Inspection on 08/05/06 for Hamilton Court

This inspection was carried out on 8th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 12/09/05

Hamilton Court 30/06/05

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 Inspection 8th May 2006 09:30 Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 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 Court DS0000035561.V288756.R01.S.doc Version 5.1 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 Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hamilton Court Address 50 Smith Crescent Coalville Leicestershire LE67 4JE 01530 831767 01530 835046 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) www.leicestershire.gov.uk Leicestershire County Council Social Services Mrs Avril Wilson Care Home 10 Category(ies) of Learning disability (10), Sensory impairment (1) registration, with number of places Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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 Named Service User 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 12th September 2005 Date of last inspection Brief Description of the Service: Hamilton Court is a care home providing personal care and accommodation for 10 adults with a Learning Disability. The home is located on the outskirts of Coalville, where local facilities and amenities can be found. All bedrooms are single and without en-suite facilities. The home has a large rear garden, and includes a conservatory. Accommodation is provided over two floors, access to the first floor is via a choice of four stairways, and is made up of two sets of semi-detached houses, which have been linked together on the ground floor. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Hamilton Court has copies of the Commission for Social Care Inspections, Inspection Reports, which are located in the main office and are available upon request. The maximum weekly fee is £451.50, which was provided on the day of the Inspection. There are additional costs for individual expenditure such as Optician and hairdressing services and recreational activities the fee will depend on the services received. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection Report reflects a visit to the service, which included discussions with service users and staff and the reading of documents relevant to service user care and welfare, along with staffing records. In addition documents providing information supplied direct to the Commission for Social Care Inspection by the care home, which includes reports of incidents involving individual service users, records of visits undertaken by a representative of the Responsible Individual, and the Pre Inspection Questionnaire submitted prior to the visit have been incorporated. What the service does well: What has improved since the last inspection? What they could do better: The layout of Hamilton Court is such that the ground floor communal areas are a series of lounge areas all of which are interconnected which results in a corridor style feel which impacts on service user privacy. A majority of the communal rooms are not used, service users choosing to reside in the main lounge/dining room. The Local Authority is planning to make structural alterations. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 6 Hamilton Court does not have an internal quality assurance system, which enables service users and their representatives to comment at defined intervals as to the services offered by the home. Infrequent service user meetings, which are currently held, do not provide sufficient opportunity for comment by all interested parties. 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 DS0000035561.V288756.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 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 the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using avaialble evidence including a visit to this service. The assessment process is well managed with assessment of need being carried out to ensure service users needs are continually met. EVIDENCE: Service users residing at Hamilton Court have done so for a significant number of years, therefore initial assessments identifying care needs are not current. The Inspector viewed the assessment of one service user whose needs have been re-assessed following changes to care needs identified by the service user and care staff. In addition two other service users are currently in the process of assessment. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using avaialble evidence including a visit to this service. Care plans and records reflect the care needs of service users, enabling staff to deliver effective care. EVIDENCE: The Inspector viewed three service user care plans, all contained information as to how an individuals care is to be delivered, with reference to physical welfare, occupation and recreation, information was also included which identified known triggers, which reflected a change in service users anxiety and welfare, this enables staff to be proactive in supporting service users. The records of one service user detailed additional observation being undertaken by care staff, including specialist involvement from a SKIP Instructor, once the information is gathered it is analysed, the care plan of the service user will be amended and care staff will be able to support the service user in a measured and consistent manner, improving the quality of care for the individual. Care plans are supported by risk assessments, which promote the welfare and safety of service users whilst supporting service user choice and freedom. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 10 The Inspector viewed three service users daily records and care plans, information contained within these evidenced that service users decisions are recorded and acted upon, decisions include daily living choices and decisions as to whether to access leisure facilities including the visiting relatives. The Commission for Social Care Inspection sent service user comment cards to Hamilton Court as part of the Inspection process, of which 88 were returned. Incorporated within the comment cards was a question asking service users view of the care provided, of which 88 expressed satisfaction. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 and 17. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users social, leisure and recreational needs are met. EVIDENCE: The three care plans and records viewed by the Inspector, contained information as to the daily occupation of service users. Two service users attend Coalville Community Resource Centre, whilst the third accesses the local Age Concern facility. In addition to day time occupations records evidenced service users involvement within the community which included shopping trips to Beaumont Leys and Loughborough, visiting cafeterias and public houses for meals and drinks, shopping at car boot sales and market stalls and visits to relatives. The care plan of one service user evidenced their involvement and attendance at the Salvation Army Church, which they visit supported by friends, whilst records of one service user recorded that they have a ‘befriender’ who is linked to Mencap. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 12 Planned outings include a boat trip, a visit to Carsington Water in Derbyshire and a trip to Birmingham. It is hoped that further trips to Hunstanton and a trip to a Zoo will take place later in the year. Holidays have been planned for Summer 2006; destinations are Skegness and the Isle of Wight. Care plans outlined the daily routine preferred by service users, including whether they chose to have a key to their bedroom and their ability to deal with correspondence. The Commission for Social Care Inspection sent service user comment cards to Hamilton Court as part of the Inspection process, of which 88 were returned. A question within the comment card asked as to whether the home provides suitable activities, of which 77 expressed satisfaction. The Registered Manager submitted to the Commission for Social Care Inspection a four-week menu, which reflects a varied and balance diet. Service users upon their return to the home in the afternoon were asked as to their choice for the evening meal. Of the 88 of service user comment cards returned all expressed satisfaction with the food. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 18, 19, 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are looked after well in repsect of their and personal care needs. EVIDENCE: Care plans of service users incorporate the health and physical needs as assessed, expectations of the service users are recorded with regards to their health and welfare, which includes the service users and their relative views as to their expectations and wishes concerning illness and death. Records support that service users have regular access to health care professionals, which include General Practitioners, Opticians and Dentists. One service user has recently undergone an assessment by an Occupational Therapist the outcome of which being that the home has installed a walk in shower. The medication system and records of the three residents whose records were viewed were found to be in good order. Staff responsible for the administration of medication have completed an ASET course in The Safe Handing of Medicines. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has robust arrangements in place to ensure concerns are responded to in an efficient and effective manner to protect people who use the service. EVIDENCE: Hamilton Court as part of the Local Authority has a complaints procedure; no complaints were recorded within the Pre-Inspection Questionnaire and the Commission for Social Care Inspection has not received any expressions of concern. Staff prior to working with vulnerable adults are required to have a Criminal Record Bureau check, in addition to this polices and procedures for responding to suspicion of evidence of abuse or neglect are in place. The Local Authority handles the financial affairs of service users with regards to payment of fees, with individual service users expenditure being overseen by the Registered Manager and care staff with service user involvement. The Commission for Social Care Inspection sent Service user comment cards to Hamilton Court as part of the Inspection process, of which 88 were returned. A question within the comment card asks service users if they were unhappy with the care would they know who to speak too, of which 75 indicated they did. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence include a visit to this service. The building layout does not reflect domestic living arrangements, which results in service users congregating in one communal area, which causes anxiety for some individuals. EVIDENCE: Hamilton Court has had various improvements to the environment since the last Inspection, three of the four bathrooms have been refurbished, one bathroom having had a walk-in shower facility installed. A large conservatory has been built leading off from the main lounge/dining area with access via a ramp leading into the garden onto a patio. Hamilton Court comprises of two sets of semi-detached properties, which are linked throughout on the ground floor, access to the first floor is via four sets of stairwells. The impact of this on service users is that all areas of the ground floor provide a lounge, however a majority of service users choose to spend their time in the main dining/lounge area, as the this area leads directly onto the kitchen, for some service users the congregation of individuals in this area is a source of tension. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 16 The provision of the conservatory has improved the situation, which provides service users with an additional area to relax but still enables them to be close to the kitchen and dining area. Communal areas are decorated to a good standard, providing a homely environment, which is only restricted by the layout of the building. Hamilton Court provides a centralised laundry area; on the day of the Inspectors visit service users were observed taking their clothing to the laundry. Policies and procedures are in place in relation to hygiene and infection control. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence include a visit to this service. Trained and qualified staff are employed following robust recruitment checks and are employed in sufficient numbers to meet the care needs of service users. EVIDENCE: Hamilton Court employs two Residential Support Officers both of which have attained a level 3 National Vocational Qualification in Promoting Independence. In addition there are six Care Assistants employed of which two have attained a level 2 National Vocational Qualification. The Assistant Manager has attained level 3, this translates to 55 of the staff team having attained a National Vocational Qualification. Hamilton Court has not employed any additional members of staff since the last Inspection; previous Inspections have evidence a robust recruitment process, with all appropriate checks having been in place prior to commencement of employment. The Pre-Inspection Questionnaire submitted prior to the visit detailed staff have accessed training in a variety of topics which include fire awareness, moving and handling, hoist awareness, first aid and risk assessment. Specialist training includes medication accreditation; person centred planning facilitator, autism and stress therapy, additional training is also planned. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 18 Two members of staff are currently working towards the Learning Disability Aware Framework, which is specific to Learning Disability and provides induction and foundation training. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence include a visit to this service. The Registered Manager offers a clear sense of leadership, however service users are limited as to how they can influence the running of the home. EVIDENCE: Hamilton Court has two Registered Managers both of which have attained a level 4 National Vocational Qualification in Care and have two additional units to achieve to attain the Registered Managers Award. A representative of the management team of the Local Authority, who is external to Hamilton Court, visits the home on a monthly basis, representing the Responsible Individual. A report is generated following each visit, the purpose of the visit being to review documents, speak with service users, staff and the management team, to view the environment and deal with any specific issues. A copy of the report is forwarded to the Inspector. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 20 Service user views are sought with regard to daily living arrangements, however further consultation is infrequent, and the last service user meeting was held twelve months ago in June 2005. The Commission for Social Care Inspection sent Service user comment cards to Hamilton Court as part of the Inspection process, of which 88 were returned. A question incorporated in the comment card asks service users if they wish to be move involved in decision making within the home, of which 62 indicated they wished to be move involved. Quality assurance needs further development, to formalise the process of gaining service user, relative and friend views. Through this the home will be able to review its practices, to ensure its ability to continue to improve both the care and quality of life for its service users. Quality assurance processes will be followed up at the next inspection, when it is expected that significant improvements will have been made to enable service users and their representatives to comment as the services offered by Hamilton Court. The Pre-Inspection Questionnaire completed by the Registered Manager details the dates which environmental and health and safety systems have been maintained. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 21 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 3 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 2 X X 3 X Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 22 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. 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 YA39 Good Practice Recommendations The registered person shall establish and maintain a system for reviewing an appropriate internals and improving the quality of care provided at the care home. It is reasonably expected this includes service users and their representatives. Hamilton Court DS0000035561.V288756.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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 DS0000035561.V288756.R01.S.doc Version 5.1 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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