Hayes Park Nursing Home

During this inspection, we identified 2 breaches of regulation; safe care and treatment in relation to infection prevention and control, including the environment and governance of the service.

The internal and external environment needed improving. We identified some risks, and the premises required redecoration and refurbishment. Whilst the provider had identified some improvements were required, we were not sufficiently assured actions were robust enough.

The provider had processes to manage infection prevention and control, including cleaning procedures. However, areas of the environment showed additional cleaning improvements were required. The provider’s internal audits and checks had not identified these issues.

The provider’s governance systems and procedures that assessed, reviewed, monitored and mitigated risks, and checked quality were not fully effective.

Clinical care needs and risks were assessed and well managed. Whilst staff had received training in dementia care, they would benefit from further training and upskilling. Care plan guidance for staff to ensure people received person centred approaches to care and treatment needed further development. Staff guidance for people’s mental health and psychological care needs lacked person centred information.

There were enough qualified, experienced and competent staff to meet peoples’ individual care needs and safety. Staff had been recruited following safety checks and received ongoing training and support.

Staff understood their role and responsibilities about how to protect people from abuse and avoidable harm. People and their relatives were involved in discussions and decisions about how care needs were met, including receiving opportunities to share their experience of the service.

People received their prescribed medicines when required. People were supported to access health services and staff worked in partnership with external health care professionals. People’s dietary and hydration needs were assessed and monitored. People received a choice of meals, drinks and snacks.

Staff were kind, caring and respectful towards people in their care, and, overall, they were responsive to people’s individual care needs. However this required further monitoring and some improvements.

The registered manager had an open and transparent learning culture. Lessons were learnt from incidents, accidents, complaints and whistleblowing and shared with staff, to ensure improvements were made.

Overall, staff were positive about working for the provider and confirmed improvements had been made and were ongoing, in relation to communication and ways of working. This included developing staff roles, responsibilities, expectations and accountability. A series of team building meetings had been facilitated by the management team.