Nayland House Care Home

Updated 3 February 2023

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

This inspection was undertaken by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Nayland House 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. Nayland House 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 registration. We sought feedback from the local authority who work with the service. 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 spoke with 7 people who used the service and 3 relatives. We spent time in the communal areas and observed the staff interactions with people who used the service. We spoke with 6 members of staff, including the registered manager, deputy manager, administrator, senior care staff, care staff and maintenance staff.

We reviewed 5 people’s care records and multiple medicines records. We also reviewed a range of records including staff training, staff recruitment, cleaning schedules, and records relating to the management of the service including audits and the service improvement plan.

Following our inspection visit, we received electronic feedback from 10 people’s relatives and 10 staff members. We spoke with 2 people’s relatives on the telephone.

We fed back our findings of the inspection to the registered manager and the deputy manager on a video call on 26 January 2023.

Updated 3 February 2023

About the service

Nayland House Care Home is a residential care home providing accommodation and personal care to up to 54 people, in an adapted building. There were 2 units in the service, the main house and the cottage. The service provides support to adults. At the time of our inspection there were 50 people using the service, some people were living with dementia.

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

Risks to people were assessed and actions in place to mitigate them, which reduced the risks of abuse and avoidable harm. Systems were in place to ensure there were enough staff to meet people’s needs and staff were recruited safely. People received their medicines when needed and medicines were managed safely. Infection control procedures were in place and staff followed them. The service had learned lessons from a concern about the hygiene in a bedroom and systems introduced systems to improve. People were supported to have visitors.

Staff received training to meet people’s needs effectively. 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 had access to health care professionals where required. People were supported to enjoy choices of meals and drinks to reduce the risks of dehydration and malnutrition.

People were provided with a caring service by staff who were compassionate and kind. People’s dignity, diversity, independence and privacy was promoted and respected.

People’s needs and preferences were assessed with the input from people and their representatives, where required. Care plans were in place which guided staff in how to meet people’s needs. People’s end of life decisions were sought and recorded, where people chose to discuss them. People had access to activities to reduce isolation.

There was a complaints procedure in place and people complaints were addressed. People’s views about the service provided were valued and used to drive improvement. There were a range of audits and monitoring systems in place which assisted the management team to identify shortfalls and address them.

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, under the previous provider, was good (published 21 December 2018).

This service has a new provider since the last inspection. The service was registered with us on 25 June 2021 and this is the first inspection under this provider.

Why we inspected

This was a comprehensive inspection which was undertaken because this was the first rating inspection under the current provider.

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.

Follow up

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