Haythorne Place

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Most people we spoke with felt their needs were met safely. People told us staff knew them well. One person said, “I feel safe here.” Another person said, “I am looked after safe and well. I love everybody.” Another person said, I feel safe as there are people around me. I have a buzzer when I am in bed and the [staff] come quickly more or less.” One relative said, “As much as I can see they [staff] look after [relative] nicely. [Relative] has had a couple of falls and they [staff] are looking at [relatives] slippers.”

This service scored 53 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

Most people we spoke with felt their needs were met safely. People told us staff knew them well. One person said, “I feel safe here.” Another person said, “I am looked after safe and well. I love everybody.” Another person said, I feel safe as there are people around me. I have a buzzer when I am in bed and the [staff] come quickly more or less.” One relative said, “As much as I can see they [staff] look after [relative] nicely. [Relative] has had a couple of falls and they [staff] are looking at [relatives] slippers.”

Staff we spoke with were knowledgeable about risks associated with people’s care. Staff could explain safe procedures for equipment such as using hoists and sensor mats.

We observed staff carrying out tasks safely, explaining to people what they were doing and checking people were happy with their support.

Care plans and supporting documentation had improved since our last inspection and were more detailed. However, care plans and risk assessments could be more person centred and include more information about managing risk. For example, 2 care plans we reviewed had a lack of information about moving and handling. Body maps were not always updated in line with care plans. Food and fluid charts lacked detail about fortified food and what people had eaten. We spoke with the management team about these issues, and they took action to address them.

People told us they had access to the call system and staff responded when they used it. One person said, “I have a buzzer when I am in bed and staff come quickly more or less.” Another person said, “I don’t know how to use the buzzer, but they [staff] come and check me.”

Staff told us they tried to keep corridors and communal areas free from clutter to minimise the risk of falls. Staff responsible for the maintenance of the service told us checks of equipment and environment was carried out to ensure safety.

We completed a tour of each house and found some areas were sparsely decorated and some areas where wallpaper/décor had been removed but not replaced. Kitchenettes were worn and, in some areas, not kept clean. For example, 1 microwave was dirty and rusty, and we found a bath seat and shower chair which had begun to rust in parts. The management team had identified these areas and told us the kitchenettes were due to be refurbished the week of our inspection.

The management team carried out daily walk rounds to ensure issues were identified. Checks and servicing of equipment and building maintenance were carried out as required.

We received mixed views about the quantity of staff. One person said, “I find most of the staff are alright. They are there when I need them. They could probably do with a few more as it’s a big place.” Another person said, “It’s reasonable here. Nothing to write home about. The staff are alright. They are acceptable. I’d say there are enough [staff] for when I need them.” Some people told us they did not always have a positive experience, and staff did not always respond to them in a positive way. We raised this with the management team who took appropriate action.

Staff told us they received training and felt supported by the manager. The management team told us they had improved training, and staff had recently had the opportunity to attend face to face training on peg feeds, fire safety and health and safety. Some staff commented that they struggle when agency staff cover shifts as they did not know people who lived at the home.

Most staff were knowledgeable about their role and knew people well. However, 1 house had a poor culture and we heard staff speaking abruptly to people. This did not show an understanding of people’s needs and what they were communicating to staff. The management team took actions to address these issues, but further work was required to ensure people were respected, and their views heard.

Staff are recruited effectively. There had been huge reduction in the number of agency staff used since last inspection due to recruitment. This had improved the staffing situation. There are sufficient staff around to meet people's needs. Some staff training has expired but progress was being made and outstanding training was being addressed. The manager had introduced a new template for staff supervision to improve the quality of recording discussions and outcomes.

People told us they were happy with the cleanliness of the home. One person said, “My room is always clean.” Another person said, “My room is cleaned every day.”

Staff and leaders told us infection control had improved and the home was much cleaner than before. Ancillary staff told us they had the products they required to clean effectively.

Although areas of the home were clean and fresh, we saw some areas required attention. One cooker was in need of a deep clean and some storerooms required cleaning and organising.

The management team completed infection control audits and identified actions where improvements were required. The housekeeper also carried out checks of the environment. Processes needed embedding into practice to ensure that infection prevention and control issues were identified in a timely way and acted upon.

People told us they received their medicines as prescribed. One people said, “I get my medicines at breakfast and bedtime.” Another person said, “They [staff] do my medicines as I get a pain in my leg.” Another person said, “Oh yes, I get my medicines on time, but I don’t take much.”

Staff were more confident about systems in place to manage medicines. One staff member said, “There’s been real improvement and lots of work and training had gone into medicines management, addressing the shortfalls found at the last inspection.”

People received their medicines as prescribed. Medicine rooms were clean and well organised. Clear and accurate records were maintained. Staff were trained in the safe administration of medicines and had their competencies checked to ensure they understood medicine management and administration. However, we saw 1 nurse left a packet of paracetamol on top of the trolley and left it unattended. One box in all the MAR's that did not have a signature. There was 1 incident where medicine documentation could have been clearer. People had protocols in place for the safe administration of medicines prescribed on an as and when required basis. These were comprehensive, apart from I protocol that required more clarity. This was addressed by the manager at the time of inspection.