Inspection on 17/05/05 for Hamilton Rest Home

This inspection was carried out on 17th May 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hamilton Rest Home 16/08/07

Hamilton Rest Home 21/09/06

Hamilton Rest Home 05/12/05

Hamilton Rest Home 14/10/04

Hamilton Rest Home 21/04/04

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

CARE HOMES FOR OLDER PEOPLE Hamilton Rest Home 211 Bury New Road Whitefield Manchester M45 8GW Lead Inspector Mike Murphy Announced 17 May 2005 09:30 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 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 Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hamilton Rest Home Address 211 Bury Old Road Whitefield Manchester M45 8GW 0161 766 7418 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Eric Walters Mr Eric Walters CRH - Care Home 22 Category(ies) of OP - Old Age - 22 registration, with number of places Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 October 2004 Brief Description of the Service: Hamilton House is a large attractive detached property situated on a main road in Whitefield. The gardens are well maintained and attractive. Hamilton House provides residential care for up to 22 older people. the home is easily accessed by car and public transport. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was the home’s first of two annual inspections for the inspection year 2005 to 2006. The inspection took place over five hours. The inspection included discussion with residents, a tour of the premises, inspection of care and other records maintained at the home, discussion with management and staff, and consideration of responses in returned questionnaires sent to residents, their supporters and others who visit the home such as social workers, doctors and nurses prior to the inspection. The home was well-managed and provided residents with a clean and comfortable environment in which to live. Residents were supported and cared for appropriately and encouraged to make personal choices and retain as much personal independence as possible. What the service does well: What has improved since the last inspection? Residents were of the view that activities and entertainment provided by the home had improved over recent months particularly in relation to quality and variety. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 6 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. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,5. Prospective residents and their supporters are enabled to make informed choices about the home. EVIDENCE: The home provided a statement of purpose and service users guide that was readily accessible to all potential and existing residents and their supporters. Inspection of these documents revealed that they provided appropriate information in respect of the services provided by the home. These documents were readily accessible to residents and their supporters. Those spoken to found the information easy to understand and were of the view that they fairly reflected the service provided. Inspection of the contract of terms and conditions issued to residents by the home indicated that this document was appropriate and has been reviewed and appropriately amended. Inspection of care records revealed that all prospective residents undergo a formal pre-admission assessment that is conducted by a senior member of Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 9 staff from the home. Records of assessment revealed that all the relevant activities of daily life were assessed appropriately and any areas of need in these areas identified. Such an assessment ensures that the home identified precisely what prospective needs are and that the home will be able to provide the care that individual needs. Discussion with residents, management and staff, and inspection of care records indicated that the care and accommodation provided were meeting residents assessed needs. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10. The health and personal care needs of residents at the home continued to be assessed and addressed appropriately. The arrangements for the management of resident’s medicines were appropriate and staff were observed to interact and assist residents sensitively and appropriately during the inspection. EVIDENCE: The health care records of 7 residents were inspected on this occasion. These were found to contain care plans that were initially based on the pre-admission assessment that is referred to earlier in this report. Care plans appeared to address the health, personal and social care needs of residents and were formally evaluated on a regular basis. Risk assessments, that seek to protect resident’s health and safety were also recorded in respect of residents skin integrity, mobility, and nutrition (including weight monitoring) and other relevant areas. The arrangements for resident’s medicines were secure and appropriately documented. These arrangements are operated by senior staff at the home all of who have undergone recent (December 2004) training in the management and administration of medicines. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 11 Discussion with residents indicated that staff at the home treat them with respect and seek to maintain resident’s dignity and privacy particularly when personal care is being provided. Examples of such comments are ‘ the girls are always polite and willing’, ‘they help me willingly’, ‘my privacy is respected’ and ‘I am well looked after here’. Residents also indicated in their comments, and this was supported in discussion with staff and inspection of care records, that residents are able to access health care services appropriately, this included access to opticians, dentists, and chiropodists. Clearly this assists residents in maximising their health and well being. All residents were registered with a local GP. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 standard(s) 12 & 15 Social and leisure activities were organised and varied providing stimulation and interests for residents. Meals provided a balanced and varied diet. Both these are important areas for residents as they are central components of how they describe their satisfaction or otherwise with a home. EVIDENCE: Discussion with resident’s indicated that they were very satisfied with the personal choices and freedom they were able to exercise. Comments regarding this included ‘I am able to choose when I get up in the morning and when I go to bed’, ‘I am able to go out with my family when I want’ and ‘I can go to my room when I want to and my privacy is respected’. They were also satisfied with the range of activities, entertainments and outings provided. A programme of activities was prominently displayed in the home – this enables residents to be aware what is available and to choose what activities they wish to participate in. This programme of activities is supplemented by a variety of entertainers coming to the home, and a range of outings, that provide appropriate opportunities for residents to experience life and leisure outside the home. