Hyde Nursing Home

Hyde Nursing Home is a residential care home providing personal and nursing care to up to 100 people. The service provides support in 4 units to younger people, older people and people living with a dementia, across a two-storey building. At the time of our inspection there were 27 people using the service.

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

Medicines were not always managed and stored safely. There was enough staff in line with assessed need, however people and families told us the service felt short staffed. We made a recommendation around staffing. Staff were recruited safely. Systems were in place to identify and reduce risk. People felt safe in the service and staff knew how to report and recognise safeguarding concerns. Infection Prevention and Control measures were being followed.

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.

Care plans were in place and needs were being assessed. The provider worked in partnership with other agencies to maintain people’s health and wellbeing. Staff were receiving training and had regular supervisions. People were having their diet and nutritional needs met and told us they had positive mealtime experiences.

Systems and processes were in place to oversee and manage the service. Audits were not always effective at reviewing medication management. We recommended the provider improved their auditing processes. The provider was aware of duty of candour. Staff and residents’ meetings were occurring. Positive feedback was given from people, families and staff.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 August 2022).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made however the provider remained in breach of regulations.

At our last inspection we recommended that the provider improved records relating to oral health care. At this inspection we found oral health care records had been improved.

Why we inspected

A comprehensive inspection was carried out on 27 and 28 July 2022. Breaches of legal requirements were found, and we issued four requirement notices and a warning notice. This inspection was carried out to follow up on action we told the provider to take at the last inspection and to check whether the provider had met the requirements of the warning and requirement notices.

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

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of the full report.

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

Enforcement and Recommendations

We have identified a breach in relation to safe medicines management at this inspection.

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.

Hyde Nursing Home is a residential care home providing personal and nursing care to up to 100 people. At the time of our inspection there were 24 people using the service.

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

Some required health and safety and equipment checks had not been carried out. There were not sufficient staff to ensure people received the care and support they needed in a timely manner. All required pre employment checks had not been completed. The provider was not always meeting the requirements of the MCA. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. There was a lack of systems for auditing, assessing, monitoring and improving the quality and safety of the service.

Risks to people had been identified and new risk assessments and care plans had been developed for some people, this work was on-going. Staff understood their responsibility to safeguard people from abuse. Medicines were mostly managed safely. The provider was managing the risks associated with COVID-19. People were supported to have visitors as per government guidance. We signposted the provider to resources to develop their approach regarding infection control audits, cleaning schedules and records.

People had their needs assessed before they started to live at the home. Staff knew people well, we observed they were caring and treated people with kindness. People were supported to eat and drink and maintain a balanced diet.

The provider had recruited a new manager who had started at the home two weeks before our inspection. Throughout the inspection we found the provider and managers of the service open and transparent. They took immediate action to rectify concerns where they could and were willing to work closely with other agencies to improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service has changed provider since our last inspection. It was registered with us on 1 June 2022 and this is the first inspection under the new provider. The last rating for the service under the previous provider was good, published on 7 February 2018.

Why we inspected

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.

We received concerns in relation to staffing, the management of medicines, health and safety and recruitment as a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

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.

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

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

Enforcement and Recommendations

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 made a recommendation about records relating to oral health care.

We have identified breaches in relation to premises and equipment, staffing, recruitment, MCA and governance at this inspection.

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.