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Inspection Summary


Overall summary & rating

Good

Updated 8 February 2018

This inspection took place on 12, 13 and 15 December 2017 and was unannounced on the first day.

The service was last inspected on 23 March 2016 where we conducted a focussed inspection to look at the safe domain only. We found that improvements were still required and made a recommendation was for the registered manager to ensure that handover notes contain pertinent and legible information to ensure effective information exchange between staff shifts. Staff need to be fully updated and aware of the current care and support needs of each person they will be caring for during each shift.

The provider sent us an action plan giving details of how they intended to address the recommendation made. During this inspection we found that the action taken had addressed the findings detailed in that recommendation.

Hyde Nursing Home is one of a number of care homes in Tameside owned by Meridian Healthcare Limited, part of HC-One Limited. The service is situated in the Hyde area of Tameside. It is a purpose built care home and is registered to provide accommodation for people who require nursing and residential care. There are 60 bedrooms and the home is divided into three units; Godley Court and Newton Court provide nursing care for up to 35 people in total. Werneth Court is a unit providing nursing care for up to 25 people living with dementia. Godley and Werneth Courts are split over two floors, each with upstairs and downstairs units. Each unit has a lounge, dining area, kitchenette and individual, ensuite bedrooms. The main kitchen and large laundry are located on the top floor of the home.

At the time of our inspection there were 53 people living at Hyde Nursing Home.

There was a registered manager in post at the time of the inspection. 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.

Medicines were managed safely.

Staffing levels were sufficient at the time of the inspection to meet the needs of people who were cared for and supported by the service.

Staff understood their role in keeping people as safe as possible and had received training in safeguarding adults.

A robust recruitment system was in place to minimise the risk of unsuitable people being employed to work in the service.

Risk assessments were in place to minimise the potential risk of harm to people during the delivery of their care.

Both the registered manager and deputy manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant that people who may lack capacity were being appropriately supported to make their own decisions whenever possible.

Staff were provided with relevant training and had access to online information and support. Staff confirmed that the training they received supported them to carry out their job roles effectively.

We observed staff treat people with kindness, respect and dignity and staff understood the needs of people which was demonstrated by the way they communicated with them.

People had access to various activities on a daily basis and were supported by appropriately trained staff.

There was a complaints procedure displayed throughout the home and a record of all complaints and the action taken to resolve them was kept.

Regular meetings were held for staff teams, people who used the service and their relatives. This gave people the opportunity to express their views and raise any concerns about the service. This indicated that the culture of the service was open and transparent.

Inspection areas

Safe

Good

Updated 8 February 2018

The service was safe.

Medicines were managed safely.

Risk assessments were in place that helped staff to manage and minimise risks to people using the service.

Staff had received safeguarding training and understood their role in keeping people safe.

A robust recruitment system was in place to minimise the risk of unsuitable people being employed.

Effective

Good

Updated 8 February 2018

The service was effective.

Staff received an induction and on-going training to support them in their job roles effectively.

People who lacked capacity were supported by the staff team and important decisions were made in their best interests.

People's healthcare needs were carefully monitored and support was also provided from external healthcare professionals, such as doctors and community dieticians.

Caring

Good

Updated 8 February 2018

The service was caring.

We saw friendly and positive interactions between people who used the service and the staff supporting them.

Suitable activities were made available for people to participate in should they wish to do so.

People's assessed needs were taken into account when care and support was being planned.

Responsive

Good

Updated 8 February 2018

The service was responsive.

Care plans were in place to enable staff to respond to people's identified support needs.

People were provided with compassionate and caring support at the end of life.

A complaints procedure was in place and this had been shared with the people who used the service.

Well-led

Good

Updated 8 February 2018

The service was well-led.

There was a manager in post who was registered with the Care Quality Commission.

Quality monitoring systems were in place to make sure the provision of service was being maintained to a good standard.

Staff had access to the management team for guidance and support.