Inspection on 12/07/07 for Hamilton House

This inspection was carried out on 12th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hamilton House 11/06/09

Hamilton House 17/05/06

Hamilton House 08/02/06

Hamilton House 04/10/05

Hamilton House 30/01/05

Hamilton House 07/10/04

Hamilton House 02/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Hamilton House 10 Crescent Road Bromley Kent BR1 3PN Lead Inspector Ann Wiseman Unannounced Inspection 12th July 2007 09:30 Hamilton House DS0000006944.V340098.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 House DS0000006944.V340098.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 House DS0000006944.V340098.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton House Address 10 Crescent Road Bromley Kent BR1 3PN 020 8460 9046 020 8460 8898 Hsobrien@aol.co.uk 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) Bromley Autistic Trust Stephen O`Brien Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2006 Brief Description of the Service: Hamilton House is a detached residence located in Bromley North. It is close to the shopping area and is well served by public transport including main line rail services. Although Hyde Housing Association owns the building the 24-hour care and support is provided by Bromley Autistic Trust. The home provides care and support in a home-like environment for five People. Each one has their own bedroom and there are a number of communal areas. The People living in this home suffer from Autism. The home is staffed for 24 hours a day. Overnight there is sleeping-in staff plus on-call support. The Residents are assisted to develop daily living skills within a home-like environment. Integration into the community, attending day centres and adult learning facilities are all incorporated into daily routines. Maintaining family contact and open visiting is encouraged. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the Inspectors arrival breakfast was still underway with two of the Residents helping themselves to cereal and tea. Despite it being a busy time when everyone was getting up and ready for his or her daytime activities the atmosphere within the house was calm and it was clean and tidy. The Assistant Manager was on duty and facilitated this Unannounced Inspection that took place over five hours. The Inspector was able to talk to some of the Residents and two staff members and comments cards were sent out to all the Residents family members. There has been some redecoration in the communal rooms since the last Inspection and two of the bedrooms have been done and on the day of the Inspection preparation was in hand for another room to be decorated that weekend. Staff files were examined and found to contain required information and Policies and Procedures have been reviewed this year. Two of the Residents files were inspected and they held comprehensive Care Plans that had been reviewed recently. Some of the fire precautions need to be reviewed, it was noticed that there are some door stops being used inappropriately and one fire door could not be closed. The Home has completed its Annual Quality Assurance Assessment (AQAA) sent to them by the Commission in advance of the Inspection in a thorough and thoughtful manner. What the service does well: Hamilton House is a comfortable place to live. It is clean and well furnished and decorated. Care Plans and Person Centred Plans carry a lot of detail and have been well written in conjunction with the person whose plan it is. People are supported to develop and find work in the community. Staff listen to the people living in the house and respect what they have to say and act on it. The Home is proactive in instigating reassessments and in obtaining extra support if the needs of any of the Residents change. The trust is insightful of their Residents needs and is committed to offering a ongoing high standard of care. This is illustrated by their new policy on Aging and Death. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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 House DS0000006944.V340098.R01.S.doc Version 5.2 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 House DS0000006944.V340098.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): All of this area was assessed during this Inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information given to prospective Residents is detailed as are the assessments made before Residents move in and everyone is given the chance to visit the home and will receive contracts. EVIDENCE: This home has not received any new Residents for many years but records show that when people have arrived in the past the homes policy and procedures were followed. Residents were given an opportunity to visit the house to have a look and to stay a few nights before making a decision about moving in. Files held copies of the assessments made and the Service Agreement that are signed by the Resident. The Information given to perspective Residents in the form of a Statement of Purpose and Residents Guide is very well written and has recently been reviewed and rewritten. There is also an audiotape of the information. The Manager is considering giving the written information a grater visual impact by changing its design and adding pictures. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards have been examined during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Plans are developed for all of the Residents; people living in the house are supported to make decisions, they are consulted on and participate in all aspects of their lives. Risk assessments are made to enable People take risks as part of an independent life style and their personal Information is stored appropriately. EVIDENCE: Two peoples files have been examined in detail. Care Plans are very detailed and hold a lot of information about each person, reading them it is easy to visualise the whole person. The home has Person Centred Plans (PCP’s) for all of the Residents and the finished folder is of a high standard, it is obviously compiled with the Resident’s participation and sets out their history, likes, dislikes, fears, hopes and aspirations. