 10 adults with a Learning Disability. All bedrooms are single and without ensuite facilities. The premise is owned by Leicesterhsire County Council Social Services Department and is situated on the outskirts of Coalville, where local facilities and amenities can be found. Accommodation is provided over two floors, and is made up of two sets of semi-detached houses, which have been linked together on the ground floor. Access to the first floor, is via four sets of stairs. The ground floor offers four lounge and dining areas, toilets and a kitchenette in addition to the main industrial style kitchen, access to the rear garden, which is well maintained, with mature shrubs and trees, is from the lounge areas. The first floor houses the bedrooms and bathrooms. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 2.30pm and 6.00pm. Opportunity was taken to look around parts of the home, talk with residents, view records and policies which included viewing the care plans of three residents residing at the home. Information recorded on the pre-inspection questionnaire along with comments and feedback from resident and relative questionnaires has been incorporated into the Inspection Report. The Residential Manager along with staff facilitated the Inspection, spending time with the Inspector. What the service does well: What has improved since the last inspection? What they could do better: Care plans could be improved, by ensuring that all residents have a Person Centred Plan, which reflects the individual aspirations and goals. Resident’s privacy and dignity could be improved by not having to share a bathroom and toilet facility with staff that undertake sleep-in duties. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 6 The homely environment of residents could be improved by the two sets of semi-detached houses, currently Hamilton Court, being separated, into two homes, in order that resident’s individual needs could be considered. 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. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 5 The assessment process is well managed with residents being aware of their terms and conditions of occupancy. EVIDENCE: The admission process is adequate in that social care professionals carry out assessments of individuals, as part of the referral process. The files of three residents residing at Hamilton Court were viewed and found to contain an assessment of need. Hamilton Court however due to the existing residential group has not had any new admissions for a significant period of time. The Registered Manager stated that all residents were currently meeting a Community Support and Review Officer to discuss their long term needs, to ensure the continued needs of residents are met, in line with future plans to revert the property back into two sets of semi-detached houses. Resident records viewed by the Inspector contained an agreement outlining the terms and conditions of occupancy between Hamilton Court and the individual. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Individual plans of care are in place ensuring that individuals receive the care they need. EVIDENCE: The Inspector viewed three resident care plans, all contained information as to how an individuals care is to be delivered, one care plan incorporated a Person Centred Plan which was very detailed, containing information on the residents goals and aspirations, and including records of achievement at College along with a record of social and recreational activities. Records are kept of significant daily events affecting residents, which includes contact with medical professionals, relatives and friends and social and recreational pursuits. The Inspector observed residents actively involved in the home, one resident was laying the tables for tea that evening. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 10 The Inspector received four completed questionnaires from relatives, all indicating that they were satisfied with the overall level of care. One relative included additional comments: “I find Hamilton Court very welcoming and homely, the staff are very polite and helpful. I thank them all for the care and attention my sister gets, they all give 120 , once again I thank them all, they are a great team. The Inspector received five completed questionnaires from the residents, four stated that they liked living at Hamilton Court all felt that they were cared for, and treated well by staff. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15 and 16. Resident’s social, leisure and recreational needs are met. EVIDENCE: Residents returned to Hamilton Court from a variety of daytime occupations, including the local Resource Centre, ‘Options’ and Colleges. A resident who had remained at home, had spent the day with his keyworker, walking in the countryside and going for a drink at a public house. One resident accompanied by a member of staff visits a local gymnasium on a Friday. The Registered Manager and a Residential Support Worker, outlined the various group and individual activities in which residents were currently taking part, these included holidays to Cornwall, Isle of Wight, Mablethorpe and Whitby. Residents are also accessed a day trip to Hunstanton, and it is hoped a trip to the Black Country Museum will take place in the near future. Residents accompanied by staff visit local towns such as Loughborough for shopping. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 21. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Care plans of residents incorporate the health and physical needs as assessed, expectations of the residents are recorded with regards to their health and welfare, which includes the residents and their relative views as to their expectations and wishes concerned illness and death. Risk assessments have been undertaken, ensuring residents safety and welfare with consideration being given to the promotion of independence and individual’s wishes and expectations. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Standards within this section were not inspected on this occasion. EVIDENCE: Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30. The décor of the home is of a good standard providing a homely, comfortable and safe environment. EVIDENCE: Significant improvements have been made to the décor and furnishing of Hamilton Court since the last Inspection. The main lounge has been refurbished to include new carpets, curtains, furniture and pictures. In addition to this a majority of bedrooms have been decorated including the provision of new furniture and beds. Hamilton Court has also had half of the windows replaced. Hamilton Court has a large rear garden, with a vast area of grass, with mature trees, shrubs and plants. The garden is accessible to all residents, with access being from lounge areas. Hamilton Court has sufficient toilets and bathrooms to meet the needs of residents, however residents have to share a bathroom and toilet with staff that are undertaking sleep in duties, which could affect their privacy and dignity. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36. Staff at Hamilton Court are trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: On duty on the afternoon of the Inspection were three members of staff supported by a Cook. Records of a member of staff recently recruited were viewed, and found to contain all the relevant information to promote and safeguard residents. The Registered Manager in the pre-inspection questionnaire has recorded that staff during the last twelve months had undergone training in Moving and Handling, First Aid, Medication, Health and Safety, Person Centred Planning, Communication, National Vocational (NVQ) training and the Learning Disability Award Framework (LDAF). The document also indicates training planned for the future; records viewed at Hamilton Court supported this. Training is well organised, in the majority of cases internally by the Local Authority, training is specific to the needs of the resident. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40 and 42. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager since her appointment, supported by the Deputy Manager, Assistant Managers and the care staff team has made significant improvements to the operation of the home. This has been brought about through hard work and a clear sense of leadership and ideas. Residents have benefited from significant improvements to the environment, the provision of additional staffing, the writing of care plans and the range and frequency of participation in recreational and leisure pursuits. Records relating to environmental maintenance including fire were viewed and found to be in good order. Policies and procedures are in place, to which staff have access. The Fire Risk Assessment has been updated, as required by the previous Inspection and a Leicestershire Fire and Rescue Officer has inspected the property. Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hamilton Court Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x 3 x C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? 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. 1. 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. 2. Refer to Standard 6 26 Good Practice Recommendations It is recommended that all residents have a Person Centred Plan in place, detailing their aspirations and goals. It is recommended that Hamilton Court reverts back to the original building size, and that the two sets of semidetached houses are seperated, consistent with individual needs and promotion of independence. It is recommended that residents privacy and dignity is protected and promoted, by not having to share a bathroom and toilet facility with those staff undertaking sleep-in duties. 3. 28 Hamilton Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 19 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX National Enquiry Line: 0845 015 0120 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 Court C51 S35561 Hamilton Court V235640 300605.doc Version 1.40 Page 20 - 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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