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Archived: The Hamiltons Care Home Good

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 21 February 2018

This comprehensive inspection took place on the 09 and 10 January 2018. The first day was unannounced. This meant the provider did not know we would be visiting the home on this day. The second day was announced.

The Hamiltons is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided; both were looked at during this inspection.

The Hamiltons provides personal care for up to 18 people. The service has bedrooms and communal rooms including bathrooms to the ground floor and to the second floor further bedrooms and bathrooms are situated. It has a passenger lift between the floors and a large stair case at each side of the building for easy access between both floors.

As part of the homes registration conditions it is required to have a registered manager employed to oversee the day to day running of the service. A registered manager has been in post at the service since February 2017.

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 the last comprehensive inspection on 01 and 02 December 2016 we found one continuing breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, safe care and treatment. We recognised that although medicines practice had significantly improved since our previous inspection in April 2016 the service was still required to improve on areas such as missing signatures on medicine records and a lack of omission codes being used for medicines which were prescribed as, ‘when necessary’ (PRN).

At this inspection we found the service was now compliant in this area. Medicines records were now completed appropriately including PRN, as required and staff were now using the correct coding system. Medicines audits were robust and identified any errors. Medicines were kept secure and staff were appropriately trained to administer medicines in a competent way.

Safeguarding policies and procedures were in place to ensure people, staff and visitors were aware how to raise concerns if needed and what constitutes abusive practice. Staff received training in this area and a record of safeguarding referrals was kept securely.

Risk assessments were in place in people’s files to recognise individual risk taking and also environmental risk assessments were completed for both internal and external areas. Appropriate checks were done by registered external tradespersons on areas such as gas appliances, fire equipment, electrical appliances, hoists and lifts.

Business continuity plans were in place to offer information and guidance in the case of adverse weather or any other unforeseen circumstances which could affect the day to day running of the service. People had personal evacuation plans and fire audits were completed by both external agencies and internally by the maintenance person.

The service had recently undergone a decorating schedule, mainly in the communal areas which made the environment brighter. We observed no malodour around the building during the inspection.

During the inspection the service had an outbreak of upper respiratory infection which meant a number of people using the service were required to be cared for in their bedrooms. The service dealt with this well and contacted the relevant authorities to seek advice and guidance.

People had care files which contained person centred information. Each care file was written in a way which reflected the individual and only contained documents relevant to the person. People’s human rights and diverse needs were reflected within each plan and we received positive feedback during the inspection wh

Inspection areas



Updated 21 February 2018

TThe service was safe.

People told us they felt safe and were cared for by staff who would listen to any worries then may have and act upon them appropriately.

Medicines were administered in a safe way by staff who had received training appropriate to the role.

Appropriate maintenance and environmental checks were carried out to ensure the environment was fit for purpose and free from hazards.



Updated 21 February 2018

The service was effective.

Staff were appropriately trained to ensure they had the correct skills to support people using the service effectively and in line with their preferences.

The principles of the Mental Capacity Act and Deprivation of Liberty Safeguards were followed and no person was unlawfully deprived of their liberty.

People�s nutritional requirements were met and people told us they were served with good home cooked food.



Updated 21 February 2018

The service was caring.

People told us they were cared for well and involved in their care choices.

Interactions between staff and people living at the home were kind and caring.

We observed people being treated with dignity and respect and offered choice throughout the day.



Updated 21 February 2018

The service was responsive.

People had care plans in place which captured their personal preferences and people received care and support which was responsive to their needs.

Procedures were in place to deal with people�s complaints. People told us they were confident that any complaint would be dealt with appropriately.

People�s human rights were being respected. People�s care files considered their diverse needs and requirements.



Updated 21 February 2018

The service was well led.

The service had a manager employed who was registered with CQC.

The registered manager was approachable and had been instrumental in driving up improvement within the service.

Audit and quality assurance systems were in place and were effective to ensure good governance within the service.