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 10 The two files examined have illustrations and photographs personal to the person concerned and were reviewed in March 07. One person has chosen to stop going to his day centre after many years attendance, as the recent changes to the service had not suited him. At first the home supplied staff to support him to carry on with meaningful daytime activities, despite the stain this put on staffing resources. They have since won extra funding to enable him to have 1-1 support during the day. House Meetings are held when everyone is encouraged to have their say, records are taken and issues raised are discussed at staff meetings. The meetings are held during the evening meal and examination of the notes show that a wide range of topics are covered and include the quality and choice of food and upcoming holidays. People living in the home felt that weekly meetings were too much and decided to have them fortnightly. Residents are consulted on the menu and can have a different meal if on the day someone has changed their mind. One of the Residents has decided that he will help do the shopping weekly and, as he has known the other Residents a long time, he will help make sure special favourites aren’t forgotten. People prepare their own breakfast and simple meals such as sandwiches, and are encouraged to help prepare the main meal. They are responsible for keeping their own rooms tidy with support and will help to do their own laundry. Some of the Residents will travel independently both locally and to and from their parent’s house using public transport. Extensive and detailed risk assessments have been drawn up to support people to take risks as part of an independent lifestyle. Personal information is stored in the office in a locked cupboard. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were evaluated during this Inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Hamilton House are offered opportunities for personal development and they are able to take part in a varied program of appropriate leisure activities and are part of the local community. They are supported to keep in contact with their families and to make friends, their rights are respected and upheld. EVIDENCE: The people living in this home have opportunities to attend adult education classes to develop themselves, included swimming, pottery, computer skills and English grammar and writing. The manager says he is always on the look out for new courses and opportunities to offer the Residents that they may enjoy. Of the five Residents two have opted out of attending the day centre; a full itinerary has been developed in lieu of it for one, which meant that the home had to advocate for extra funding so he could have 1 to 1 support during the Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 12 day. The other person works at the Community Café run through the day service. The other Residents attend the day centre or the autism specific day service run by the trust. Residents have the choice of several clubs to go to and some like to go to church. They present a strong community presence by using the local amenities such as the library, cinema, pub’s and the local fitness centre. An annual holiday is very important to the people living in this house and they are discussed and planned during the house meetings. The holidays are planned to suit each resident. Their families play a large part in their lives and visits to parents home are normal, friends and relatives are invited to BBQ’s and parties at the home. Some of the Residents that visit their family travel independently on public transport. Interaction observed between staff and the Residents were friendly, open and respectful. People are given choices in their day to day lives and share reasonability’s within the house such as cleaning their rooms, shopping and helping with the laundry. Care plans developed from the PCP set out responsibilities along with hopes and aspirations. The menus that are drawn up in consultation with the people living in the home are varied and nutritious, alternative meals are provided if it is known that a particular person did not like what was on offer that day. Mealtimes are normally enjoyable and relaxed. The fridge and freezer were well stocked with a good variety of food. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards have been assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home receive personal care in a way they prefer and have their health needs met. Medication is handled appropriately and policies and procedures around the aging, illness and death of Residents will ensure that they treated with respect and as they’d wish to be treated at this difficult time. EVIDENCE: Care Plans and individual Person Centred Plans are detailed and set out how people want to be supported in their every day lives and with their personal care. They also explore ways that the Resident can be supported in areas that they do not always want to co-operate in, but that need to be addressed because of health needs, for example one person does not like visiting dentists so the home is working with him to help him to support him to overcome his reluctance to have his teeth checked. It is particularly important in this home that staff know how each individual likes to receive support as they have all been assessed as having various levels Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 14 of Autism and value the security of having a stable and predictable life style of which they are in charge. The staff spoken with during this Inspection appear to have a good understanding of the needs of people with Autism. Resident’s files indicate that they visit the doctor as needed and that regular checks such as dental and ophthalmic are arranged, the outcome of these visits are recorded. Specialist support is accessed through the Central Learning Disability Team at the Bassets Centre. Annual OK Health checks are done, where all aspects of the Residents heath needs are