Inspection on 04/01/07 for Hamiltons Residential Home

This inspection was carried out on 4th January 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hamiltons Residential Home 16/10/08

Hamiltons Residential Home 16/10/07

Hamiltons Residential Home 12/12/05

Hamiltons Residential Home 18/07/05

Hamiltons Residential Home 16/11/04

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

CARE HOMES FOR OLDER PEOPLE Hamiltons Residential Home 26 Island Road Upstreet Canterbury Kent CT3 4DA Lead Inspector Jenny McGookin Unannounced Inspection 4th January 2007 10:00 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 Hamiltons Residential Home DS0000061038.V312509.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 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. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamiltons Residential Home Address 26 Island Road Upstreet Canterbury Kent CT3 4DA 01227 860128 01227 860128 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) MGL Healthcare Ltd Mrs Kerry Louise Mullens Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: Hamiltons is a large, detached property situated on the main road in the village of Upstreet and is registered to provide care for up to seventeen elderly residents. Currently there are twelve residents living there and the Registered Manager stated that they would not take more than fourteen as the three double bedrooms in the home are occupied as single rooms. All bedrooms have television, telephone, and a call system facility. The Home has an attractive garden to the rear with a wide flat pathway suitable for wheelchair users. There is some parking to the front of the property. Canterbury and the seaside towns of Whitstable and Herne Bay are within 30 minutes drive away. The home does not have its own vehicle but there is public transport from the village. The current fees for the service at the time of the visit were not available. Information on the Home’s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose and Service User Guide. There is no e-mail address for this home. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit, which was used to inform this year’s key inspection process and to check on any developments since the last available inspection report (December 2005), given no matters were raised for attention on that occasion. It was also used to review findings on other aspects of the day-to day running of the home not covered by the previous inspection report. The inspection process took just under nine and a quarter hours. It involved meetings with four residents (including one group of three over lunch), the manager and two staff, representing the care side as well as catering. Interactions between staff and residents were observed throughout the day. The inspection also involved the examination of records and the selection of three residents’ case files, to track their care. Seven bedrooms were inspected for compliance with the National Minimum Standards on this occasion, along with communal areas / facilities. What the service does well: What has improved since the last inspection? There were no requirements or recommendations arising from the last inspection (December 2005), indicating the registered person is working well with the regulators and other agencies to maintain satisfactory standards. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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 Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 1, 2, 3, 4, 5, 6 Prospective residents and their representatives do not have all the information needed to choose a home which will meet their needs They have their needs assessed and a contract which clearly tells them about the service they will receive. This home does not provide intermediate care. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been combined into one document, which usefully provides a range of information on the home, its principles of care and its facilities and services. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 9 However, even when read in combination, this document does not fully comply with all the elements of the National Minimum Standards which apply, so that prospective residents and their representatives do not have all the information they should have to make an informed choice of home. The detail has been reported back to the home separately. The residents spoken to on this occasion were not able to recall the preadmission process in any detail. However, records confirm that an assessment of needs is carried out before each admission, either by the funding authority (and supplemented by the home’s own) or home (if the placement is self funded). There are opportunities to visit the home before admission to assess its suitability for themselves, and there is a four-week trial stay. Each admission is properly confirmed by a contract. The contract generally complies with the elements of the National Minimum Standard, though it does not identify the allocated room or describe it’s provisions. Both elements are recommended. This home does not provide intermediate care. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 7, 8, 9, 10 The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Each resident has a plan of care based on the initial preadmission assessment. The care plans properly set out, in good practical detail, the action, which needs to be taken by care staff to ensure that all aspects of the health and personal care needs of the residents are met. They clearly establish the residents’ individual capacity for self-care in each case. This level of practical detail is judged a key strength of this home. And care plans are properly underpinned by a range of risk assessments, covering the individuals, their behaviour, activities and their environments, with particular attention to continence management, the prevention of falls, Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 11 tissue viability and pressure area care. Records confirm that the plans are reviewed at least once a month, to reflect changing needs. Less clear, however, was the extent to which residents are