Updated 14 February 2024
Hyde Nursing Home is a residential care home providing personal and nursing care to up to 100 people. At the time of the inspection there were 71 people living at the service across 4 units. The assessment was planned in response to concerns we had received about the care being provided at Hyde Nursing Home including how people were supported to eat and drink, how personal care was provided and how people were supported to remain as independent. During the assessment we reviewed 14 quality statements across the 5 key questions. Not all quality statements were reviewed at this assessment and consequently will not have a rating awarded at this time. We visited the service on 12, 13 and 14 February 2024. We identified breaches relating to good governance, staffing and the management of medicines. The provider and registered manager did not have a good oversight of the service. Regular audits were being conducted but did not include relevant areas needed to drive improvement. Accidents and incidents were not robustly reviewed to encourage learning and improvements in care provision. Care plans were not always person-centred, contained conflicting information, lacked clear direction on how to support people and contained incorrect information. Medicines were not always managed safely. The use of thickener was not recorded by staff. The service had received concerns about their staffing levels and had increased their staffing levels with agency staff. Not all agency staff had completed an induction before commencing working at the service. The service had not identified that staffing levels were not sufficient. Staff competency checks were not routinely being completed. Monitoring of staff training was poor. Not all staff had completed moving and handling training nor had their competency assessed in this area.