14 November 2023
During a routine inspection
Hampton Court is a residential care home providing personal and nursing care to up to 80 people. The service provides support to older people, some of whom are living with dementia, or have mental health needs. At the time of our inspection there were 51 people using the service.
Hampton Court accommodates people across 2 separate units, each of which has separate adapted facilities. The smaller unit, known as The Lodge, specialises in providing care to people living with advanced dementia.
People’s experience of using this service and what we found
Systems used to review and monitor the quality of care provided were not always effective at identifying concerns.
People told us they felt safe. Staff knew how to identify possible signs of abuse and how to escalate concerns for people’s safety. People received their medicines as prescribed and there were enough staff to support people safely and respond to their needs. Staff had been safely recruited and there were systems in place to monitor the risk of infection. Where things went wrong action was taken to reduce the risk of reoccurrence and learn for the future.
People’s needs had been assessed and care plans contained details of their wishes and preferences. Staff knew people well and understood their likes and dislikes. Staff had received training in the roles and felt supported by the wider staff team and the management team. People received enough to eat and drink, and any dietary needs were known by staff so people could receive appropriate support. People’s health needs were managed with the support of external agencies. Improvements had been made to the home environment and were suitable for the needs of people living with dementia.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People told us staff were kind and caring. There was a friendly, relaxed atmosphere within the home and people were comfortable to approach staff for care and support. People were involved in decisions about their care. Support was dignified and people’s independence was promoted where possible.
People’s care was planned with their involvement where possible. Staff understood people’s individual preferences and provided care tailored to each person. People’s communication needs had been considered to give people the best opportunity to understand information presented to them. People were encouraged to take part in activities which interested them. There was a system in place for the management of complaints. People’s end of life wishes were considered and staff worked alongside external agencies to ensure people received dignified care.
People, relatives and staff spoke positively about the management of the home. Feedback reflected there had been numerous positive comments and compliments made about staff and the care people received. There were established governance systems in place used to monitor the quality of care people received. There was a positive approach to learning at the home and any learning identified was shared with staff to raise the standard of care provided. Staff worked in partnership with other agencies to meet people’s needs. People, relatives and staff had been asked for their feedback about the home and responses were reviewed to ensure action could be taken to drive improvements in people’s care.
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 the service under the previous provider was requires improvement, published on 5 December 2019.
Why we inspected
The inspection was prompted in part due to concerns received about safety. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.