Haylands Residential Home for Gentlemen

Updated 7 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 2008.

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 team consisted of one inspector.

Service and service type

Haylands Residential Home for Gentlemen 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. Haylands Residential Home for Gentlemen 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

The inspection was unannounced. We visited the service on 24 and 25 August 2022.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. 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 used all this information to plan our inspection.

During the inspection

We reviewed three care plans, two staff files, health and safety records and the medicines records at the service. We spoke with five people using the service, two relatives and seven staff including the cook, care assistants, the deputy manager, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 7 October 2022

About the service

Haylands Residential Home for Gentlemen is a residential care home providing accommodation with personal care to up to 24 people. The service provides support to people over the age of 65 including people living with dementia. At the time of our inspection there were 21 people using the service.

Haylands Residential Home for Gentlemen accommodates people across three floors in one adapted building.

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

Medication was not always safely managed or recorded correctly. We found examples where medication administration records (MARS) had been completed incorrectly and one person had not received their medication. Care plans were not always updated in line with changing risk for people. Accidents and incidents were not always formally recorded and therefore not reviewed to identify trends. Staff wore personal protective equipment (PPE) appropriately.

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 gave positive feedback about the staff and the service was described as a happy place. Staff felt supported by the registered manager and able to raise concerns. People were supported to access the community and were involved in decisions relating to the service, such as choosing the food menu. The staff training matrix showed multiple gaps in staff training. The registered manager told us they were having difficulty with the training provider and pulling information from the system.

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 2 September 2017).

Why we inspected

We received concerns in relation to the care being provided. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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 see what action we have asked the provider to take at the end of this full report.

Following the inspection the registered manager completed additional audits of the medication at the service.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to the administration of medicines at this inspection. We have recommended the provider reviews their systems around care planning updates.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.