Inspection on 15/05/06 for Hamilton Nursing Home

This inspection was carried out on 15th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Hamilton Nursing Home 22/09/05

Hamilton Nursing Home 04/05/05

Hamilton Nursing Home 03/11/04

Hamilton Nursing Home 02/06/04

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

CARE HOMES FOR OLDER PEOPLE Hamilton Nursing Home 24 Langley Avenue Surbiton Surrey KT6 6QW Lead Inspector Michael Williams Key Unannounced Inspection 16th May 2006 10:30a X10015.doc Version 1.40 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 Nursing Home DS0000026247.V287799.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 Older People. 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 Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hamilton Nursing Home Address 24 Langley Avenue Surbiton Surrey KT6 6QW 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) 0208 399 9666 0208 390 9394 London Residential Healthcare Limited Mrs Gnanawathie Jamanetti Care Home 28 Category(ies) of Dementia (0), Dementia - over 65 years of age registration, with number (0), Physical disability (0) of places Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three service users in the categories of Dementia and Physical Disability aged between 55 and 65 years. 22nd September 2005 Date of last inspection Brief Description of the Service: Hamilton Nursing Home provides personal and nursing care and accommodation for up to twenty-eight people who have dementia. London Residential Health Care Ltd owns and manages this home. The home is a large detached property, situated in a residential area of Surbiton. Public transport, local shops and leisure facilities are all within a short distance from the home. The home comprises a large communal lounge, a communal dining area, twenty-six single bedrooms and one double bedroom. A passenger lift is available in the home. There is a large garden to the rear of the home and offstreet parking is available at the front of the property. Fees as at May 2006 are from £538 to £850, residents pay for personal requisites but any extra charges for additional care needs are by negotiation with the commissioning agency. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced on 16th May 2006 and this included a visit to this Nursing Home in Kingston. In addition to the inspection visit, which lasted nine hours, a number of questionnaires were distributed to interested parties; 10 to residents, 10 to relatives/friends, 6 to care managers, 10 to health professionals and to all the staff working in the home. 34 replies were received at the point of compiling this report and all were very positive about Hamilton Nursing Home. One statement will convey the general feedback, “the home provides a secure and caring environment”. During the course of the visit most residents met with the inspector, usually in a public setting such as the lounge. Several relatives were visiting on the 16th and they also contributed to this inspection. A number staff, as well as the manager, were also interviewed by the inspector. The premises were toured and documentation, including records, were checked. In compiling this inspection report the Commission also noted information received, including details of any complaints, untoward incidents and general correspondence. The contribution of everyone involved is acknowledged. What the service does well: What has improved since the last inspection? What they could do better: A number of points were noted; there is insufficient storage space in this home leading to inadequate arrangement for storing stocks of food; window and door security still needs to be addressed to make sure suitable locks are fitted to all external doors and that all windows provide for the safety and security of service users. One resident was admitted despite her condition appearing to Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 6 fall outside the home’s registration categories (care for those with dementia primarily). Not all senior staff were absolutely clear about the need to following local authority’s guidance when abuse of vulnerable residents is suspected. Not all staff records are being held on the premises and the home must confirm it has the consent of the Commission to hold documents at headquarters and make them available for inspection within the home if required by the Commission. In respect of fire safety, one door was not closing fully, the kitchen door had a hook holding it open and another in a corridor was held open by a trolley; all fire doors must be kept closed unless held open by a magnetic door holder that is free to operate. 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 Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New service users are being admitted only on the basis of a full assessment undertaken by people trained to do so and this involves the service user or, in most cases, their representative so residents know that their needs have been fully assessed and can be met in this home. One exception to an otherwise fully met standard was the admission of a resident ‘out of category’. EVIDENCE: Several relatives confirmed they been given a chance to visit the home. They explained how the home’s staff had explained what the home would provide for the person to be admitted. A sample of case files were checked and this includes the assessment provided by either hospital staff or care managers. These assessments include details of diversity and cultural needs such as language and religious preferences. One recommendation is made, that is, to enter specific details in each of the resident’s ‘service user guides’ so they know what fees are being charged and which room has been allocated to them. From the case files it was apparent that the home had not heeded the information available at the time of admission and has admitted a service user Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 9 who has neither dementia nor physical disabilities. A requirement is made to ensure all residents are within the home’s registration categories. Whilst the admission of resident ‘out of category’ is the subject of a requirement the home has achieved good standards in this area; assessments are in place and relatives complimented the home for the support and information they received at the time of admission; so this section is assessed as good. