Hayes Close

Updated 1 October 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Hayes Close is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hayes Close is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This 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. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We visited the service on 21 June 2022 and 30 June 2022, both dates were unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We contacted two local authorities and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with two people about their experience of care provided. We spoke with the registered manager, deputy manager, assistant director, a senior carer, two care workers and a visiting professional. Following the inspection, we spoke with two relatives by telephone.

We reviewed a range of records. This included people's care and medication records. We looked at staff recruitment, meetings, and supervision records. We also looked at records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 1 October 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Hayes Close Residential Home is a residential care home providing personal care. It is registered to support up to seven people with a learning disability or autistic people. At the time of our inspection there were six people using the service.

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

We have made recommendations about risk management, governance and oversight.

The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right support

People were supported and encouraged to take part in a range of activities, both at the service and in the wider community. The registered manager and staff ensured people’s relatives were involved in the care and support of people, providing updates via telephone and social media. The premises were homely, mostly clean, comfortable and had a large secure garden with a summer house and plant potting area. 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.

Right care

Staff provided people with care and support which was personalised to their individual needs. They knew people well and communicated effectively with them using pictures, signs and speech. People had the opportunity to make choices about their daily routines and activities and staff encouraged people to do this. People and their relatives told us they were treated with dignity and respect. Staff protected people’s privacy and knew how to do this safely.

Right culture

There was a lack of oversight of the service in some areas. Governance and performance management was not always reliable and effective, and risks not always identified. This was accepted by the registered manager who acted promptly to address shortfalls. However, the culture of the service was always caring, and staff put people first and empowered them to lead meaningful lives and be part of their local community.

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 21 November 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

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.

The overall rating for the service has changed from Good to Requires Improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hayes Close on our website at www.cqc.org.uk.

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.