Haydon-Mayer

Updated 7 June 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

The inspection was completed by an inspector.

Service and service type

Haydon-Mayer 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. Haydon-Mayer is a care home with 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 2 registered managers 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. 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 4 people and 4 relatives about their experience of living at the service. We observed staff interactions with people in the communal areas. We spoke with 6 members of staff including the registered managers, the nominated individual, activity co-ordinator, carers and auxiliary staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We received written feedback from a healthcare professional.

We reviewed a range of records. This included 6 people’s care plans and 24 people’s medicine records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including checks and audits were reviewed.

Updated 7 June 2023

About the service

Haydon-Mayer is a residential care home providing personal and nursing care to older people, who may be living with dementia, to up to 32 people. At the time of our inspection there were 24 people using the service, living in a large, adapted building.

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

People told us they were happy living at the service and felt safe. However, people’s care plans did not always contain detailed accurate information for staff to support people consistently and safely.

Medicines were not managed safely. The guidance for staff about when to give ‘when required’ medicines was not accurate or person centred, placing people at risk of not receiving their medicine when they needed it.

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. However, documents assessing people’s capacity had not been completed accurately, staff did not have full understanding of fluctuating capacity. This did not impact on people’s daily lives.

Checks and audits had been completed, but these had not identified the shortfalls found at this inspection.

There was a system in place to protect people from discrimination and abuse. Staff were recruited safely and there were enough staff to meet people’s needs. People received care and support in line with their choices and preferences. People’s wishes for their end of life care had been discussed and recorded.

Accidents and incidents had been recorded and analysed for any patterns and trends, action had been taken to mitigate the risk of them happening again. Relatives told us the registered managers were open and transparent when things had gone wrong.

People and relatives told us they knew how to complain and were confident the registered managers would deal with their concerns appropriately. When complaints had been made, these had been recorded and investigated following the provider’s policy.

People, relatives and staff had been asked their opinions on the service and any suggestions they may have for improvements, these suggestions had been 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 12 February 2020). The service remains rated requires improvement. This service has been rated requires improvement for the last 2 consecutive inspections.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 9 December 2019. There were no breaches of legal requirements, but shortfalls were found, and improvements were required in care plans and management of the service.

We undertook this focused inspection to check they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.

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 not changed and remain requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Haydon-Mayer on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to medicines, risk management and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.