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning, the provision of health care and the procedures for dealing with medication are all satisfactory so as to ensure the social, and health care of service users can be met in all but one case. EVIDENCE: In view of some shortcomings identified in previous inspections a sample of case files were checked in some detail with one of the senior nurses. The management of wounds (‘pressure sores’ for example) and diabetes were discussed and the staff appeared knowledgeable about how these should be treated including detailed recording of progress and recording all clinical and social interventions. Moving and handling equipment is available including pressure–relieving mattresses, hoists and aids for the less mobile residents. Staff confirmed that they had received training in the use of such equipment. The arrangements for ordering, storing, administering and recording medication was checked and fund in good order. One area of concern was a resident who clearly does not have the same needs as other residents. This is noted in the information and assessments available at the time of admission but the admission clearly proceeded despite the Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 11 person not falling with the range of categories for which the home is registered that is, care of people with Dementia (DE) and those physical disabilities (PD). Improvements have been made to recording the care needs of service users and the care plans were clear and well maintained, nurses were clear about the clinical needs of service users and the carers well informed about their duties. This section is assessed as good. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Varied activities and wholesome and enjoyable meals are provided so the differing expectations and lifestyles of service users are well catered for. Visitors are warmly welcomed and service users are given the opportunity to make choices. EVIDENCE: It was most interesting to meet the activity coordinator who takes a very thoughtful and imaginative approach to her work – making sure all service users are given the opportunity to join in the fun and exercises she devises. There continues to be a varied programme of activities in the home. An activities programme was displayed in the main entrance of the home and this detailed activities including a discussion group, gentle exercise and music sessions. On this were listed a number of forthcoming events offering residents a full programme of opportunities including a summer fair. The activities coordinator was leading a quiz group with a group of service users, in the main lounge at the time of this inspection. One care staff member said that part of their job involved talking with service users, providing newspapers and going for walks with service users. As might be expected, some service users were Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 13 spending time in their bedrooms during this inspection. These service users have a television or radio in their bedroom and a number had newspapers. Several visitors, including some new to the home, said that they were made to feel very welcome when visiting the home, and were provided with a quite and comfortable area to meet with their relative/friend and were pleased to report that “We always get a tray of tea and biscuits”. A visitor also said that they had been pleased that a staff member from the home had been available to escort a service user on a visit to see their family. Care records indicate that service users can receive Holy Communion in the home if they choose. The daily routines in this home are reasonably flexible, within the constraints of a large service. Service users are being supported and encouraged to maintain links with family, friends and to exercise choice and control over their lives in so far as they wish and are able to do so. Amongst the choices that service users can make known (or their family can assist them in making known) are the residents cultural and diversity needs. Most residents are English and some of the staff do share a common background with service, though not all do. The home seeks to ensure residents can follow their religious and cultural beliefs whether that is in the form of worship, leisure pursuits or special diets. There have been no major changes in respect of meals and mealtimes and service users, through their relatives, confirmed that meals remain enjoyable. The kitchen was not as clean and well organised as it should be and this dealt with under the environment section of this report. There was a planned menu listing wholesome and nutritional meals with at least a two choice for the main meal of the day. There was a good supply of food, including fresh fruit and vegetables. The lunchtime meal appeared wholesome and was well presented and staff supported service users in a friendly and professional manner during meal times. There was a choice between a meat dish or fish cakes on the day of the visit. The activity coordinator is leading in providing a very good level of activity and stimulation for service users; Relatives and friends are encouraged to maintain contact with residents; catering is good (with the exception of poorly arranged kitchen and storage space) so this section is assessed as good. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are now being handled more effectively, so service users and their representatives will feel that they will be listened to and their concerns will be acted upon. Vulnerable adults procedures in the home are in place and serve to ensure that service users are protected from abuse but not all senior staff were aware of the detail these procedures. EVIDENCE: No new complaints have been recorded since the serious complaint about health care was dealt with last year. It is evident from the comments of staff, the manager and relatives that the home is open to comments and criticisms. No complaints arose during the course of the inspection and site visit indeed many complimented the service and these commendations were passed on to the manager and staff. In respect of the procedures for dealing with allegations of abuse, the ‘the protection of vulnerable adults procedures’, these are in place but not all senior staff were aware of details such as the importance of reporting suspicions of abuse to the local care management team before undertaking any internal investigations. One member of staff suggested she would ‘call a meeting’ to deal with such matters – this would not suffice. The local care management team is there to coordinate investigations and must be given the opportunity to do so from the outset. Staff were interviewed and relatives were given the opportunity comment, as were many of the service users, and no indications of malpractice were identified. