The Hay Wain

Updated 7 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

Membership of the team consisted of one inspector.

Service and service type:

The Hay Wain is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

What we did:

Prior to the inspection visit we gathered information from many sources. We looked at the information received about the service from notifications sent to the Care Quality Commission by the registered manager. We also spoke with other professionals supporting people at the service, to gain further information about the service.

We met people who used the service and spoke in more detail with two people and two visitors. We spent time observing staff interacting with people.

We spoke with the two staff on duty and the deputy manager. We looked at documentation relating to two people who used the service and information relating to the management of the service. We reviewed medicine administration records and observed medicines storage and audit arrangements and spoke with staff involved in medicines management.

Updated 7 June 2019

About the service: The Hay Wain provides accommodation for older people, some of whom may live with dementia. The service can accommodate up to 10 people. On the day of our inspection visit seven people were accommodated.

People’s experience of using this service:

People experienced a very individualised service that met their expressed needs in a personalised way. Due to the small scale of this service people were able to make suggestions and express wishes that were quickly met. People were able to lead a lifestyle of their choosing with good access to appropriate healthcare services.

We found that the premises were safely maintained. Previously we had concerns about fire safety checks, but these were now being consistently completed.

Previously we had asked for improvements in the safe management of people’s medicines. People now experienced safe systems for administering their medicines. People received their medicines as prescribed. One person told us, “I have no problems with getting my medicines as I need them.”

People at this service were well cared for by sufficient numbers of dedicated staff. People’s feedback was consistently positive about the care, support and staff. One person told us, “I feel safe and the staff are kind.”

Audits were in place to enable the registered manager to monitor the quality of the service. This included oversight of fire safety and medicines management.

Rating at last inspection: We rated The Hay Wain as requires improvement in safe and well led. This made an overall rating of requires improvement. We published our report on 29 January 2019.

Why we inspected: This was a focused inspection that looked at safe and well led.

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

For more details, please see the full report which is on the CQC website at www.cqc.org.uk