South Hayes Care Home

Updated 18 January 2024

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.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

South Hayes Care Home 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. South Hayes Care Home 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including notifications of significant events. We contacted the local authority to ask for feedback. We also requested feedback from Healthwatch to obtain their views of the service. 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

We spoke with 4 people using the service and 4 family members. We spoke with 8 staff members including the activities co-ordinator, the deputy manager, and the registered manager. We reviewed 4 people's records, including medication and care records. We also reviewed a range of records held by the service including, staff training and rotas, 3 recruitment records, handover documents and environmental checks.

Updated 18 January 2024

About the service

South Hayes Care Home is registered to provide accommodation and personal care for up to 39 older people; the home does not provide nursing care. Accommodation is provided over two floors with lift access. At the time of the inspection 18 people were using the service.

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

The provider had made improvements since our last inspection and had mitigated risks to people, the environment and improved their governance systems.

The provider had systems and processes in place to protect people from the risk of abuse. Staff had received training and shared good knowledge of how to raise concerns. People and relatives told us they felt safe and would be listened to if they raised concerns.

People were supported by caring and compassionate staff who knew them well. Staff were recruited safely into the service and had received the relevant recruitment checks.

Medicines were managed and stored safely. Accidents and incidents were monitored, with lessons learned and action taken to mitigate further risks to people.

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.

The provider had a consistent management team and governance systems were in place to provide regular oversight of the service. Internal audits were completed by the provider, registered manager and deputy manager.

Effective systems were in place to gather feedback from people, relatives and staff which was used to drive improvements and positive outcomes.

Rating at last inspection and update

The last rating for this service was Inadequate.

Why we inspected

This inspection was carried out to follow up on actions we had told the provider to take at the last inspection.

In our previous inspection we identified ongoing breaches, and the provider was not working within their current registration conditions. At this inspection the provider had completed the actions after the last inspection and improved their environmental monitoring and governance systems.

We undertook a focused inspection to review the key questions of safe 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 inadequate to good based on the findings of this inspection.

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

Enforcement

At the last inspection we identified the provider had failed to meet their conditions. This was a breach of regulation and we issued fixed penalty notice. The provider accepted a fixed penalty and paid this in full.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.