revisited to bring the files and available information up to date. The medication, its storage and recording were examined. All medication was found to be order, there were some gaps where the medication was either a cream or shampoo that are normally kept in the Residents bedroom. It is important that the use of this type of medication is monitored, the home should consider developing a system that would record their use. The medication cabinet was clean and tidy and secured appropriately. Staff are trained by the Boots Pharmacists to understand the medication and its administration. All staff have to pass an assessment before they are able to administer the medication. Some of the Residents use PRN medication, which is medication that is used on an irregular basis for a variety of reasons, such as a painkiller or medication used as a mood stabiliser. Anyone using PRN has an individual guide sheet explaining what the medication is and how it should be used. Care must be taken that the use of this PRN medication is recorded appropriately, in the persons notes and on the medication sheet as well as extra information about the dose given and it’s effects on the provided area on the Marr sheets There are letters from the GP authorising the use of Homely Remedies for each Resident but they are several years old and have very little detail. These need to be reviewed and updated. Please See Requirement 1 The Trust has recently rewritten their policy on aging and death, which is an excellent piece of work that is very detailed and covers all aspects of care a person who is aging, ill or dying will need to have considered. It also clearly maps out what to do in each eventuality and how support should be offered to everyone involved including the other Residents and the Staff. The home is very aware that the people living at Hamilton House are getting older and may begin to have difficulties getting around the three story house as they get older and the Bromley Autistic Trust are actively making plans for their future care. The Trust undertake to continue to offer support and care to their Residents until it is no longer able to, even in so far as to looking to build suitable homes and supporting the Resident while away from the home in hospital etc. This is another good example of how insightful and committed this organisation is to the needs of the people in their care. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 15 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): All of this area was judged during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the Trusts complaints policy and procedures and staff are trained to recognise and deal with suspected abuse and self-harm. EVIDENCE: The complaints log was examined; although there are no complaints recorded it is set out in a way that will allow complaints to be tracked from start to finish including timescales. The trust has a detailed complaints policy that is made available to all the Residents and their families. It should be considered recording compliments and concerns as well as complaints voiced by the people living in the home even if they are quickly and easily dealt with. This would show a fuller picture. Any home, however good, has a few grumbles and concerns raised at sometime. Staff receive training in recognising and preventing Adult Abuse and the Trusts Whistle Blowing policy. Recruitment policies protect the Residents by making sure that only people who are fit to work with vulnerable adults are employed. Two of the Residents purses and financial records were examined and were found to be in order. Residents every day expenses are taken from money held at the house and it is protected by a tag system and the financial policy stipulates that the balance must be checked every time the numbered tag is removed and money taken out or returned. Receipts are kept and transactions are recorded and signed by the person responsible for the transaction. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 16 Any of the Residents money that is not spent is kept in a central back account and can be accessed if the residents want to make a special purchase. However they do not receive interest on their savings as the account does not attract interest. Neither are the Residents kept informed of how much they have available to spend. The Trust is aware of these shortfalls and is in the process of opening a bank account that will pay interest on the savings and has undertaken to develop a system that will enable the Resident to know what money they have on a regular basis. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 17 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): All of these standards have been assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This house has a comfortable and homely environment, it is mainly safe but fire doors need to be attended to. Resident’s bedrooms suit their needs and promote independence. EVIDENCE: This home is attractively decorated and furnished. The sitting room is a lovely bright room with some original features of the house still remaining. New sofas have recently been purchased that are domestic and contemporary in style. There is some skilled and imaginative artwork done by the Residents that have been professionally framed and displayed on the walls. It is because the room is pleasant that the carpets are so noticeable, they are grubby in the most trafficked places. The home is hoping to obtain a carpet cleaner; regular cleaning will be an advantage. A requirement that was made Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 18 at the previous Inspection that the lounge carpets must be cleaned or replaced will be restated. Please see requirement 2 Plans are in hand to decorate any areas that are still need it, which includes some of the bedrooms. One of the rooms was being prepared for decoration, the Resident was going away that weekend and it was hoped to do the work while he was away to lessen disruption. The bedrooms are individual to each person and reflect their personality. The Residents take the decision on