actively engaged in the care planning process. Records need to better evidence this. The residents spoken to on this occasion showed little recognition of the process, though they did recall being asked questions about their care on a day-to-day basis and were very appreciative of the level of care given. The residents’ health is monitored regularly. This home is served by five GP practices, so that residents have some choice. And records confirm they have access to a range of medical services, according to need. One resident was receiving speech and language therapy following a stroke, for example. It was difficult to see, however, what capacity the home has to free up staff to accompany residents to hospital for emergency / unscheduled visits, should these occur in the afternoons or evenings when staffing levels appear to be at their thinnest. There is a policy and procedures, for the receipt, recording, storage, handling, administration and disposal of medicines, and this has been underpinned by staff training since the last inspection. There were no gaps or anomalies in the medication administration records seen. All the bedrooms in this home are single occupancy, which means health and personal care can be given in privacy. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Residents are able to have visitors at any reasonable time and there are some links with the local community. There is a communal pay phone in the main lobby, but this does not provide much privacy. Residents can, however, arrange to have phones installed in their own rooms at their expense – something like 11-12 have done so. Unless other arrangements have been made, residents receive their mail unopened. The home is on the A28, and No.8 bus route, linking it to Canterbury, Margate and Broadstairs. Upstreet has a pub a few doors away and a post office / general store. The mobile library stops at Upstreet once a week, and there is Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 13 an over 60’s club in Hersden. There is no activities programme or activities coordinator to ensure up to date information about activities (on and off site) is circulated. This is recommended. The daily routines in this home are flexible, to suit the residents’ individual preferences and capacities, and there are some opportunities for appropriate exercise (e.g. armchair exercises), and, although the home does not have its own vehicle this can be hired in, so that individual or small groups can be taken out. Activities on site include Bingo, cards, Ludo, snakes and ladders, drawing and painting, singing sessions. Staff have some one-to-one sessions with some of the residents to discuss the old times, though it was difficult to see the scope for this in afternoons or evenings when staffing levels are judged at their thinnest. Motivation is said to be variable. On the odd afternoon residents say they would prefer to have a bath or have their nails or hair done. This is facilitated. A hairdresser comes in fortnightly, and staff will dress the residents’ hair in between times. Catering needs are properly identified as part of the preadmission process and updated or amended thereon. Records are maintained of intake, and weight is monitored. The inspector joined a group of residents for lunch and judged the meal well prepared and well presented. The residents confirmed this was representative, and that alternatives were readily available. The pace was unhurried and congenial. The dining room provides a pleasant setting, and the provision of vases of flowers, fabric tablecloths and aperitifs judged a homely touch. Some special equipment and therapeutic diets/feeds are provided and staff are ready to offer assistance in eating where necessary, sensitively. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 16, 18 Records need to better evidence that residents have access to a robust, effective complaints procedure. Residents are protected from abuse and have their legal rights protected. EVIDENCE: This home has a simple, clear and accessible complaints procedure which includes the stages and timescales for the process, so that complaints can be dealt with promptly and effectively. A recent quality assurance feedback exercise indicated that individuals knew who to talk to if they had any concerns or complaints. However, although there is a registere for comments and complaints on display in the reception area, pre-inspection information indicates that no complaints have been registered. This is not judged a realistic reflection of communal living, and the inspector was aware of one or two issues which could have been usefully pursued through the home’s complaints procedure. The challenge will be to better evidence that residents and their representatives can have the confidence to use this process, and are supported to do so. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 15 The home has procedures to ensure that service users are safeguarded from abuse in all its forms, and staff confirmed their commitment to challenge and report any incidences of abuse, should they occur. However, staff need to better familiarise themselves with the Kent and Medway multi agencies protocol, to ensure a timely and co-ordinated approach. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 19, 20, 21, 23, 24, 25, 26 The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The location and layout of the home is suitable for its stated purpose; it is accessible, safe and well-maintained. Measures are in place to keep the premises secure against unauthorised access, without infringing on the residents’ freedom of movement. The design of the rear garden is, in particular, judged a key strength of this home. It provides a choice of discrete areas to wander or sit in and there are Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 17 attractive, focal features in every direction. The landscape designer is to be congratulated. The home has a “No Smoking” policy, which means smokers are required to take their breaks on an external patio area just outside the lounge. While this is sheltered by the home’s external walls on two sides, it is, nevertheless still exposed to the elements, and residents were observed shivering as they took their break during this site visit. It could also have the effect of creating a smoke cloud by the only exit route from the lounge. More discrete, sheltered provision is recommended. All areas of the home inspected were found to be homely and comfortably furnished. Comfortable temperatures and lighting levels were being maintained throughout. The communal areas of this home are reasonably spacious, though the inspector understands an extension is planned to increase the available communal space. The furniture tends to be domestic in style and there were homely touches everywhere. The seating in the dining and lounge areas is of a good quality and, although uniform in style, this is judged appropriate to the needs of the current residents. This home is registered to provide care for up to seventeen residents, but has been using three rooms, originally intended for use as double rooms, as single rooms. One of these rooms is judged unsuitable for restoration as a double room. While these bedrooms are retained for single occupancy, it means residents can be assured of privacy. Seven bedrooms were inspected and judged well maintained and personalised. In terms of their furniture and fittings, they were, however, generally not fully compliant with all the provisions of the National Minimum Standards e.g. a second comfortable chair was missing. While their non-provision was verbally justified, this needs to be supported by fully documented consultation and/or risk assessment. Portable cash tins need to be secured against a firm surface, as a precaution against their loss. Some fabrics in bedrooms were, moreover, starting to look faded, and would benefit by renewal. All bedrooms can have a television, telephone, and all are linked to a call system facility. Eight bedrooms have en-suite facilities, and two have their own shower facilities. There are also three communal adapted bathrooms, four communal WCs i.e. reasonably accessible to bedrooms and communal areas. However, there are no communal shower facilities – this is recommended, so that residents have a choice. The premises are kept clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection, including (this is a curiosity of this home) a requirement to all visitors and staff Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 18 to apply a disinfecting gel to their hands as a condition of entering the home. There had reportedly been a recent inspection by an Environmental Health officer, but there was no supporting report available for inspection. This should be followed up. Laundry facilities are properly sited away from dining and food storage / preparation areas, and are judged hygienically maintained. The home’s washing machine has the specified programming ability to meet disinfection standards and uses alginate sacks as a further precaution (though stocks had been depleted by the time of this visit). The home has appropriate measures for the safe handling and disposal of waste (clinical and domestic / business). All the maintenance records seen were generally up to date and systematically arranged. A few matters were raised for consideration or attention, to improve the facilities. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 27, 28, 29, 30 Staff in the home are adequately trained, but this matter requires further investment and some adjustments are needed to their deployment to fill the aims of the home and meet the changing needs of residents. EVIDENCE: This is a mixed gender team, which reports working harmoniously and flexibly to meet the day-to-day needs of the residents. Changes have been made to their deployment since the last inspection, which reflect this. There are, for example, no longer any dedicated domestic staff – the domestic tasks / hours have been absorbed into the direct carers’ tasks/hours, to better meet the residents’ needs, and this is said to be to generally good effect. The staff are to be commended on the level of cleanliness found. Overall, the staffing arrangements at this home were judged generally sufficient to keep the residents safe, but an examination of rotas for a 4-week period (September/October 2006) indicated that staffing levels in the afternoons only exceeded 2 on three occasions and never exceeded two during the evenings. This indicated there was insufficient flexibility to meet any sudden emergent needs of residents, such as unscheduled hospital visits, or competing personal care requirements – one resident’s request for a bath Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 20 would, for example, leave one other member of staff endeavouring to meet the needs of everyone else. This has been raised as an issue warranting further attention by the previous inspection, and from feedback from residents and relatives, and should now be treated as a priority. An examination of three personnel records, selected at random, confirmed a generally adequate recruitment process to comply with the key elements of the standard (though there were a few isolated gaps), and induction – though TOPSS accredited induction is said to have been subject to funding constraints. Even less assured, was compliance with the National Minimum Standard in respect of formal staff supervision sessions, due in part to the manager’s sickness absence, though staff confirmed that these sessions properly covered all those elements prescribed by the standard, and that the manager was accessible and supportive. Staff training records were inspected on this occasion, which confirmed information obtained from staff and previous inspections i.e. that there is a generally adequate level of investment in mandatory training (e.g. moving and handling, medication, food hygiene, First Aid and Health and Safety, COSHH and infection control) to keep the service users safe, as well as some specialist training such as dementia care, administration of oxygen. However, only something like 29-30 of staff are currently reported to be accredited to NVQ Level 2 or above. Although four staff are waiting to register, this matter must be addressed as a priority, in order to maintain parity with expected standards – though the inspector does not judge the service users’ safety and well-being are in any way being compromised. 