Updated 24 September 2022
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 carried out by two inspectors, a special professional advisor and an Expert by Experience. The specialist professional advisor worked had expertise in nursing care. 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
Hayes Cottage Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was not a registered manager in post. The manager had been promoted to their post in May 2022 and was planning to register in the near future.
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. This included information about important events the provider had notified us about that had happened at the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and
improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
Inspection activity started on 13 July 2022 and ended on 10 August 2022. We visited the location’s office/service location on 27 July 2022. We spoke with six people who used the service., a visiting professional, and a variety of staff. This included three care workers, a nursing assistant, two nurses, a chef, the maintenance manager, the acting manager, the provider’s clinical consultant and the provider’s director. The director was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We viewed a range of records including the medicines, skin management and care records for five people and the care plans for four people. We viewed a variety of records relating to the management of the service and building, including records of assorted audits and checks, meeting records and procedures.
After our visit we spoke with eight relatives of people who use the service and two professionals who have worked with the service recently. We continued to seek clarification from the provider to validate evidence found. We looked at two people's care plans, staff training and quality assurance records, risk assessments, action plans and recruitment information for five staff.