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 13 Residents spoke very positively in respect of the food provided at the home, flexibility of meal times, choice of meals and dining areas provided. Comments made included ‘ the food is excellent here’, ‘I can have something else to eat if I wish’. Menus were varied, balanced and provided extensive choice. Inspection of the kitchen revealed that it was clean, adequately equipped and managed. Staff served and assisted residents appropriately and sensitively with their lunch on the day of inspection. This was a hot, substantial and well presented meal. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 standard(s) 16 & 18 Appropriate arrangements had been made to provide an environment where residents and their supporters feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. EVIDENCE: Discussion with residents and inspection of responses in pre-inspection questionnaires and the service users guide issued by the home indicated that there was a general awareness and information provided that enabled people to make a complaint if they desired. A detailed and accessible complaints procedure and record was in place and prominently displayed in the home, which included details of how complainants could contact the CSCI if desired. Resident’s spoken to felt comfortable and confident enough to raise a complaint if they felt it necessary to do so. Inspection of policies and procedures operated at the home, discussion with staff and inspection of staff training records indicated that staff were aware of the importance of protecting resident’s from potential abuse and how to communicate any concerns they may have in this area. The inspector gave advice on accessing training for staff that relates to the protection of vulnerable people. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 15 Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,22,23,24,25,26 The home appeared to be structurally well maintained and to provide an appropriate environment for residents to receive personal care and accommodation. EVIDENCE: An ongoing programme of refurbishment and redecoration was in operation at the time of this inspection. All areas of the home designated for resident’s use were accessible to them – including a substantial well-maintained rear garden. Adequate and suitable WC and bathing provision was accessible to service users. 6 resident’s bedrooms were inspected on this occasion – these were clean, appropriately/adequately furnished and very personalised. However not all rooms were provided with a lockable space or door lock. The inspector was informed that lockable spaces were eventually going to be provided in all rooms as furniture was replaced, however one would be supplied on request if desired. The inspector was also informed that an appropriate door lock would also be provided if desired. The arrangements regarding lockable spaces and Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 17 door locks should be clearly detailed in the service users guide provided in the home and individual residents preferences noted in their care records. It was also noted that the floor coverings in both the communal lounge and dining room were marked and very worn. Clearly both were in need of replacement. The home was clean and free of odour at the time of this inspection. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29, &30. Staffing arrangements at the home appeared to be appropriately managed and suitable to meet the assessed needs of residents at the home. EVIDENCE: Inspection of staffing rotas provided by the home indicated that staffing provision at the home complied with the current minimum requirements that apply to care homes for older people. Discussion with management at the home indicated that they were of the view that staffing levels were appropriate to meet the dependency levels of resident’s. Inspection of 2 recently employed staff personnel files revealed that these contained an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check), proof of identity and evidence of induction training. Inspection of training records demonstrated that staff at the home were provided with appropriate training in care and related issues – including NVQ training. Indeed 88 of staff have obtained NVQ2 or above accreditation. This can only be of benefit to residents in relation to the quality of care they receive. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 19 Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,36,38 The home was being appropriately managed at the time of this inspection. This is important as residents need to have confidence in and access to competent managers. EVIDENCE: Residents and their relatives were very positive about the manager being accessible and approachable. They were of the view that their concerns were addressed promptly and in a manner that made them comfortable in expressing their views and concerns. The arrangements for the management of residents personal allowance monies (where these are managed by the home) were secure and appropriately documented. Residents confirmed to the inspector that they were able to access monies when they required them. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 21 Discussion with staff, inspection of staffing records, and inspection of staff supervision and training records indicated that staff were properly supervised whilst caring for residents. Records in respect of fire safety equipment, fire drills, electrical safety, lifting equipment, clinical waste removal, and the regulation of water temperatures were inspected. These were found to be satisfactory. However up to date certificates certificate of safety/servicing in respect of the gas supply and chair lift were not available for inspection. The registered manager informed the inspector that he would remedy these deficits. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 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 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 x 2 Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 23 yes 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. 2. Standard 20 38 Regulation 16 37 Requirement That the floor coverings in the dining room and communal lounge are replaced That the registered person submits notifications to the CSCI as detailed in regulation 37. (This is an outstanding reguirement). That a copy of the current gas safety certificate is forwarded to the CSCI That a copy of safety/ certificate of servicing is forwarded to the CSCI in respect of the homes stair lift Timescale for action 31st of August 2005 ongoing 3. 4. 38 38 13 13 30th of July 2005. 30th of July 2005 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 24 Good Practice Recommendations The arrangements regarding lockable spaces and door locks should be clearly detailed in the service users guide provided in the home and individual residents preferences noted in their care records. Hamilton Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton, BL6 6HG 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 Rest Home F56 F06 S8403 Hamilton V216556 170505 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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