4 March 2023
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Two Inspectors and an Experts by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Hampton House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
There was a registered manager in post. The registered manager was also the service provider.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We considered the feedback from the local authority and professionals who work with the service. We used the information the provider sent us in October 2022 in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 17 people who lived or were staying at Hampton House. We spoke with 6 people's relatives about their experience of the care and support provided by the service. We also spoke with a visiting healthcare professional.
We spoke with 7 staff including the registered manager, deputy manager, 1 care leader, 3 care assistants and a catering manager. We also received feedback from 6 staff who work at Hampton House.
We reviewed a range of records. This included 5 people's care records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the management team to validate evidence found. We sought feedback from 2 healthcare professionals involved in the service.
4 March 2023
About the service
Hampton House is a care home providing accommodation to persons who require nursing or personal care, for up to 37 people. The service provides support to older people. At the time of our inspection there were 32 people using the service. People are accommodated in one adapted building, with a large communal room and access to a secure garden. Each person had a bathroom which contained en-suite facilities.
People's experience of using this service and what we found
People told us they felt safe living at Hampton House. They told us staff knew them well and understood their needs. People were involved in planning and managing their care. Staff worked with people to promote their independence and supported them to manage their own medicines were appropriate.
People enjoyed an active and engaging life at Hampton House. They enjoyed a range of activities and events which were tailored to their needs and preferences.
People were supported by a stable staffing and management team who understood and respected people’s needs. One person told us, “I feel like staff know us. Some of the staff have been here years.” A relative told us, “Staff know people so well, they are so good at meeting the minor needs. They do go the extra mile to ensure [relative] is happy and contented.” The home did not use agency staff. Staff told us they had the skills, time and support they needed to meet people’s needs.
Incidents and accidents were reviewed to reduce the risk of reoccurrence. The management reviewed where accidents occurred to identify any potential trends. Staff were supported to reflect on incidents and medicine errors to enable them to make improvements.
The provider had infection control procedures in place to protect people and prevent the spread of infection. Staff used personal protective equipment (PPE) in accordance with government guidance. People’s friends and family were able to visit the home with no restrictions.
People living at Hampton House were able to make their own decisions. At the time of our inspection, no one was living under the Deprivation of Liberty Safeguards.
The registered manager and deputy manager operated effective systems to monitor the quality of care they provided people living at Hampton House. Staff carried out audits and the registered manager and deputy manager took appropriate action when improvements were needed.
Staff were encouraged to share their ideas and thoughts and were rewarded if an idea was implemented into practice at Hampton House.
People, their relatives and staff spoke positively about the management of the service. They felt that Hampton House was well led and praised the communication they received from the management team. Healthcare professionals spoke positively of Hampton House and how the service met people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Good (published 30 November 2017). At this inspection the rating has remained the same.
Why we inspected
This inspection was prompted by a review of the information we held about this service and the length of time since the last inspection. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hampton House on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.