The Hamptons Retirement Home Ltd

About the service

The Hamptons Retirement Home is a residential care home providing personal care to up to 30 people. The care home accommodates people across two separate floors, some of whom are living with dementia. At the time of our inspection there were 27 people using the service.

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

The management processes in place to monitor and audit the service required some improvement. Daily environmental checks around the home had not always identified potential risk to people. For example wet flooring. The processes for re-ordering of some medicines and food supplements needed to be reviewed to reduce future over-stocking.

People told us they felt safe living at the home. Staff were aware of their responsibilities to report any concerns about people’s care and safety. Care plans and risk assessments were reviewed. People’s weights were being monitored and prompt referrals to appropriate agencies were made.

There were enough staff on duty at the time of the inspection. Recruitment checks had been completed prior the appointment of new staff. Competency checks had been completed to make sure staff supported people safely. People had received their prescribed medication. The home environment was clean.

People and relatives spoke positively about the staff and management team of the home. The home was well supported by health and social care professionals. Staff received appropriate training and told us they felt supported through team meetings and supervision.

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.

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 28 June 2022).

Why we inspected

We received concerns in relation to the how the home was being managed. Low staffing numbers, the safe administration of medicines and prescribed food supplements. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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

The overall rating for the service has remained good based on the findings of this inspection.

We have found evidence that the provider needs to make some improvements. Please see the well-led section of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Hamptons Retirement Home 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.

The Hamptons is a residential care home providing personal care for up to 30 older people, some of whom are living with dementia. At the time of inspection 30 people were living in the home.

The Hamptons accommodates people in one purpose-built building. The home has an annex building which is used for dining. The annex is accessed by a covered walkway. People have en-suite bedrooms. There are usually five or six staff on day shifts including a senior care worker, care workers, and the registered manager. Nights are covered by two staff with management on-call as required.

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

Staff used handover notes to record the contact and support given to people. This meant that staff coming onto shift had access to up to date information about the care and support provided. Care plans and risk assessments identified people's support needs and staff had a good understanding of the support people needed.

Medication audits were regularly completed, however we found inconsistencies in how the computer system used, calculated and logged medication doses in stock.

The provider was using a Closed Circuit Television (CCTV), to record communal areas, and staff were concerned about privacy within the home. The issue had not been previously raised by staff with provider, but complaints had been made to the CQC.

Feedback about the service, from people who lived at the home and those close to them, as well as professionals was mostly consistent and positive.

Infection Control procedures were in accordance with good hygiene practices.

Leadership decisions about encouraging independence meant that people were encouraged to do as much as possible for themselves to promote independence.

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.

People were treated with kindness and compassion. People felt well-supported. People were listened to and could express their views. People's privacy and dignity was maintained.

People, relatives and staff expressed confidence in the registered manager, and were given the opportunity to provide feedback. Audits took place to ensure the quality of the service was maintained.

People, staff and relatives knew how to complain. The registered manager and nominated individual understood their responsibilities under the duty of candour.

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

This service was registered with us on 29 July 2020 and this is its first inspection.

Why we Inspected

The inspection was prompted in part due to follow up on concerns about how medication is managed, identified at the last inspection in November 2021.

We have found evidence that the provider has made improvements and is no longer in breach of regulation 12. Please see the Safe section of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.

Hamptons Retirement Home is a residential care home, registered to provide personal care and accommodation for up to 30 people aged 65 and over some of whom were living with dementia. The building consisted of two floors. At the time of the inspection 30 people were living there.

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

Whilst people had not come to any harm, we found the management of people's medicines required improvement. Guidance was missing for staff and medicine storage was not always safe and people did not always receive their time-critical medicines as prescribed.

Quality assurance systems were not always effective at identifying areas for improvement and did not always ensure people received safe care. Incidents were not always notified to the CQC as required. Lessons had not always been learnt when things had gone wrong.

Other risks, such as risk associated with people's mobility and health conditions to people had been assessed. However, some risks to people in relation to their health or care needs were not always identified and needed to be improved to give clearer information.

We saw people were relaxed in the presence of staff and each other. Staff understood how to raise any safeguarding concerns and where to go if they felt these were not acted on by the provider. Relatives were positive about the care provided and told us they felt their family members were safe living at the home.

Staff treated people with kindness, dignity and respect. We saw positive interactions between people and staff and feedback from people and relatives about the staff was good.

Staff were positive about the way the new management team managed the home. They said the new home manager had made a number of changes that were necessary to improve the standards at the home.

Safe recruitment processes were followed. There were enough staff to meet people's needs.

Infection control procedures were followed and the home was regularly cleaned.

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.

The service worked with health and social professionals and in partnership with other agencies.

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

Rating at last inspection

There is no previous rating because this is a new service, registered with us on 03/08/2020. This was a focused inspection to look at the Safe and Well-led questions only. We have not inspected the remaining three questions Effective, Caring and Responsive, which means we are unable to give an overall rating.

Why we inspected

We received concerns about a loss of electricity supply to the home and we were not assured people were safe. As a result, we undertook a focused inspection to review 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. We have found evidence that the provider needs to make improvements. Please see the safe and well-led key question sections of this report.

You can see what action we have asked the provider to take at the end of this full report.

The provider has taken immediate action to mitigate potential risk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the safe management of medicines and governance processes at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The Hamptons Retirement Home is a care home providing personal care to a maximum of 30 older people over the age of 65. Some of those people lived with dementia, a physical disability or a sensory impairment. At the time of our visit 12 people lived at the home. The home had been open for six weeks at the time of our visit.

We were assured of the provider’s safe management of infection prevention and control processes.

The design of the building was not suitable to become a Designated Setting. Consideration would need to be given to the provision of separate cleaning and laundry facilities, on the designated floor and the provider would need to recruit additional staff.

We found the following examples of good practice.

• There was a purpose built infection control station located just outside the main front door to the home, so that visitors could safely wash and sanitize their hands before entering the building.

¿ On arrival to the home visitors completed a Covid-19 health screening questionnaire. Their temperature was recorded and they were provided with personal protective equipment (PPE) including disposable gloves, aprons and masks to protect people from risk of infection.

• Staff did not work in other health or social care settings which mitigated the risk of cross infection.

• Staff had been supported in a variety of ways to reduce anxiety and promote their wellbeing.

• The provider had purchased mobile phones for people who did not have one. This meant people were able to maintain contact with their loved ones.

¿ Staff changed their clothes at the start of their shift to reduce the risk of cross infection.

¿ The provider had adopted the NHS Red Amber Green (RAG) method. This meant there was clear guidance on the required PPE protocols for staff to follow before entering bedrooms in the event of people having to isolate.