29.4 Staff are employed in accordance with the code of conduct and practice set by the GSCC and are given copies of the code. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 31, 32, 33, 38 The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The inspector judged the registered manager’s experience and management style were generally appropriate to her role, and that generally good use has been made of the regulatory framework to keep service users safe and to maintain their well-being. Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 22 The processes for managing this home were clear and open to inspection, and there was good evidence of residents being supported to make choices on a day-to-day basis. There was also good evidence of feedback questionnaires year on year (most recently, May 2006) from relevant stakeholders (most notably, residents and relatives) on a range of aspects of the home’s operation. Ans a small selection of comments are published in the home’s Service User Guide, in compliance with the National Minimum Standard. Records confirmed regular health and safety audits. The home appeared to be generally very well maintained and hazard free. All maintenance records seen were up to date and systematically stored, so that service users remain safe. And there was good investment in risk assessment. Less clear, however, was the extent to which the structure of the overall organisation offered generally clear lines of accountability. There was no evidence on site of the proprietors’ own inspection visits, which are supposed to be happening at least monthly. There needs to be a corporate business plan, and this home needs to set up its own annual dev elopement plan, to reflect local provision and resources – and to link with its quality assurance initiatives and auditing arrangements, to obtain full compliance with this standard. The views of service users and feedback from other stakeholders will be crucial to the success of this. See standard 22 on complaints. The challenge will be to demonstrate, through proper record keeping, that issues causing dissatisfaction are listened to and acted upon. Some policies prescribed by the CSCI were not in place, but their introduction was said to be planned. Hamiltons Residential Home DS0000061038.V312509.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 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 2 2 3 3 3 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 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 4 2 X 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 2 2 3 Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP1 Regulation 4, 5 & Schedule 1 18 Requirement The home’s Statement of Purpose / Service User Guide document needs to be fully compliant with all the elements of this standard. Further investments are required in the deployment of staff to provide the flexibility to meet any sudden emergent needs of residents. Action plan to be submitted The home needs to obtain a minimum of 50 NVQ accredited staff team. Action plan to be submitted The Responsible Individual must supply evidence of compliance with the regulatory duty to carry out inspection visits at least monthly, and to provide reports of the same. There needs to be compliance with the National Minimum Standard in respect of formal staff supervision sessions The home needs to ensure that all staff receive induction and foundation training and updates to meet TOPSS specification on DS0000061038.V312509.R01.S.doc Timescale for action 28/02/07 2 OP27 28/02/07 3 OP28 18(1)(a) 28/02/07 4 OP33 26 28/02/07 5 OP36 18(2) 28/02/07 6 OP38 18 28/02/07 Hamiltons Residential Home Version 5.2 Page 25 all safe working practice topics. Action plan to be submitted 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 2 3 4 5 Refer to Standard OP1 OP2 OP7 OP16 OP18 Good Practice Recommendations An admission checklist is recommended to evidence the issue of a Statement of Purpose, Service User Guide, contract and other key public information The contract should identify the allocated room and its provisions. Records need to better evidence the active involvement of residents and their representatives in the care planning and review processes. The challenge will be to evidence that residents and their representatives can have the confidence to use the home’s complaints process, and are supported to do so. Staff need to better familiarise themselves with the Kent and Medway multi agencies protocol, to ensure a timely and co-ordinated approach to adult protection, should it occur. More discrete, sheltered provision is recommended for smokers. Bathroom/ WC facilities. The following matters are raised for attention / consideration. • There should be communal shower facilities, so that residents have a choice. • G/F communal WC – cistern handle stiff to operate • Paintwork on chair in one bathroom (middle floor) very worn • 1st floor bathroom should have a chair for assisted dressing. One curtain coming adrift. Room 6 en-suite had a noisy extractor Bedrooms. The following matters are raised for consideration: • The furniture and fittings should be checked for compliance with all the provisions of the National Minimum Standards. Non-provision needs to be supported by fully documented consultation and/or risk assessment. DS0000061038.V312509.R01.S.doc Version 5.2 Page 26 6 7 OP19 OP21 8 OP24 Hamiltons Residential Home 9 OP29 Portable cash tins should be secured against a firm surface, as a precaution against their loss. • Some fabrics in bedrooms would benefit by renewal. Recruitment / induction records should evidence that any staff employed by the home are given copies of the code of conduct and practice set by the GSCC. • Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hamiltons Residential Home DS0000061038.V312509.R01.S.doc Version 5.2 Page 28 - 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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