decoration and have their own possessions all around them. There are more than adequate bathrooms and toilets, some of the Residents have their own toilets in their rooms and five people share three bathing facilities. The Residents have access to a well kept garden where the can enjoy alfresco eating and BBQ’s. This house shares a gardener with others within the Trust, they also have domestic staff and the Residents are encouraged to participate in cleaning the house, so it is kept clean and hygienic. The home is well maintained and electrical, gas and fire equipment is serviced and records are kept. Health and safety checks are made and also recorded. Battery powered door stops that are deactivated by the sound of the fire alarm allowing the door to close are used in this home. However it was noticed that two of them were being held open by door stops because the batteries have run out. Another fire door in a passage between a Residents room and one of the sleep-in rooms stays open because the carpet prevents it from closing. The next fire door in the same corridor, which opens onto a communal activities room, does not close either, a piece of wood across the threshold stops it. It will be a Requirement that all of the fire doors in the home are made compliant with the fire safety regulations. Please see Requirement 3 Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 19 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): All of these standards were examined during this Inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in this home benefit from staff knowing their roles and responsibilities and who are Competent, qualified and effective. The recruitment policy is as required and there is good access to a large and varied training program. Staff are supervised regularly. EVIDENCE: Two staff members were available to talk with the Inspector and both were able to speak clearly of their roles and reasonability’s, and displayed a good knowledge of the Residents and the homes practice and procedures. All staff records were made available on site for Inspection, two were examined and all required information was on file and the staff spoken with confirmed that the homes procedure had been followed in their recruitment including two references being obtained and Criminal Record Bureau checks being carried out before they could start work. Training records were inspected and show that the staff are offered a full and comprehensive training program. The Bromley Autistic Trust have a joint training program with the London Borough of Bromley and the staff have full Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 20 access to the huge corporate training program the council has and vice versa. Supervision notes were also seen and confirm staff members reporting that they benefit from regular supervision. The home carries no staff vacancies at the moment and are in the position of rarely using agency staff. The home has 60 of staff having either attained an NVQ or equivalent qualification or are working towards. Examination of the rotas shows that staffing levels in this home are suitable to the needs of the Resident. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 21 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): All of this area has been judged on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents living in Hamilton House benefit from it being well managed by someone who has the ability to make impartial judgements about how the home is serving the people living in it. Policy and procedures are in place and are kept updated and health and safety is mainly well managed. EVIDENCE: The Registered Manager has ten years experience working with this client group and is working toward attaining his Registered Managers Award. The assistant Manager, who facilitated the Inspection, is also knowledgeable and experienced. She is also a trained Risk Assessor. The home appears to be well run in an open and inclusive way and there was a calm and organised atmosphere on the day of the inspection and anything that was requested by the Inspector was easily found and quickly produced. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 22 There are several ways that the service in monitored; there are regular Resident meetings, the home sends out an annually survey to both the people living in the home and their family members, there are regular Service Support Meetings and members of the committee will visit the house and report back to the meeting and Regulation 26 visits take place and a copy of the report is forwarded to the Commission. Any information received is reviewed and action taken if a weakness is highlighted. Policies and procedures have been reviewed this year and those chosen at random and examined by the Inspector were well written and robust. The trust maintains financial records that are audited and are available for inspection. The insurance certificates are displayed prominently and are of sufficient value to cover requirement. Lines of accountability are clearly defined in the Trusts Statement of Purpose. Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 23 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 4 2 3 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 4 3 3 4 3 3 2 3 Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13(2) Requirement Letters from the GP authorising the use of Homely Remedies for each Resident but they are several years old and have very little detail. These must be reviewed and updated. The carpets in the lounge and some of the other communal areas are to be cleaned or replace. This is a restated Requirement, previous timescale 01/08/06 It is a Requirement that all of the fire doors in the home are made compliant with the fire safety regulations. Timescale for action 20/11/07 2 YA30 23(2)(d) 20/11/07 3 YA24 23(4)(a) 20/10/07 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 House DS0000006944.V340098.R01.S.doc Version 5.2 Page 25 Hamilton House DS0000006944.V340098.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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