The Hamiltons Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and supportachieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments of people’s care were undertaken when they first moved into The Hamiltons. We found these were detailed and took into account important aspects of people’s care, their life history and things they enjoyed doing. Monthly reviews of care plans were undertaken and any updates were documented.

Relatives told us they were involved with people’s care. One relative said to us, “The manager and staff have discussed (person’s) care with us and I can be guided by them. (Person) can be difficult and the staff appear to have the ability to calm (person) and help her understand.”

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Mental Capacity Act (MCA) assessments were not always completed where restrictions were in place to demonstrate decisions were taken in people’s best interests. Sensor mats were used in people’s bedrooms to alert staff when people attempted to mobilise. The people living in these rooms lacked capacity to provide consent to these decisions. The registered manager gave us assurances that the relevant MCA assessments would be completed and that relatives would be consulted with as part of these decisions.

Deprivation of Liberty Safeguards (DoLS) applications were completed as needed and these were re-applied for when they had expired. Staff had completed DoLS and MCA training and understood about the legislation.