6 December 2023
During an inspection looking at part of 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.