• Care Home
  • Care home

Hayes Cottage Care Centre

Overall: Good read more about inspection ratings

Grange Road, Hayes, Middlesex, UB3 2RR (020) 8573 2052

Provided and run by:
Hayes Cottage Nursing Home Limited

Latest inspection summary

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Background to this inspection

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.

Overall inspection

Good

Updated 24 September 2022

About the service

Hayes Cottage Care Centre is a nursing home providing personal and nursing care for up to 52 adults. The home consists of three units across a ground and first floor. One unit focused specifically on providing end of life care to 10 people. At the time of the inspection there were 44 people living at the home. The home is operated by Hayes Cottage Nursing Home Limited.

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

Relatives and people said they were safe. The provider assessed and took steps to reduce risks to people’s safety and well-being. This included works to develop the home environment.

The service had enough staff to keep people safe. Staff had training on how to recognise and report safeguarding concerns and they knew how to do so. The provider worked with other agencies to investigate concerns.

Staff supported people to receive their medicines as prescribed. The service was following infection prevention and control procedures to keep people safe

People's care plans set out personalised information about their care preferences and the support they needed, including their communication needs. People were supported at the end of their life to have a comfortable and dignified death. There were appropriate procedures in place for responding to complaints.

There were systems in place to monitor the quality of the service. The provider implemented quality and development plans to improvements. The service worked with other agencies to provide people with joined up care.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 2 April 2020).

Why we inspected

The inspection was prompted in part due to concerns received about some people’s support to manage their skin integrity. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We found no evidence that people were at risk of harm from this concern at the time of our inspection visit. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hayes Cottage Care Centre on our website at www.cqc.org.uk.

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.