The Hamptons

Updated 21 October 2022

The Hamptons is a High Dependency Rehabilitation Unit for men with mental health needs between the ages of 18 and 65 years old. It has 14 beds and can admit both informal and detained patients. At the time of the inspection, all patients were detained under the Mental Health Act. There were 13 patients in the service.

The Hamptons has been registered with CQC since 3 February 2011. The service is registered to provide the regulated activities;

• Assessment or medical treatment for persons detained under the Mental Health Act 1983
• Treatment of disease, disorder or injury

There were two registered managers in post, one of whom had progressed within the organisation and the day to day management of the service was overseen by the other registered manager. This registered manager was also the registered manager of another service in the same site. One of the registered managers was also the controlled drugs accountable officer.

There have been six previous inspections of The Hamptons. The most recent was in November 2017, the service was rated as outstanding overall with safe, effective and responsive rated good and caring and well led rated outstanding.

What people who use the service say

We spoke with six patients and four carers.

Patients told us it was the best service they had been to, better than previous placements. They saw their consultant regularly and had access to the advocate who they found helpful. Patients told us they had one to one time with their named nurse. All patients we spoke with knew what their discharge plan was. Some patients enjoyed the group outings, cooking opportunities including the breakfast group and enjoyed the opportunity to do work around the service as part of therapeutic earnings, for example clearing the garden.

However, patients said there wasn’t that many activities that appealed to them. Cleanliness of the kitchen was also an area discussed by patients, especially cutlery and crockery being dirty on occasion. They told us they didn’t see the managers very often as they were based at the service next door.

Food had been an issue in the past however, a new chef had recently started, and patients said the food was a lot better now.

All the carers we spoke with were positive about the service, especially in relation to the previous placements their loved ones had been in. Carers were given information about the service, invited to meetings and sent minutes if they could not attend. Carers were pleased with the variety of multidisciplinary team members that their loved one had access to, to aid their recovery.

Updated 21 October 2022

Our rating of this location went down. We rated it as requires improvement because:

• There was no emergency medicines stored in the service. This did not meet the requirements of the guidance which stated they should have a minimum of adrenaline.
• Staff were not receiving autism and learning disability training which is now a requirement of the Health and Care Act 2022.
• Registered staff were not receiving immediate life support training which is a requirement of Resuscitation Council UK.
• The service had commissioned MAYBO as an accredited provider for Bild Association of Certified Training, which complies with the Restraint Reduction Network Training Standards. However, this should have been introduced in April 2021 and there was only 60% compliance at the inspection, meaning there was not enough trained staff to ensure staff could respond to incidents.
• Staff records did not meet the requirements of Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We reviewed five staff files and there were gaps in three of the records.
• There was no oversight of the induction of agency staff. There were five agency induction checklists missing for agency staff that worked in the two weeks prior to the inspection.

However:

• Staff assessed and managed risk well and followed good practice with respect to safeguarding.
• Medicines were managed safely.
• Records showed regular supervision and appraisals took place. Appraisals included the 360 feedback from patients.
• Patients spoke positively about the service, including the improvement in the food, following a new chef starting.

Updated 21 October 2022