Hamilton House

Social Care Org · South West

Overall Rating
Requires Improvement Last inspected 1 May 2019
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

7 must-do actions
5 should-do actions

Must-Do Actions (7)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The provider must ensure risks associated with people's health, social care and the environment are assessed and mitigated.
Regulation 12 (Safe care and treatment)
The lack of assessment and mitigation of risk was a breach of Regulation 12 of Health and Social Care Act 2008 (Regulated Activities) 2014.
Must Do
Effective
The provider must ensure people's human rights are protected in line with the Mental Capacity Act 2005.
Regulation 11 (Need for consent)
Not ensuring people's human rights were protected in line with the Mental Capacity Act 2005 was a continued breach of Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must Do
Effective
The provider must ensure service users' care is designed to ensure their care and support needs are met in line with their wishes and preferences.
Regulation 9 (Person-centred care)
Service users care was not designed to ensure their care and support needs were met in line with their wishes and preferences.
Must Do
Effective
The provider must ensure staff receive training to enable them to carry out the duties they are employed to perform.
Regulation 18 (Staffing)
Not ensuring staff receive training to enable them to carry out the duties they are employed to perform is a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must Do
Caring
The provider must ensure service users are always treated with dignity and respect.
Regulation 10 (Dignity and respect)
Service users were not always treated with dignity and respect.
Must Do
Responsive
The provider must ensure people's care records are complete and accurate.
Regulation 17 (Good governance)
Not ensuring people's care records were complete and accurate is a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must Do
Well-led
The provider must ensure effective systems are in place to review the leadership, culture and safety and quality of the service.
Regulation 17 (Good governance)
Not having effective systems to review the leadership, culture and safety and quality of the service is a continued breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Should-Do Actions (5)

Recommended improvements to enhance service quality.

Should Do
Safe
We recommend the provider adopts a staffing tool to help assess staffing numbers, and to help ensure the effective deployment of staff within the service.
Should Do
Safe
We recommend the provider uses the National Institute for Clinical Excellence (NICE) guidance to implement competency assessments for staff who administer medicines.
Should Do
Effective
We recommend the provider takes account of dementia research and the Accessible Information Standard (AIS) in the design and decoration of the service.
Should Do
Responsive
We recommend the provider researches and develops the social opportunities for people living with dementia and mental health in line with best practice.
Should Do
Responsive
We recommend the provider uses the National Institute for Clinical Excellence (NICE) guidance to implement end of life care planning.
Location Details
CQC ID: 1-109802780
Local Authority: Plymouth
Region: South West
Inspection Report
Type: Comprehensive inspection
Date: 1 May 2019
Rating: Requires Improvement
Actions: 7 must-do , 5 should-do
AI-extracted 17 Feb 2026