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 15 Residents and relatives complimented the service and although some staff were a little unclear about the procedures for referring cases of suspected abuse to the appropriate authorities the complaints procedures and training in the areas is satisfactory and this section is assessed as good. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is maintained, decorated and furnished to a reasonable standard and in general the facilities are clean and safe. This ensures that service users live in a pleasant, homely environment. However, shortfalls in hygiene and maintenance do not ensure the comfort and well being of all service users at all times. EVIDENCE: This home is a large detached property, converted to provide accommodation for up to 28 residents. It has the style of a large family house with well maintained gardens to the front and back. The gardener is complimented for maintaining such a nice setting for the residents. Inside, the premises are agreeable homely and decorated to a reasonable standard throughout – except for the staff quarters on the top floor which are not used by residents but even in this area the staff training room is well appointed. The home was free of malodour and most areas were clean and tidy but as on previous occasions Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 17 some areas were not so clean, in particular walls in bedrooms and in the kitchen the floor was not entirely clear and clean and was somewhat cluttered. One serious shortcoming in this home is the shortage of suitable storage space. The home is required to improve storage for foodstuffs, which were seen to be stored inadequately under an open shelter outside the kitchen; this area was not safe from potential rodent contamination, nor protected from the effects of the weather. In such an open area it would be impossible to ensure good stock control with losses difficult to manage. The kitchen itself is too small for the number of people it serves, up to forty people each meal including residents, staff and visitors. The kitchen was therefore cluttered, not well organised and not entirely clean, for example the microwave cooker and at the junction of floors and walls. Requirements are made to thoroughly clean the kitchen and provide sufficient storage space – which need not be immediately adjacent to the kitchen. The large capacity fridges and freezers need not be in the kitchen itself so that the kitchen holds only the food and materials needed for immediate use. It was also noted that the kitchen had a hook used to hold it open; fire doors must not be held open in this manner. It was also noted that staff were entering the kitchen without changing into suitable kitchen clothing, different tabards for example. Other storage problems were noted on the first floor and which cause fire hazards to be created. For example, a metal trolley is kept in a corridor and was propping open a fire door and so partially blocking a fire escape route. As this door separates fire zones it must be kept shut unless held open by a magnetic door holder that responds to the fire warning system and is free to close when activated. This section is assessed as adequate because the storage facilities are very limited; in particular the kitchen and storage of food, which has led to poor practice. The kitchen was not entirely clean, nor were some of the bedrooms. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are robust and now provide the safeguards and so offer protection to people living in the home but the home must confirm that the Commission has confirmed the arrangements for holding staff files at headquarter. There is a staff training and development programme that provides staff members with skills necessary for meeting the needs of service users. Service users appear safe in the hands of this staff team. EVIDENCE: To assess that standards are being met staff were interviewed, staff files were checked and the manager and the personal staff were interviewed. Staff recruitment is organised from the company’s head office also in Kingston, a short distance from Hamilton. The arrangements for recruitment seem sound, the staff files are clearly indexed so making easy to monitor all necessary checks are completed including references, police checks, identity checks and so forth. The manager was unable to confirm that the Commission has agreed the arrangements for holding staff files off-site at the company’s headquarters and will be required to do so. The manager states that present staffing levels are meeting current service users needs. For 28 service users there were two qualified Nurses plus the manager who is herself a Nurse. There were also 5 carers on duty for each shift. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 19 In respect of staff training and skills it was apparent the company has in place a well organised training programme and staff confirmed that suitable induction is in place for each new member of staff and that on-going training is available to all staff. The nurse interviewed during the site visit was well informed about her clinical duties including wound care and the proper administration of medicines. One senior member if the staff team was however less clear about the need to refer allegations or suspicions of abuse to the local care management team and to seek their advice about how any investigation will be conducted. A requirement is made to ensure all senior staff, who have already received training in this area, actually understand their responsibilities. The home uses a standardised format for residents’ care files and those checked are being maintained in good order by the staff in particular the nursing staff who are responsible for the clinical care of residents. Care staff (non-nursing staff) were also interviewed. Residents and relatives described care staff as kind and helpful and during the course of the site visit they were seen to be acting in a caring and professional manner. There was a sense of a well motivated and positive team of workers in this home. It can be concluded that residents are safe in the hands in the hands of the staff team worker in this care home and so this section is assessed as good because the arrangements for staffing are acceptable including staff training and staff recruitment. Staff moral seems very positive. