Background to this inspection
Updated
9 May 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The service was inspected by one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service, residential care.
Hampton House is a care home without nursing for older people and people living with dementia. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
This was an unannounced inspection
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority and we assessed the information in the provider information return. This is key information providers are required to send us about their service, what they do well, and improvements they plan to make. This information helps inform our inspections.
During the inspection, we spoke with ten people who used the service, to ask about their experience of the care provided and three visiting family members. We observed staff providing support to people in the communal areas of the service using an observation tool called a SOFI. This was so we could understand people's experiences. By observing the care received, we could determine whether or not they were comfortable with the support they received.
We spoke with members of nine staff including the registered manager, care staff, domestic staff and cook. We also spoke with two members of the charity governing board. We spoke with three visiting professionals a district nurse, a Parkinson’s nurse and a GP who all regularly visited the service.
We reviewed a range of records about people's care and how the service was managed. This included looking at four people's care records and a sample of people's medicines administration records. We reviewed records of meetings, staff rotas and staff training records. We also reviewed the records of accidents, incidents, complaints and quality assurance audits the management team had completed.
Updated
9 May 2019
About the service: Hampton House is a care home providing accommodation and personal care for up to 34 people who would in general be over the age of 65. There were 31 people living at the home at the time of this inspection.
People’s experience of using this service:
People and their relatives were positive about the service and the care provided.
People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Sufficient, knowledgeable staff were available to meet people's needs. People told us when they needed assistance, staff responded promptly. People received their medicines regularly and systems were in place for the safe management and supply of medicines. Incidents and accidents were investigated, and actions were taken to prevent recurrence. The premises were clean, and staff followed infection control and prevention procedures.
The service was effective. People's needs were assessed, and care was planned and delivered to
meet legislation and good practice guidance. Care was delivered by staff who were well trained and knowledgeable about people's care and support needs. People had a nutritious diet, and they enjoyed the quality and choice of food offered. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed.
People were cared for by staff who were kind and compassionate. The atmosphere within the home was friendly and welcoming and staff were warm and considerate towards the people they cared for. People and their relatives felt involved and supported in decision making. People's privacy was respected, and their dignity maintained.
Staff were responsive to people's individual needs and wishes and had an in-depth knowledge about each person. Relatives confirmed staff knew their family members needs well. People had access to a range of activities and entertainment they enjoyed. People's concerns were listened to and action was taken to improve the service as a result.
The service was well led. The registered manager and her management team were open, approachable and focussed on providing person centred care. Systems were in the process of being updated to improve the monitoring of the quality of care provided. The management team and staff engaged well with other organisations and had developed positive relationships.
Rating at last inspection: Comprehensive inspection completed 18 April 2018. Safe, effective, responsive and well-led were rated as requires improvement. The overall rating was requires improvement. There were breaches in regulation that have now been met at this inspection.
Why we inspected: This was a planned inspection based on previous rating of requires improvement.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our methodology. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk