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Hamilton House

Type Social Care Org Region South West Last inspected 1 May 2019

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 7 must-do 5 should-do

Must-do actions (7)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 7
Must do
Safe
The provider must ensure risks associated with people's health, social care and the environment are assessed and mitigated.
Regulation: 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 action 2 of 7
Must do
Effective
The provider must ensure people's human rights are protected in line with the Mental Capacity Act 2005.
Regulation: 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 action 3 of 7
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: 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 action 4 of 7
Must do
Effective
The provider must ensure staff receive training to enable them to carry out the duties they are employed to perform.
Regulation: 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 action 5 of 7
Must do
Caring
The provider must ensure service users are always treated with dignity and respect.
Regulation: Regulation 10 (Dignity and respect)
⚠ Service users were not always treated with dignity and respect.
Must-do action 6 of 7
Must do
Responsive
The provider must ensure people's care records are complete and accurate.
Regulation: 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 action 7 of 7
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: 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 action 1 of 5
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 action 2 of 5
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 action 3 of 5
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 action 4 of 5
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 action 5 of 5
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