Random inspection report
Care homes for adults (18-65 years)
Name: Address: Hamilton House Nursing Home The Street Catfield Gt Yarmouth Norfolk NR29 5BE two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Debra Allen Date: 1 9 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Hamilton House Nursing Home The Street Catfield Gt Yarmouth Norfolk NR29 5BE 01692583355 PF01692583355 info@prime-life.co.uk info@prime-life.co.ukwww.prime-life.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Prime Life Ltd care home 39 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 39 Hamilton House is a registered care home offering nursing care to 39 people who have a mental illness. It stands on the main road in the Norfolk village of Catfield. The large main 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 on the grounds provides 8 self-contained flats, 6
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home 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 also a large garden. The basic fees are currently in the region of #315 per week and increase according to the level of support each individual requires. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This random, unannounced, inspection included a tour of the premises and grounds, looking at cleaning records and care planning information, meeting and speaking with some of the people living at Hamilton House and having discussions with the manager and a member of staff. The tour of the premises and grounds showed all areas seen to be clean and mostly tidy, with generally no unpleasant smells noted. From records seen and a discussion with the manager, it was confirmed that in order to help eliminate unpleasant odours, staff assist the people who live at Hamilton House with regular cleaning checks of their rooms and a full time cleaner has been appointed, so that a good quality cleaning regime is carried out over seven days a week. The cleaner also regularly cleans each room thoroughly on a rotational basis. Additionally, it was confirmed through discussions with the manager, observations and requisition order sheets seen, that many people have had their bedroom carpets replaced with good quality/pleasant vinyl flooring, new beds have been ordered for some people (to be higher from the ground and not material divan bases) to help make thorough cleaning easier and more effective. Also, numerous waterproof (good quality, breathable) mattresses, duvet and pillow protectors have been ordered and purchased, together with an assortment of bed linen. Requisition orders looked at for the past few months stated that items were being requested due to current items being old/worn, mostly due to excessive washing, which confirmed that the manager and staff continue to ensure people consistently have good quality bedding and live in a comfortable environment, which is clean and hygienic. Care plan information that was looked at showed how the staff and management have previously, and continue to, work closely with other healthcare professionals, in order to improve individuals quality of life. Evidence was also seen of advice being sought and taken to assist people with these improvements. Observations, notes seen and a discussion with the manager confirmed that all hairdressing is now carried out by a qualified visiting hairdresser, in a separate room, which provides the people living at Hamilton House with more privacy and dignity, as required. All personal care tasks such as shaving were confirmed to be carried out in individuals personal rooms, thereby also ensuring peroples privacy and dignity is maintained. Observations, at the time of arrival for this unannounced inspection, were that five staff members were all in the office at the same time. However, it was also acknowledged and observed that they were each collecting money/keys etc for separate outings with service users. It was discussed with the manager that she gives consideration to this area and to ensure not all staff congregate in the office at the same time. With regard to a previous requirement, the notice on the conservatory door, regarding smoking, was seen to have been removed and the whole area much improved in respect
Care Homes for Adults (18-65 years) Page 4 of 8 of cleanliness and tidiness. Over all, the tour of the premises, numerous and detailed records seen and discussions with the manager and a staff member, supported our judgement that Hamilton House continues to be a well run home. Previous requirements have been complied with and any concerns received by the Commission have been acknowledged and addressed/put right by the manager and staff, where applicable and as much as practicable. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 16 The manager (and staff) should give consideration to the amount of staff in the office at any one time and ensure, where possible, that numbers are kept to a minimum, so that staff are more available at all times for the service users in the main areas of the home. Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
