Latest Inspection
This is the latest available inspection report for this service, carried out on 11th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
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.
For extracts, read the latest CQC inspection for Hamilton Lodge.
Annual service review
Name of Service: Hamilton Lodge The quality rating for this care home is: The rating was made on: three star excellent service 0 3 1 2 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Valerie Hoyle Date of this annual service review: 1 0 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Thelma Turner Homes Ltd, Hamilton Lodge Carr House Road Doncaster DN4 5HP 01302556046 01302329049 hamiltonvoyage@tiscalli.co.uk Voyagecare.com Voyage Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 10 0 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Hamilton Lodge is a Care Home registered to provide care for people with a Learning Difficulty. The home consists of a main building and a separate house that has been converted into 2 semi-independent living flats. The main building of the home has a good range of communal areas, which include 2 dining rooms and separate lounge spaces. All the bedrooms in the main building are single occupancy and have en-suite facilities. Each of the 2 semi-independent living flats are fully self-containedThe home is situated close to a municipal park and local shops. There is a large supermarket close by and the centre of Doncaster is approximately 1.5 miles from the home. There is a high staff ratio provided and emphasis is put on people who use the service integrating with the community and especially using the local college for education. Information gained on the 10th December 2009 indicates that the current weekly fees
Annual Service Review Page 2 of 6 The managers position is vacant 0 3 1 2 2 0 0 8 range from £1354.16 to £2282.01 each week. Additional charges include, meals whilst out of the home and personal toiletries. The home provides information to people who use the service and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report dated 3rd December 2008 is available on request from the manager. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? A random inspection of this service was undertaken on 7th September 2009 by the Pharmacist inspector Steve Baker. This inspection was undertaken following a number of notification identifying concerns about the administration of medication. The outcome of this inspection confirmed good practise takes place and medication is administered safely to people. We have looked at all information that we received, or asked for, since the last key inspection or an annual service review. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys that was sent to the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we may have made to this service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is the service is still providing an excellent service and they know what further improvements they need to make. As a result of listening to people they have begun to make improvements to the garden including landscaping and painting the fence. They have also replaced some communal furnishings and redecorated the dining area. People who live at the home have been involved in decisions about the decor. They told us that they have reviewed the care hours so that there is more staff at peak hours. They told us they are planning to review all support plans to make sure they reflect the current needs of people who use the service. The have planned service specific training to improve staffs skills and competencies, and they have made changes to the environment to encourage people to be more independent. Five surveys returned to us from people who use the service told us: Most responses Annual Service Review Page 4 of 6 said they were involved in making decisions about using the service. They all said they had been given a written plan which told them the support they would receive. People said staff always do the things that it says in their care plan and the agency staff always stay for the time that is agreed in their plan. They told us staff always respect their privacy and dignity and they listen and act on what they say to them. Staff support people with their medication if needed and they all said they knew how to make a complaint. People said staff takes us out on holidays and outings, and I enjoy going to the shops. I would like a bigger TV and new bedroom furniture, and a bigger bus so more of us can go out. I like it at Hamilton lodge, and I am looking forward to Christmas. I like it here staff are great. Twelve surveys returned from staff told us: All said they were given up to date information to enable them to deliver the care and support people need. They feel they were recruited fairly and thoroughly and the induction mostly covered things they needed to do their job. They said the training was relevant to their role and it helped them to understand and meet the needs of people who use the service. They said the training was up to date and gave them the knowledge about the healthcare of people. They feel supported by the managers, and they said they work well together as a team. Notifications received told us the service provides information to us about incidents that occur. The AQAA confirms the service follows safeguarding procedures, by informing other agencies about concerns. They work well with us and have shown us that their service continues to provide excellent outcomes for people who use it. The AQAA confirmed there have been three referrals to the safeguarding adults team since the last inspection of the service. The staff followed the safeguarding procedures and the organisation has been involved in undertaking investigations, and they are working with the safeguarding adults managers. They told us they train their staff to ensure they are able to recognise and react to any concerns they may have about protecting adults and they hold regular discussion with staff to check out their understanding of safeguarding adults procedures. The AQAA told us that there have been no complaints recorded in the last twelve months. They told us they have regular contact with people to ensure they deal promptly with any concerns they may have. The AQAA confirms that they continue to have robust recruitment and selection procedures, which ensures the right staff were employed and trained. A total of twenty-three staff work at the home in full/part time capacity. A total of nine staff hold a National Vocational Qualification (NVQ Level 2) with a further five staff who hold NVQ level 3 awards. The deputy manager has NVQ Level 4 and Registered Managers Award (RMA). What are we going to do as a result of this annual service review? It is our Statutory responsibility to inspect all care services at least once every 3 years. The completion of a risk assessment and annual service review has not changed our view of the quality rating of this service, therefore we are not planning to inspect this service before 2nd December 2011. Annual Service Review Page 5 of 6 Reader Information
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