Hampton House

Hampton House is registered to provide accommodation and personal care for up to 12 people with learning disabilities and other complex health needs. The service is a 2-storey purpose-built building with a secure garden. There are private bedrooms with ensuite facilities, a sensory room, 2 communal lounges and communal kitchens/dining rooms. There were 12 people living at the service at the time of this inspection.

People’s experience of the service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

People were comfortable with staff who they knew well. They felt safe and settled and spoke highly of the support they received. Staff were consistent and knew how to meet people’s needs based on their knowledge and experience. They were supported with effective and open supervision, training and development opportunities.

Risks were well managed and focused on individual assessments. People’s nutritional needs were well met. Medication was administered safely and in line with good practise. The service was clean and free from odours. It was a homely environment and designed with people living there in mind.

Right Care

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.

Staff were kind, considerate and very understanding towards people. There was an easy friendly atmosphere which was encouraged with high levels of interaction and attentiveness. People helped shape their care plans and told us they were treated with dignity and respect. Care documentation was comprehensive and easy for staff to follow.

Right Culture

Robust quality assurance processes ensured all aspects of care delivery were reviewed regularly. The registered manager and organisation worked in partnerships with other organisations promoting effective communication and good practice wherever possible.

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 14 September 2017).

Why we inspected.

We inspected due to the length of time since the last inspection.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘All inspection reports and timeline’ link for Hampton House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We found the following examples of good practice.

Information was displayed at the entrance of the home to inform visitors of the infection control procedures in place. Temperature checks were completed, along with a lateral flow test to establish if visitors had any symptoms of COVID-19 before being admitted to the home. Personal protection equipment (PPE) was available for visitors to use if required within the reception area.

Staff were trained on how to keep people safe from the risk of infection and use PPE correctly. Through our observation, it was clear staff understood their responsibility in infection prevention and control. There were plenty of hand gel and PPE stations throughout the home.

The home is in national lockdown and currently closed to visitors. However, prior to this the home had implemented changes to reduce the risk of infection transmission and protect the people they support. This included a visitor pod within the private gardens to enable people to maintain contact with loved ones.

Staff supported people to keep in touch with family and friends through video and phone calls to prevent isolation and promote people's mental wellbeing.

Hampton House is registered to provide accommodation and personal care for up to 12 people with learning disabilities and other complex health needs. The home is a two storey, purpose-built building with a secure garden. There are private bedrooms with en-suite facilities, a sensory/cinema room, two communal bathrooms, two communal lounges and 2 communal kitchen/dining rooms. The home has a lift and is accessible for people who use a wheelchair. There were 12 people living at the home at the time of this inspection.

The home had a permanent manager in post, who had applied to register with the Care Quality Commission (CQC) to manage Hampton House on 1 August 2017. Their application to become registered manager was being considered by CQC at the time of this inspection. 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.

The registered provider had a safeguarding policy in place and the staff we spoke with understood the signs to look for which may indicate potential abuse. Staff were clear about who they would report safeguarding concerns to.

Sufficient numbers of staff were employed to keep people safe and staff were recruited safely.

Risks had been assessed, such as those relating to falls, managing medicines and leisure activities. Measures had been introduced to reduce risks whilst enabling people to retain their independence.

Regular building and equipment safety checks took place. Plans and evacuation equipment were in place to safely evacuate people in the case of emergencies.

Medicines were managed, stored and administered effectively and safely. Where people were assessed as being able to administer aspects of their own medicines, this was done in a safe way.

Staff received regular training, supervision and appraisal. Staff told us they felt supported.

Staff demonstrated a good understanding of the requirements of the Mental Capacity Act 2005. Decision specific mental capacity assessments had been completed for people who lacked capacity to make specific decisions, as required by the Mental Capacity Act 2005.

People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice.

People received appropriate support in order to have their nutrition and hydration needs met. Adapted equipment was used to enable people to remain independent. Mealtimes were a pleasant experience and people enjoyed the food. The home had been recognised for good standards of food hygiene and for ensuring healthy food options.

All of our observations indicated staff treated people with kindness and compassion. People and relatives told us staff were caring. There was a pleasant atmosphere in the home.

Some records containing personal information were kept in communal areas and were not stored in the locked cupboards intended for their storage. Once we highlighted this, the deputy manager addressed staff immediately and assured us this would be monitored.

Care plans contained person centred information, including people’s personal interests, likes and dislikes. Staff were aware of people’s needs and preferences and care was provided in line with care plans. Staff were particularly skilled at communicating with people who had specific communication needs.

Regular audits and quality monitoring took place within the home, which helped to drive improvements.

Staff were clear about their roles and they received appropriate direction and support. There was a permanent manager in post and they had applied to become registered to manage the service. Their application was being considered at the time of this inspection.

Hampton House is registered to provide accommodation and personal care for up to 12 people with learning disabilities and other complex health needs. The home is a two storey, purpose-built building with a secure garden. There are private bedrooms with en suite facilities, a sensory/cinema room, two communal bathrooms, two communal lounges and 2 communal kitchen/dining rooms. The home has a lift and is accessible for people who use a wheelchair.

The service had a registered manager in place. 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.

People indicated they felt safe living at Hampton House and the family members we spoke with felt their relatives were safe.

Staff demonstrated an understanding of different types of abuse. However, we found some incidents were not reported in line with safeguarding procedures. This demonstrated a breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Risks to people were assessed to help keep people safe.

We found staff were recruited safely and trained appropriately. There were enough staff to safely meet people’s needs.

Staff received a thorough induction and appropriate training and supervision to enable them to carry out their roles effectively.

People’s nutritional needs were met effectively and people were enabled to maintain a healthy diet. The home had been recognised for good standards of food hygiene and for ensuring healthy food options.

The registered manager adhered to the principles of the Mental Capacity Act 2005, which helped to ensure people’s human rights were respected.

Staff were caring in their approach and there was a pleasant atmosphere in the home. Staff knew people’s likes and dislikes and people indicated they were at ease in the company of staff. However some staff had conversations with each other about people, in the presence of the people they were discussing, without including them. People’s cultural and religious needs were considered.

People participated in meaningful activities and told us they had choice. People received care and support that was personalised to them.

Relatives and staff told us they felt the home was well led. Staff were clear about their roles and received direction and support. Regular quality assurance audits took place.

The registered manager had not ensured that safeguarding reporting procedures were followed because they had not reported some incidents relating to abuse or allegations of abuse to the Care Quality Commission. This demonstrated a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.