Hayes Cottage Care Centre

Hayes Cottage Care Centre is a nursing home providing personal and nursing care for up to 52 adults. The home consists of three units across a ground and first floor. One unit focused specifically on providing end of life care to 10 people. At the time of the inspection there were 44 people living at the home. The home is operated by Hayes Cottage Nursing Home Limited.

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

Relatives and people said they were safe. The provider assessed and took steps to reduce risks to people’s safety and well-being. This included works to develop the home environment.

The service had enough staff to keep people safe. Staff had training on how to recognise and report safeguarding concerns and they knew how to do so. The provider worked with other agencies to investigate concerns.

Staff supported people to receive their medicines as prescribed. The service was following infection prevention and control procedures to keep people safe

People's care plans set out personalised information about their care preferences and the support they needed, including their communication needs. People were supported at the end of their life to have a comfortable and dignified death. There were appropriate procedures in place for responding to complaints.

There were systems in place to monitor the quality of the service. The provider implemented quality and development plans to improvements. The service worked with other agencies to provide people with joined up care.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 2 April 2020).

Why we inspected

The inspection was prompted in part due to concerns received about some people’s support to manage their skin integrity. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We found no evidence that people were at risk of harm from this concern at the time of our inspection visit. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hayes Cottage Care Centre on our website at www.cqc.org.uk.

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.

Hayes Cottage Care Centre is a nursing home providing personal and nursing care for up to 52 adults. The home consists of three units across a ground and first floor. One unit focused specifically on providing end of life care to 10 people. At the time of the inspection there were 48 people living at the home. The home is operated by Hayes Cottage Nursing Home Limited.

People’s experience of using this service

Staff were caring, treated people with respect and promoted their dignity and privacy. People and relatives said they felt people were safe and their care needs met.

There were systems in place to monitor the quality of the service, recognise when improvements were required and to take action in response to these. However, the service had not consistently kept up to date records in respect of some people’s care and the management of the service.

We have made recommendations about supporting people with their nutrition and dehydration and maintaining records.

There were systems in place to monitor the quality of the service, recognise when improvements were required and to take action in response to these. However, these had not identified or addressed the areas for improvement we identified.

People were supported to be healthy and to access healthcare services. Staff worked with other agencies to provide people with joined up care. People received their medicines as prescribed.

People's assessments and care plans set out how staff should support people, along with some personalised information about people, their preferences for their care, and their communication needs.

People were supported at the end of their life to have a comfortable and dignified death.

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.

Staff arranged and supported people to engage in a variety of activities that were meaningful to them and people could choose how they spent their time.

People and their relatives knew how to raise concerns or complaints and were confident they would be listened to. The provider sought feedback from people, relatives and staff and used this to develop the service.

There was a clear management structure in place and staff said the managers were approachable. Staff received induction, training and supervision and most felt supported in their roles.

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 9 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Hayes Cottage Nursing Centre is a care home that provides nursing care. The home has a 10 bedded palliative care unit and two units for general nursing care which cater for people with a range of needs, including those associated with dementia. The service is registered for 52 beds and at the time of inspection there were 44 people using the service.

The service is required to have a registered manager. 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 manager joined the service in October 2016 and had submitted an application to the CQC to become the registered manager.

People, relatives and healthcare professionals were happy with the care and support being provided at the service. Systems were in place to safeguard people from the risk of abuse. Staff understood whistle blowing procedures and the action to take if they had any concerns. Risk assessments and action plans were in place to minimise risks to individuals. Systems and equipment in use were being monitored and serviced to maintain their safety.

Staff recruitment procedures were in place and being followed to ensure only suitable staff were employed by the service. There were enough staff on duty to meet people’s needs and the service was managing short notice sickness and absenteeism appropriately. Staff received training to provide them with the skills and knowledge to care for people effectively. The provider made suitable arrangements to ensure people were protected against the risks associated with the inappropriate management of medicines.

We found the service to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and Mental Capacity Act 2005 (MCA). Authorisations under DoLS were in place where required to ensure that people’s freedom was not unduly restricted. Staff understood people’s needs and acted in their best interests.

People’s dietary needs and preferences were being identified and met. People’s nutritional needs and status were assessed and monitored. Their healthcare needs were identified and they received input from healthcare professionals when required.

People were consulted about the care and support they wanted to receive and encouraged to make decisions about their care, which staff respected. Staff were polite and respectful and cared for people in a kind and friendly way. End of life care was planned involving people and their relatives and was provided in a caring and compassionate way.

Care records were personalised and up to date. Any changes in people’s condition were identified and recorded and staff read the care records so they had an up to date picture of people’s needs. The service had a varied activities programme and strived to provide activities to meet people’s interests and needs. There was a complaints procedure in place and this was followed. People and relatives were able to raise any concerns they had and felt the service addressed them.

The manager was approachable and visible throughout the service, so people, relatives and staff knew who they were and felt able to approach them. People, relatives and staff spoke of the provider and the management team in a positive way and were able to give their opinions about the service provided and action was taken to address issues raised.

The provider had identified improvements were needed to the environment, and had arranged for these to take place to improve the experiences of people living at the service. Systems for monitoring the service were in place and identified any shortfalls. Action was taken to address any issues so that monitoring processes were implemented effectively.

We saw that people's needs had been assessed prior to them being admitted to the home to ensure that the home could meet their needs effectively. We found that care plans had been developed in line with their assessed needs and included people's likes, dislikes and preferences. People told us that activities were provided in the home. One person said, "we have a lovely singer come in" and another person told us, "I do exercises with the lady who comes in to see us."

Staff were able to demonstrate their knowledge of good practice in relation to preventing the spread of infection. On the day of our inspection the home was clean and free from offensive odours and people told us that the home was always kept clean. A relative we spoke with said, "it's very clean and tidy here" and another told us, "it is always spotless."

There were enough qualified, skilled and experienced staff to meet people's needs.

We found that people's care records were kept up to date and reviewed at regular intervals to reflect people's changing needs. Records were kept securely to prevent unauthorised access.

When we visited in August 2012 people said they were able to live freely at the home and choose how they spent their days, the meals they wanted and what activities they wished to join in with. People and their relatives said staff were polite and kind, respecting people's privacy and dignity. They said care was always carried out in private.

People said they liked the food and could choose what they wanted to eat. Visitors told us the catering staff had spoken with their relative to find out what they wanted to eat and had provided the food requested.

People told us they were confident to raise any concerns they might have. Visitors said they had been encouraged to raise any issues so they could be addressed. People and their visitors said there were usually enough staff, but that there were times, usually at the weekend, when the home was short of staff and they sometimes had to wait for assistance.