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Inspection Summary


Overall summary & rating

Good

Updated 18 December 2019

About the service

Hamilton House is a residential care home providing personal care and accommodation for younger people with learning disabilities and autism. The service was a domestic style property registered to support up to six people. Six people were using the service during our inspection visit.

People's experience of using this service and what we found

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

People received personalised care in a safe way. Relatives felt people were safe living at the home. Safeguarding procedures were in place to protect people. Staff were recruited safely, and enough staff were on duty to provide safe care during our visit. Staff had the skills they needed to support people.

Risks associated with people's care and support were assessed. Detailed risk management plans helped staff to manage and reduce risks. The home was clean and tidy during our visit and the environment met people's needs.

There was not a current registered manager at the home at the time of our visit, however, the manager had applied to be registered with us. The leadership of the service had been maintained since our last inspection. Completed audits and checks demonstrated good governance and effective risk management. The provider and their management team demonstrated commitment to learning lessons when things went wrong. People and relatives were treated as active partners in their care. People's care plans contained detailed information about their individual goals and guidance for staff to support people in achieving them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (published June 2018).

Why we inspected

This was a focussed inspection to assure ourselves the service was meeting people’s needs, that staff had the necessary skills and experience and the management processes were effective. We reviewed the key questions of safe and well led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection. The overall rating for the service has not changed and remains good overall. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 18 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 6 June 2018

The service remained Good.

Caring

Good

Updated 6 June 2018

The service remained Good.

Responsive

Good

Updated 6 June 2018

The service remained Good.

Well-led

Good

Updated 18 December 2019

The service was well led.

Details are in our well led findings below.