Archived: The Hyde Care Home

Updated 10 September 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on the 16 and 17 August 2016 and was unannounced.

The inspection team was made up of one inspector and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to the inspection, we reviewed the information we held such as previous inspection reports and notifications. Notifications are specific events registered people are required to inform us about by law. We also reviewed the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. During the inspection we found the current PIR had been completed by the previous manager and was not in line with all the views of the current registered manager.

During the inspection, we spoke with 15 people, one visiting friend and one family member. We reviewed the care of three people in detail to look at whether they were receiving their care as planned. We spoke to them were we could as well to ensure they were happy.

We spoke with nine staff and reviewed three staff personnel files. Staff training, supervision and appraisal planning and records were also reviewed. We also reviewed the information held at the service the registered manager and provider used to demonstrate they reviewed the quality of the service and ensured the building and equipment were safe. The registered manager, deputy manager and area manager, representing the provider, supported the inspection. We spoke with one health care professional and were given written feedback by another during the inspection.

Updated 10 September 2016

The inspection took place on the 16 and 17 August 2016 and was unannounced. The service was last inspected on the 4 February 2014 and we had no concerns.

The Hyde Care Home (known locally as ‘The Hyde’) is registered to provide residential care without nursing for up to 28 older people. Nursing care is provided from nurses based in the community. Twenty people were recorded as living at the service when we visited however, one person was in hospital at the time of our visit.

A registered manager was in post to manage the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager was managing this and another service locally. They were supported by a deputy manager in each location and a staff structure which allowed them to have oversight of both services. We had discussions with the area manager, who represented the provider at the inspection, to ensure there was sufficient support for the registered manager to fulfil their role effectively. We were reassured this would be monitored when checks by the provider were completed at the service. This would help ensure any issues or support needs could be identified quickly.

People told us they were safe and happy living at The Hyde and were looked after by staff who were kind and treated them with respect, compassion and understanding. Staff told us there was a strong ethos of treating people with respect, protecting people’s dignity and maintaining people’s independence for as long as they were able.

People felt in control of their care. People’s medicines were administered safely and they had their nutritional and health needs met. People could see a range of health professionals as required. People had risk assessments in place so they could live safely at the service. These were mainly linked to people’s care plans and staff training to ensure care met people’s individual needs. The registered manager was going to ensure all risk assessments were in place and linked clearly to people’s care plans. People’s care plans were written with them, were personalised and reflected how they wanted their care delivered. People’s end of life needs were planned with them. People were supported to end their life with dignity and free of pain. The service was working towards accreditation in respect of how they cared for people and their families at the end of their life.

Staff knew how to keep people safe from harm and abuse. Staff were recruited safely and underwent training to ensure they were able to carry out their role effectively. Staff were trained to meet people’s specific needs. Staff promoted people’s rights to be involved in planning and consenting to their care. Where people were not able to consent to their care, staff followed the Mental Capacity Act 2005. This meant people’s human rights were upheld.

Activities were provided to keep people physically and cognitively stimulated. People’s faith and cultural needs were met.

There were clear systems of governance and leadership in place. The provider and registered manager ensured there were systems in place to measure the quality of the service. People, relatives and staff were involved in giving feedback on the service. Everyone felt they were listened to and any contribution they made was taken seriously. Regular audits made sure the service was running well. Where issues were noted, action was taken to put this right.

Systems were in place to ensure the building and equipment were safe