Hampton Lodge (St Basils)

Updated 18 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 24 and 25 July 2017. It was unannounced. The inspection team consisted of an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. On this inspection the Expert by Experience had experience of caring for a family member who used services.

Before the inspection we reviewed information we had about the service, including previous inspection reports and notifications the provider sent to us. A notification is information about important events which the provider is required to tell us about by law. We reviewed the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with six people who lived at Hampton Lodge (St Basils) and four visiting family members. We observed care and support people received in the shared area of the home. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with the manager, two senior managers and three members of staff.

We looked at the care plans and associated records of six people. We reviewed other records, including the provider’s policies and procedures, internal checks and audits, the provider’s improvement action plan, quality assurance survey returns and reports, and training and supervision records. We looked at medicine administration records, mental capacity assessments, Deprivation of Liberty applications and authorisations, staff rotas, seven safeguarding records, and recruitment records for four staff members.

Updated 18 October 2017

The inspection took place on 24 and 25 July 2017. It was unannounced. At a previous inspection in February 2015 we had found breaches of six regulations and rated the service requires improvement. An inspection in June 2016 found the service was no longer in breach of any regulations, but improvements were still needed in the key areas of safe and responsive. At this inspection further improvements had been made and we could give a rating of good in all areas.

Hampton Lodge (St Basils) is registered to provide accommodation, personal care and nursing care for up to 44 older people. The home caters for people with a variety of nursing and other needs, including people with very complex needs, and people receiving end of life care. At the time of our inspection there were 33 people living at the home..

There was no registered manager in post 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 provider had notified us in March 2017 that the previous registered manager had left. A new manager who intended to register with us had been in post for seven weeks when we inspected. Since the inspection we have received an application to register from them.

The provider had arrangements in place to protect people from risks to their safety and welfare, including the risks of avoidable harm and abuse. Staffing levels were sufficient to support people safely. Recruitment processes were in place to make sure the provider only employed workers who were suitable to work in a care setting. There were arrangements in place to store medicines safely and administer them safely and in accordance with people’s preferences.

Staff received appropriate training and supervision to maintain and develop their skills and knowledge to support people according to their needs. Staff were aware of and put into practice the principles of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People were supported to eat and drink enough to maintain their health and welfare. People were supported to access healthcare services, such as GPs and specialist nurses.

Care workers had developed caring relationships with people they supported. People were encouraged to take part in decisions about their care and support and their views were listened to. Staff respected people’s independence, privacy, and dignity.

Care and support were based on assessments and plans which took into account people’s abilities, needs and preferences. People were able to take part in leisure activities which reflected their interests. People were kept aware of the provider’s complaints procedure, and complaints were managed in a professional manner.

The home had a calm, welcoming atmosphere. Systems were in place to make sure the service was managed efficiently and to monitor and assess the quality of service provided.