• Care Home
  • Care home

Archived: Hampton House Residential Care Home

Overall: Good read more about inspection ratings

Hampton House, Church Lane, Hampton Bishop, Herefordshire, HR1 4JZ (01432) 870287

Provided and run by:
Herefordshire Old People's Housing Society Limited

All Inspections

24 April 2019

During a routine inspection

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

18 April 2018

During a routine inspection

This was an unannounced comprehensive inspection carried out on the 18 April 2018, with a further announced visit on the 20 April 2018.

Hampton House Residential Care Home is a ‘care home’. People in care homes received accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Hampton House Residential Care Home accommodates up to 34 people within one adapted building, and provides care and support for older people. At the time of our inspection there were 34 people living at the home, some of whom were living with dementia.

There was a registered manager in post at the time of the inspection, who had been in place since February 2016. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last comprehensive inspection of the service on 27 April 2016, the overall rating for the service was judged to be ‘good.’ At this inspection we have rated the service as ‘requires improvement’.

During this inspection we identified two breaches of regulation. These were in relation to the people being deprived of their liberty for the purpose of receiving care without lawful authority, and effective quality assurance systems to drive improvements.

The management team lacked knowledge of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) process. Some people, who lacked mental capacity, were being deprived of their liberty for the purpose of receiving care without lawful authority. No DoLS application had been made to the appropriate local authority by the provider in line with the requirements of MCA.

Management and governance systems were not always effective. There was no clear policy or strategy in relation to the effective monitoring of the quality and safety of services. Care plans and risk assessments were lacking in information and did not always accurately reflect people’s current needs. Monitoring charts were not always completed consistently. Information in care plans was sometimes contradictory and misleading about people’s needs. There were no systems in place to identify the shortfalls we found in respect of the quality of documentation in order to drive improvement.

We could not be assured that the risk of developing pressure sores was being managed effectively for one person.

Incident and accidents forms were not always reviewed by management to ensure all appropriate action had been taken.

People and their relatives told us staffing levels maintained at the home meant people’s individual needs could be met safely, as staff were available at the times people needed them.

The administration and management of medicines was safe.

People and their relatives felt that staff had the necessary skills and knowledge to meet their needs.

People were supported by staff in a way that was kind, respectful and compassionate. Staff we spoke with demonstrated a good knowledge of the people they supported and the importance of encouraging people to be independent.

People told us there were sufficient activities to keep them occupied and stimulated.

People told us they felt comfortable to raise any concerns or complaints with staff or the management team. People were encouraged to share their experiences and make suggestions about services provided.

Staff consistently told us the registered manager and the management team, promoted an inclusive culture, which encouraged everyone to be open and transparent.

27 April 2016

During a routine inspection

This inspection was carried out on 27 April 2016 and was unannounced.

Hampton House provides accommodation and personal care for up to 33 people. At the time of our inspection there were 31 people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated regulations about how the service is run.

People were kept safe by staff that knew how to recognise and report any concerns about people’s safety. Staff understood people’s needs and about risks and how to keep people safe. There were enough staff on duty to make sure that people got the right support at the right time. The provider completed checks to ensure staff were suitable and safe to work at the home.

People were positive about the support and care that they received. People were treated with dignity and respect and staff were kind and caring in their approach with people. People’s care and support was centred on their individual needs.

People had their health needs responded to effectively. People were supported to access doctors and other health professionals when required. People were supported to have their medicines when needed. Medicines were stored and administered appropriately.

People enjoyed a varied diet of food and drink. People were supported to have their food and drink safely. Where recommendations had been made by other professionals regarding their diet or health needs these had been acted upon by staff.

People were asked and gave staff permission before any care or support was given. Time was taken to make sure that people could make choices and decisions about the care and support they received.

People were supported by staff that had the skills and knowledge to understand and meet their health needs. Staff had access to on-going training and support to meet people’s specific health and wellbeing needs. Staff felt that they were able to contact the registered manager at any time if they needed support or guidance.

People and their relatives found the staff and management approachable, willing to listen to their views and opinions. People knew how to complain and who to complain to. Feedback from people and their relatives was gathered on a regular basis and any areas identified for action were acted upon. Audits and checks were completed regularly to ensure that good standards were maintained.

3 December 2013

During a routine inspection

On the day of our inspection there were thirty three people living at Hampton House. Most of the people were sitting chatting, watching TV, having their breakfast or in their bedrooms.

We spoke with five of the people who told us. "The food is very good, I can choose from the menu or have something different", "We are well looked after", "It is lovely here", "I am able to get about more with my new frame and it stops me falling". The people we spoke with were all very positive about the care and support they received at Hampton House.

We were shown around the building by the assistant manager and the registered manager joined us later. We saw that the home was very clean and hygienic. All the rooms were furnished and decorated to a high standard. The bedrooms were all well-furnished to meet the needs of the individual. The bathroom and toilet facilities were well equipped and modern. The two main lounge areas were light and spacious. We noted people had comfortable chairs which met their individual needs. The assistant manager told us the provider had an on-going refurbishment programme. We saw that a new stair lift was being installed and were told about the plans for a wet room.

We observed staff supported people in a friendly and polite manner. The staff showed the people respect and ensured their dignity was maintained. We observed the breakfast being served and the staff spent time supporting people who needed assistance.

We spoke to a family visiting in the afternoon. They told us 'When we leave we feel great knowing that our relative is being so well looked after'. They said the staff did far more than was asked of them and that they trusted them 100%.

9 January 2013

During a routine inspection

The Expert by Experience observed how people spent their time. Between us we spoke with seven people who were living at the home and one person who was visiting a relative. We spoke with four staff, the manager and the nominated individual. We checked some of the records which the home is required to keep, including care records for two people.

We found that people were treated in a caring way and their dignity and independence was respected. People commented, 'I choose my clothes every day, the girls help me sort them out' and, 'We do what we like'.

There was information for staff about people's needs and how they should be met. It was not easy to find information quickly in the care records. The management team intended to review this. We saw that staff were attentive and respectful to people living at the home.

Staff had been provided with training about how to recognise and report concerns about possible abuse or neglect. People told us that they felt safe at the home. They said that they would know who to talk to if they had any concerns. They were confident that they would be listened to and that their concerns would be taken seriously.

Staff had ongoing training for their roles and felt well supported. The provider had systems in place for monitoring the quality of the service. People and their families had opportunities to give their views about the service.

9 February 2012

During a routine inspection

We spoke with seven people who lived at the home. They told us that there were 'plenty of activities and things to do' and 'the girls make time to talk to me'. They also told us 'I feel looked after and the staff are caring' and 'when I don't feel well they arrange for the doctor to see me'.

One person told us that 'I stayed in bed a bit later today as I did not feel well, but when I did get up they offered me something to eat'. People told us 'I feel safe here' and 'I'm free to leave the home and go for a walk and the staff know where I am'. One person told us that 'they ask if I am OK and are always kind and friendly'

In the two care plans that we looked at we were not able to see how the home had looked at the risk to peoples' care and welfare. This meant that people may not have received appropriate care and support as the home could not show what action they had taken to meet the risks.