Haydock Nursing and Residential Care Home

Updated 25 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of the Care Quality Commission’s (CQC’s) response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 16 February 2022 and was announced. We gave the service two day’s notice of the inspection.

Updated 25 February 2022

About the service

Haydock Nursing and Residential Care Home is a residential care home providing personal and nursing care to 50 older people, including people living with a dementia and mental ill health. At the time of the inspection, there were 45 people living in the home.

The home is purpose built two storey building. There was a separate specialised unit for people living with dementia.

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

Safeguarding adults’ procedures were in place and staff understood how to protect people from abuse. Relatives had no concerns and were fully confident their family members were safe, and people told us they felt safe and were happy with the service they received. Recruitment processes had improved and ensured new staff were suitable. There were enough numbers of staff to meet people's needs and to ensure their safety. The management of people’s medicines had improved, and people received their medicines when they needed from staff who had been trained and had their competency checked. Risk assessments included positive risk taking to optimise people's independence and receive support with minimum risk to themselves or others. The home was clean and free from hazards.

People's needs were thoroughly assessed in line with good practice guidance which ensured positive outcomes. Throughout the inspection, there was evidence of how management and staff supported people to have a good quality of life. People's health needs were identified and closely monitored. People enjoyed the meals and where appropriate, were supported and encouraged with eating and drinking. Specialists were involved when people were nutritionally at risk. Induction, ongoing training and support for staff was thorough and kept their skills up to date which had a positive impact on people’s health and well-being. 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.

Management and staff had developed friendly, caring and respectful relationships with people and their families. People were treated as individuals which helped protect their dignity; their equality and diversity was respected by a caring staff team. Staff understood the importance of giving people their time and knew the importance of encouraging people to maintain their independence. People consistently described staff as kind, friendly and caring.

Management and staff worked hard to understand and respond to people's needs and preferences. People's care was tailored to their needs, routines and preferences and staff knew people well. People were actively involved in the local community and had access to a broad range of meaningful activities which improved their quality of life, developed their self-confidence and their self-esteem. Activities were adapted to each person's needs to support social inclusion and promote choice whilst considering their preferences. People did not have any complaints about the service but were confident to raise any issues and were confident they would be listened to.

The service was well led by a committed and skilled management team who led by example. They used effective checks and audits of care to provide high-quality, person-centred care. There was an ongoing plan of development for the service and communication was good. Without exception, people spoke highly about the service provided and told us they would not hesitate to recommend the home. Staff felt valued and enjoyed working at the home. People's views and opinions of the service were sought and acted on.

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 was requires improvement (published 01 March 2019).

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 and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.