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 37 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is registered with the CSCI as a person competent to run this home in accordance with its stated aims and objectives and so in the best interests of the service users. The home is well managed, including finances, and is largely safe for service users; some exceptions to this are listed below. EVIDENCE: The manager is registered with the Commission as is therefore assessed as competent to manager Hamilton Nursing Home. She is supported by a management team that includes administrators and personnel staff as well as a full time trainer. The management of the home is therefore managed by team and appears to be competently run. With this team to back her up the home is being run in the best interests of the residents. As a large organisation the company keeps a number of records off-site at their headquarters, including some staff records and some records of service users’ money – the home must therefore confirm that the Commission has Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 21 agreed the arrangements for doing so and those details must be readily available for inspection in the home including details of the specific arrangements for Commission inspectors to have access. The manager of the home must also be clear about what those arrangements are. The procedures for managing residents’ money were checked. Some money is held centrally at the headquarters and a small amount is held within Hamilton. Both arrangements appeared safe; accounting was clear and residents’ access to their money is well managed. In respect of the management of safety in the home a number of matters requiring attention were identified; these include fire safety, doors wedged open or not closing fully. Window and door security needs to be reviewed including locks on final exits and restrictors on windows to ensure residents are safe in unlawful entry and unsupported egress from the home. The kitchen must be better organised; it must be thoroughly cleaned and arrangements for storing food improved. In respect of the management of care and the arrangements for admitting service users - the home has admitted a service user ‘out of category’ despite a clear diagnosis reported in the initial assessment documentation. The manager is required to address this problem without delay. This section is assessed as good because the overall management of the home appears sound, there are shortcomings as listed in the findings table; these are matters that are the responsibility of the manager for example in respect of hygiene and fire safety. The Commission is however confident that theses matters will be addressed. Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 1 Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 23 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 OP3 Regulation Requirement Timescale for action 30/08/06 2 OP18 3. OP19 4. OP26 14(1)a b c Admissions: The home must not and d admit service users outside its registration category; The home is required to admit only those service users for whom the home is suitable and the home capable of meeting the service user’s needs and for whom the home has the correct registration. 13(6) Staff training: Staff must be trained in the procedures for dealing with the protection of vulnerable adults and must staff must be able demonstrate that they understand the procedures for referring allegations of abuse to their local care management team without delay. 23(2)L Storage: The home must provide adequate storage space for the safe storage of food. Food must not be stored in shelters open to the weather and to potential rodent infestation and theft. 23 (2)d Cleanliness: The Registered Provider must ensure that bedrooms are thoroughly DS0000026247.V287799.R01.S.doc 30/06/06 30/08/06 30/06/06 Hamilton Nursing Home Version 5.1 Page 24 5. OP26 23 (2)d 6. OP29 Schedule 2 (7)(a) cleaned including walls. This remains outstanding from 01/11/05. Cleanliness: The kitchen must be 30/06/06 kept thoroughly clean including walls and floors and all equipment used in the kitchen such as the microwave cooker. The kitchen must be kept clear for the safe preparation and of food and so must be kept clutter free. The Registered Provider must 30/06/06 ensure that no staff member is employed to work in the home unless there is a satisfactory police check in place and the Commission has agreed in writing the arrangements for Inspectors to have access to staff records. It is acknowledged that these records are held by the company but are off-site. This remains an outstanding requirement from 01/11/05. Fire Safety: All fire doors must be kept closed unless held open by a magnetic door holder that responds to the fire warning system and is free to close when activated. These doors must be capable of closing fully to their stops. This includes the kitchen door, bedrooms doors and the doors on landings. Security: all external doors and windows must be checked to ensure they provide for the safety and security of residents; doors must be open in the case of an emergency without the use of a key and windows must be safe from unauthorised access. 30/06/06 7. OP38 23(4)c 8. OP38 23 (2)(a) 30/06/06 Hamilton Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 25 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 Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Nursing Home DS0000026247.V287799.R01.S.doc Version 5.1 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. 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