Care Home: Hampton Court

What the care home does well We looked at the care records for two people who live in Hampton Court and tracked aspects of their care to ensure they are being supported properly and safely. People who live in Hampton Court have been diagnosed with dementia by relevant mental health professionals. We found that a lot of information had been gathered about each person and recorded by staff from Hampton Court before they moved in. This was through meeting them and consulting with health professionals, social workers and family representatives. The assessment of each person`s needs and preferences continued when they were living in the home and the outcomes formed the basis of their care plans. These plans had been reviewed by staff every month and or in accordance with any change in the person`s condition. There were individual updated risk assessments in place to identify risks to their safety and we saw examples of action taken by staff to eliminate safety hazards. In this way the home ensures that people are getting the support they need and risks to their wellbeing are being identified and well managed. We found people`s physical and mental health needs were being well supported and there were clear records of contacts with health professionals, social workers and paramedical services. Care records showed us that staff had obtained more information about the social, cultural and leisure needs of people who live in Hampton Court. This means that staff have the information they need to make sure the care and support provided is right for that person. We looked at how people`s prescribed medication is managed by tracking medication records for two people and looking at the storage arrangements and procedures in place in Hampton Court. Medication is blister packed and stored in a locked and secured trolley.For staff guidance there are medication procedures in place and staff who give out medication have received training. The records of medication given to each person were checked and found to be in order. All the medication for two people whose care we tracked was in stock. We were informed that the manager carries out monthly audits of medication to ensure the systems are being followed and that all medication accepted into the home will be accounted for. We saw the home`s complaints procedure which is given to people who live in Hampton Court and their representatives. The home keeps records of complaints made directly to the manager and remedial action she has taken where complaints have been upheld. This showed us that the home takes complaints seriously. We have not received any complaints about Hampton Court since our last review of the service. We looked at safeguarding procedures and training and found there are systems in place to ensure that people will be protected from abuse and harm. We found that staff understand the safeguarding and "whistle-blowing" procedures because they are given relevant training and written guidance. We met and spoke with three people in the lounge and three people in the dining room. They appeared relaxed in their surroundings and were enjoying the extra day space available to them since their home has been extended. The building work, decoration and furnishings are to a high standard and in keeping with the environmental needs of people who have dementia. We saw that there were staff present to supervise and support staff in the lounges and dining areas. What the care home could do better: We have not made any requirements or recommendations regarding the standards we looked at during this visit. The findings were that those standards were being met. We looked at the AQAA where the providers have told us about the action they consider could be taken to improve the service. They told us that they consider training to be an evolving process and anything that improves the performance of staff will always be considered. They told us they want to target service users` views more effectively to ensure that the home will be managed and developed in line with their needs and preferences. They also want to improve social activities for service users to provide more choice and variation in lifestyle and experiences. Random inspection report Care homes for older people Name: Address: Hampton Court 34 Scarisbrick New Road Southport Merseyside PR8 6QE two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Patricia Thomas Date: 1 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: Hampton Court 34 Scarisbrick New Road Southport Merseyside PR8 6QE 01704532173 01704532172 finance@rhcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Janet Marshall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ramos Healthcare Limited care home 26 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 26 The maximum number of service users who can be accommodated is:26 The registered person may provide the following category of service only: Care home Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE Date of last inspection Brief description of the care home Hampton Court is a large detached house, which has undergone conversion to provide residential care for older people who have a degree of mental health need. The building was originally a Victorian dwelling house set in its own grounds, situated on a regular bus route, about half a mile from the town centre of Southport. The accommodation is divided over three floors, the day facilities being on the ground Care Homes for Older People Page 2 of 8 2 7 1 1 2 0 0 8 Brief description of the care home floor, with bedrooms on the ground and upper floors. The home has recently been extended to provide increased lounge space for service users. Also, there is a new passenger lift and six new en-suite bedrooms, three on the ground floor and three upstairs. There are also new bathrooms in the extension (one on each floor) providing extra bathing and showering facilities. The office is on the lower ground floor, as are the laundry and kitchen. Externally there is a garden for service users and some off road parking. A new ramp has been constructed at the front of the home to replace the ramp which previously led into the rear garden. Ramos Healthcare Ltd own the home and the responsible person is Mr Roland Mangahas Ramos. Janet Marshall is the registered manager. Care Homes for Older People Page 3 of 8 What we found: We (the commission) carried out a random inspection at Hampton Court. We have not received any complaints or safeguarding referrals since our last visit and this inspection was scheduled as part of our regulatory activities. We looked at how peoples health and personal care needs are being met in Hampton Court. We also looked at how complaints are being managed and the systems in place to protect people who live in the home from harm or abuse. The visit was just one part of the inspection. Before the visit took place, we asked the manager to fill in a questionnaire. This is called the annual quality assurance assessment (AQAA). This gave us information about how the home is meeting the needs of the people who use the service and includes plans for further development. During our visit, we walked round the home and we checked care and safeguarding records. We spoke with people who live at the home and with the senior person on duty and staff. We used a system called case tracking. This is a way of inspecting that allows us to follow or track a particular situation to check that it was managed properly. Hampton Court has recently been extended and the number of people to be accommodated has increased from twenty to twenty-six. What the care home does well: We looked at the care records for two people who live in Hampton Court and tracked aspects of their care to ensure they are being supported properly and safely. People who live in Hampton Court have been diagnosed with dementia by relevant mental health professionals. We found that a lot of information had been gathered about each person and recorded by staff from Hampton Court before they moved in. This was through meeting them and consulting with health professionals, social workers and family representatives. The assessment of each persons needs and preferences continued when they were living in the home and the outcomes formed the basis of their care plans. These plans had been reviewed by staff every month and or in accordance with any change in the persons condition. There were individual updated risk assessments in place to identify risks to their safety and we saw examples of action taken by staff to eliminate safety hazards. In this way the home ensures that people are getting the support they need and risks to their wellbeing are being identified and well managed. We found peoples physical and mental health needs were being well supported and there were clear records of contacts with health professionals, social workers and paramedical services. Care records showed us that staff had obtained more information about the social, cultural and leisure needs of people who live in Hampton Court. This means that staff have the information they need to make sure the care and support provided is right for that person. We looked at how peoples prescribed medication is managed by tracking medication records for two people and looking at the storage arrangements and procedures in place in Hampton Court. Medication is blister packed and stored in a locked and secured trolley. Care Homes for Older People Page 4 of 8 For staff guidance there are medication procedures in place and staff who give out medication have received training. The records of medication given to each person were checked and found to be in order. All the medication for two people whose care we tracked was in stock. We were informed that the manager carries out monthly audits of medication to ensure the systems are being followed and that all medication accepted into the home will be accounted for. We saw the homes complaints procedure which is given to people who live in Hampton Court and their representatives. The home keeps records of complaints made directly to the manager and remedial action she has taken where complaints have been upheld. This showed us that the home takes complaints seriously. We have not received any complaints about Hampton Court since our last review of the service. We looked at safeguarding procedures and training and found there are systems in place to ensure that people will be protected from abuse and harm. We found that staff understand the safeguarding and whistle-blowing procedures because they are given relevant training and written guidance. We met and spoke with three people in the lounge and three people in the dining room. They appeared relaxed in their surroundings and were enjoying the extra day space available to them since their home has been extended. The building work, decoration and furnishings are to a high standard and in keeping with the environmental needs of people who have dementia. We saw that there were staff present to supervise and support staff in the lounges and dining areas. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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