Inspection on 14/07/06 for Hamilton House Nursing Home

This inspection was carried out on 14th July 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hamilton House Nursing Home 19/06/09

Hamilton House Nursing Home 30/01/08

Hamilton House Nursing Home 10/10/05

Hamilton House Nursing Home 03/05/05

Hamilton House Nursing Home 15/11/04

Hamilton House Nursing Home 01/06/04

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

CARE HOME ADULTS 18-65 Hamilton House Nursing Home The Street Catfield Gt Yarmouth Norfolk NR29 5BE Lead Inspector Jenny Rose Unannounced Inspection 14th July 2006 10:00 Hamilton House Nursing Home DS0000015643.V304760.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 Nursing Home DS0000015643.V304760.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 Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton House Nursing Home Address The Street Catfield Gt Yarmouth Norfolk NR29 5BE 01692 583355 PF 01692 583355 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Mrs Stella Evans Care Home 39 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (39) of places Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: Hamilton House is a registered care home offering nursing care to 39 people who have a mental illness. It stands on the main road through and on the outskirts of the Norfolk village of Catfield. The main large house has been extended and provides 23 single rooms and 1 double room. The rooms in the extension are particularly good with their own shower facilities and French doors to the outside. The accommodation is bright and attractive and has extensive communal space. In addition, a new building in the grounds provides 8 self-contained flats, 6 accommodating 2 service users, and 2 for 1 person making 14 in all. These service users are assisted to shop, make their own meals and to be more independent. There is a large garden. Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection lasting eight hours. Preparation had taken place in the CSCI office beforehand and the manager, Mrs Stella Evans was present throughout. Various records and policies of the Home were examined and a tour of the premises took place. Two members of staff were spoken to in private. Eight residents were spoken to during the course of the day, as well as two privately. The Commission had sent out surveys to the residents, visitors to the home, as well as to healthcare professionals. Four healthcare professionals’ surveys, two visitors’ surveys and four residents’ surveys were returned before the inspection. Three residents’ surveys, completed with support, as well as telephone contact made with healthcare professionals and a visitor following the inspection. All these views have been taken into account in the report. What the service does well: • There is a relaxed, accepting atmosphere which provides a comfortable home for the residents. There is no pressure on residents to do anything they do not wish to do. All the surveys and residents spoken to comment that the staff care for them flexibly and well and also listen to their concerns. Attention is paid to the specific needs of individuals. There is an enthusiastic and supportive staff team who want to support residents to the best of their ability. Records concerning and involving the residents are very good and give staff good guidance on how to support residents. Residents enjoy the varied meals, which give choice and acknowledge preferences. Attention is paid to the health, safety and welfare of both staff and residents and the paperwork connected to this is good; as is the maintenance of equipment. The new Mews flats associated with the Home provide an attractive environment for residents seeking a more independent lifestyle. • • • • • • Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? • • Procedures have improved over the recruitment of staff, with proper checks carried out before staff start work. The home has the use of a minibus now, which more staff are able to drive, and there are more creative and stimulating activities taking place in and outside the home. Individual staff support and supervision is taking place, both informally and formal, but the Manager and her Deputy are aware the schedule needs to be adhered to. The tea menus have improved and show choices, other than sandwiches; although many residents enjoy these. All staff are undergoing training in adult protection, as well as mental health issues. The issues of privacy mentioned in the last inspection report have been addressed. • • • • What they could do better: • Although quality assurance is tested in many different ways, and by head office; there needs to be a more coordinated approach to this locally, in order to ensure that residents’ interests underpin the organisation of the Home. It is acknowledged that the home’s situation in a rural area sets difficulties for accessing opportunities for sheltered work and attendance at day centres. However, these should continue to be pursued. Although there is a routine maintenance and redecoration programme, there are some areas of the main house, which are rather stark and do not have a domestic ‘feel’. Reviews involving healthcare professionals, should continue to be structured and if possible held in a room, other than the office, in order to preserve privacy and confidentiality. Although the head office of the organisation is aware of the health and safety issue of the kitchen flooring, which the manager has risk assessed, this has lifted and needs urgent attention. • • • • Hamilton House Nursing Home DS0000015643.V304760.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. Hamilton House Nursing Home DS0000015643.V304760.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 House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. People who use this service and their representatives have good information about the home in order to make an informed decision about whether the service can meet their needs. The needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: From this and previous inspections, residents’ needs are well assessed and the home gathers all the relevant information from other healthcare professionals before admission, in order to support them. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care plans, which are maintained to a good standard, as well as decisions about their lives as much as possible and are supported to be as independent as possible, taking into account risks involved. However, for those residents, for whom the organisation holds accounts, it is recommended that interest be paid on these. EVIDENCE: From this and the previous inspections, it is evident that the care plans are formed from the home’s assessment together with information received from other healthcare professionals. They were detailed covering all aspects of a person’s care, from their mental health to their capacity to be independent. There are details of what needs to be done to assist residents. There was evidence that residents were involved with their care plans and these are reviewed regularly. This was confirmed by speaking to residents and hearing that they were supported to achieve their long-term goals. The Manager said that there were risk assessments in place covering the current heatwave and residents’ well being, as well as for cigarettes, finances and self harm. Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 11 There was also evidence from surveys returned from healthcare professionals and follow-up phone calls that there are regular reviews with the resident and staff at the home. The structure of these, together with two-way communication, have improved, but the venue for the reviews is dealt with in another section of this Report. From the Pre-Inspection Questionnaire there was evidence that Social Services acts as appointee for 8 residents and pays their allowance into each individual’s bank account every 4 weeks. For 2 residents, the organisation hold their accounts and issue allowances every 4 weeks. It is recommended that these accounts should receive interest and each resident should have a local account, if at all possible. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The Home has worked hard to increase the range of activities, which are also very creative, also to expand the opportunity to travel further a field from this rural area, and for residents to visit relatives, with a new minibus, for those who are well enough, and relationships have improved with the local community. There has been an improvement in the variety of food on offer, particularly at teatime and there is some flexibility in mealtimes, all of which were enjoyed by the residents spoken to. EVIDENCE: The home’s situation in a rural area, together with the health of many of the resident makes access to employment or maintenance of learning difficult, but there is a recommendation that these opportunities should continue to be pursued. However, the new minibus and better staffing levels has given the opportunity for residents to travel further a field, to visit relatives, some out of County, and to take part in more creative activities, such as a windsurfing group on a local Broad, so therefore meets the recommendation from the previous inspection. Residents attend Yceni Workshops and one resident spoken to is hoping to do sheltered work at Heath Farm. Relationships have improved with the local community and outings to places of interest. The care Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 13 plans and day plan in the office show a programme of activities and the designated activities organiser outlined outings, which had been planned and carried out after consultation with residents to the theatre, cinema, pub lunches, coastal trips, Nature walks, bowling, swimming as well as connections with the Church. Six out of seven residents’ surveys returned confirmed that residents felt they could do what they wanted each day, and this was also evident from residents spoken to. However, although the manager confirmed that the issue of privacy for residents, which was an interpersonal one, from the previous inspection had been resolved, a healthcare professional’s survey, followed by phone call, said that reviews were not always held away from the office, which could compromise privacy and confidentiality for residents, as there were inevitably interruptions. There is therefore a recommendation that reviews should continue to be held in a room, other than the office. There is a more varied menu, particularly at teatime, which was a recommendation from the previous inspection. One resident spoken to said, “The food is good here”, and this was confirmed by others. There had been a recent survey of residents’ preferences, which the new chef was implementing. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents are consulted about what support they need and overall this works well for them. Their needs are monitored by the staff to ensure they are well and advice from healthcare professionals sought when required. In the main the medication is looked after by the home and monitored with procedures and training to ensure residents are protected. EVIDENCE: The care plans seen showed that residents have access to community healthcare from GP visits, annual psychiatric assessment and community psychiatric nurses and social workers involved in reviewing their care. There were also references to visits to optician and dentist when necessary. Daily notes show monitoring of individual mood, sleep, appetite and behaviour patterns. The administration of medication was observed, on this occasion by a nurse and there is medication training for some care staff. From the previous report, the medication system had improved and the home uses the monitored dosage system from the pharmacist. The member of staff spoken to administering medication explained that she ordered the medication. The Controlled Drugs Book was seen, together with injection charts, fridge temperatures, room Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 15 temperature and ‘on leave’ medication chart. The medication administration records were also seen to be correctly completed. The monthly medication audit was also seen. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents feel safe and listened to in the main. EVIDENCE: Five out of seven of residents’ surveys said they knew to whom to complain or to speak to if they were not happy. The other two felt they were ‘usually’ listened to, but there was often a reason why that was not always possible. There is a complaints procedure and a record kept of complaints and actions taken to investigate it and resolve them. There had been one complaint which had involved all the appropriate agencies, but the Manager said this had now been resolved satisfactorily. All the residents spoken to said they would know to whom to complain if necessary. The recommendation from the last inspection that staff should receive adult protection training has been carried out. As evidenced in past inspections there is an abuse policy and procedure in place, which is copied into the staff handbook, which all staff receive. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the Home provides a bright, comfortable, clean environment for residents, but on the day, there was an issue with the kitchen floor, which although risk assessed was the source of a potential trip hazard for both staff and residents. EVIDENCE: The home is located in a small village a short bus ride away from Stalham and there are only a few village facilities which most of the residents can use, but a new mini bus since the last inspection is enabling residents to travel further afield. There is a large landscaped garden where residents had been enjoying BBQs. In addition to the main house there are seven new flats in a separate building, separately staffed and where residents have more independence and are supported to increase their skills. They have their own living rooms and facilities and the furniture and fittings are attractive and appropriate. Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 18 The main house has much communal space. There is a games room, which has tall ceilings and is light and airy, but rather bare. There is a recommendation for pictures in this room, or walls used to give a more lived in appearance, through consultation with residents. The keyworker team members of staff confirmed their duties in this respect to be supporting residents to clean their rooms and all areas of the home seen were clean. The maintenance person was on duty on the day of the inspection attending to various jobs. However, there was a problem with the kitchen floor, which had lifted and ‘cracked’, causing a very uneven surface. The manager had risk assessed this and deemed it unfit for residents, for whom it was appropriate to usually enter the kitchen, to do so, until this was repaired. It posed a potential trip hazard in an area near the oven and there is therefore a requirement for this work to be carried out as soon as possible. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The home shows much improvement in staffing, supervision and training opportunities and the recruitment procedures are now satisfactory. However, there is a recommendation that NVQ training should continue to be pursued. EVIDENCE: I “love working here” remarked one member of staff, which was also confirmed by two others. It is flexible and we all “work together well”, said another member of staff. They all felt well supported and received induction training in the Home. They confirmed that handover and staff meetings allowed opportunities for learning from senior staff. The Home is making efforts to support staff to gain their NVQ 2, and an Assessor visits the Home, which facilitates the process, but the percentage of staff with this qualification has dropped since the last inspection and is now only 23 , but with 7 working towards their NVQ. There is therefore a recommendation that this qualification for at least 50 of care staff should still be pursued. From the training files it could be seen that many staff had received training in mental health awareness and reflective practice, as well as Reflective Practice and Equal Value, Equal Care, and Communication and Confidentiality. Staff were just completing their training in abuse awareness and all staff were about to complete a course in Infection Control. All these were in addition to the induction training in the home. Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 20 All the residents spoken to were complimentary of the work of the staff in supporting them. Three members of staff spoken to outlined their duties as keyworkers in the admission process, assisting with care plan reviews, helping residents with mail, the Benefits process and with personal care and clothing. Four out of seven completed surveys reported that the staff treated them well, the other three answered that they were usually treated well, but this was related to restrictions on certain behaviour, which was noted in their care plans. The staff files seen of the most recent members of staff showed that all the necessary checks had been undertaken in the proper manner. The Manager and Deputy Manager said supervision is scheduled in the diary, and that they endeavour to adhere to these schedules and supervision notes for two members of staff were seen, thus meeting the requirement from the previous inspection. The Minutes for the staff meetings were seen and at the last meeting adult abuse issues had been discussed. For three weeks there had been a new working practice with a head of shift arrangement, which one member of staff said was working well and she felt well supported by the Manager. Although staffing levels have improved over the last two inspections, the provision of catering staff at the weekends still remains an issue, there is therefore a recommendation for this to take place, so that care staff do not have to be involved in preparing meals at this time. Hamilton House Nursing Home DS0000015643.V304760.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from a well run home. The health and safety of residents are protected by policies, training and regular maintenance of equipment, but the quality assurance system has not been reviewed, co-ordinated and produced in a report, which must be provided to the residents and the Commission. EVIDENCE: The Manager is very experienced and gives good leadership to the staff team. She has a Deputy, and also is now supernumerary to the staffing, which frees her to oversee the work in the home effectively. She also has the support and guidance of the managers at the head office of the organisation, two of which had recently routinely visited the home, one auditing residents’ cash. The staff spoken to felt well supported by the management and the management style is open and inclusive. The Home has several parts of a quality assurance system, but analysed, up to date information was not in place at this inspection, as was the case at the last Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 22 inspection, when this was a recommendation. Various audits and surveys are undertaken, such as the building and residents’ surveys for meals. A care plan audit is being implemented in the care plan review, and a training file audit, as well as housekeeping and laundry. The Regulation 26 visits take place regularly, the last one being on 4 June 2006, but none of this information is collated and audits need to be implemented for the supervision of staff, as well surveys for staff and residents’ views. There is therefore a requirement for this. There is consistent evidence from previous inspections that there are policies and procedures in place to ensure that safe working practices are complied with and that records for checking electrical and gas systems and water temperatures. Risk assessments are in place and accident records properly kept. Hamilton House Nursing Home DS0000015643.V304760.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 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 2 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 X 3 X 2 X X 3 X Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23 2(b) Requirement The registered person must ensure that the premises are kept in a good state of repair (in this case replacement of the kitchen flooring) The registered person must have a co-ordinated quality assurance system in place (in this case a local one). The results of the quality assurance monitoring must be produced in a report, a copy of which must be provided to residents and the Commission Previous recommendation Timescale for action 25/07/06 2. YA39 24 31/10/06 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 YA7 Good Practice Recommendations It is recommended that residents are supported to have their own local bank accounts if possible and where the company hold these accounts, interest is paid. DS0000015643.V304760.R01.S.doc Version 5.2 Page 25 Hamilton House Nursing Home 2. 3. 4. 5. 6. YA12 YA16 YA24 YA32 YA35 It is recommended that opportunities for employment and maintenance of learning should continue to be developed. It is recommended that reviews with other healthcare professionals should continue to be held in a room other than the office to ensure privacy and confidentiality. It is recommended that residents’ views be sought on the decoration of some communal rooms, especially the games room. It is recommended that this qualification for at least 50 should continue to be pursued. It is recommended that catering staff issues at the weekend should be reviewed. Hamilton House Nursing Home DS0000015643.V304760.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 House Nursing Home DS0000015643.V304760.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. 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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