About the service Nayland House Care Home is a residential care home providing accommodation and personal care to up to 54 people, in an adapted building. There were 2 units in the service, the main house and the cottage. The service provides support to adults. At the time of our inspection there were 50 people using the service, some people were living with dementia.
People’s experience of using this service and what we found
Risks to people were assessed and actions in place to mitigate them, which reduced the risks of abuse and avoidable harm. Systems were in place to ensure there were enough staff to meet people’s needs and staff were recruited safely. People received their medicines when needed and medicines were managed safely. Infection control procedures were in place and staff followed them. The service had learned lessons from a concern about the hygiene in a bedroom and systems introduced systems to improve. People were supported to have visitors.
Staff received training to meet people’s needs effectively. 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 had access to health care professionals where required. People were supported to enjoy choices of meals and drinks to reduce the risks of dehydration and malnutrition.
People were provided with a caring service by staff who were compassionate and kind. People’s dignity, diversity, independence and privacy was promoted and respected.
People’s needs and preferences were assessed with the input from people and their representatives, where required. Care plans were in place which guided staff in how to meet people’s needs. People’s end of life decisions were sought and recorded, where people chose to discuss them. People had access to activities to reduce isolation.
There was a complaints procedure in place and people complaints were addressed. People’s views about the service provided were valued and used to drive improvement. There were a range of audits and monitoring systems in place which assisted the management team to identify shortfalls and address them.
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, under the previous provider, was good (published 21 December 2018).
This service has a new provider since the last inspection. The service was registered with us on 25 June 2021 and this is the first inspection under this provider.
Why we inspected
This was a comprehensive inspection which was undertaken because this was the first rating inspection under the current provider.
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, which will help inform when we next inspect.