Hyde Nursing Home

Updated 17 February 2023

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 1 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.

Service and service type

Hyde Nursing home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hyde Nursing home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. The provider had identified a new manager for the service and was waiting for recruitment checks to be completed.

Notice of inspection

This inspection was unannounced.

We visited the location’s service on 19 and 20 January 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service, 6 relatives and 1 visiting professional. We spoke with 6 staff members. These included, 2 nurses, 1 chef, 1 domestic staff, the clinical lead and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We looked at 3 people’s care records, associated documents, and medicines related documentation. We also looked at 2 staff files, training and supervision records, as well as records relating to the operation and management of the service. We undertook a tour of the building, observed medicines administration and their storage, and completed observations in the communal areas.

Updated 17 February 2023

About the service

Hyde Nursing Home is a residential care home providing personal and nursing care to up to 100 people. The service provides support in 4 units to younger people, older people and people living with a dementia, across a two-storey building. At the time of our inspection there were 27 people using the service.

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

Medicines were not always managed and stored safely. There was enough staff in line with assessed need, however people and families told us the service felt short staffed. We made a recommendation around staffing. Staff were recruited safely. Systems were in place to identify and reduce risk. People felt safe in the service and staff knew how to report and recognise safeguarding concerns. Infection Prevention and Control measures were being followed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Care plans were in place and needs were being assessed. The provider worked in partnership with other agencies to maintain people’s health and wellbeing. Staff were receiving training and had regular supervisions. People were having their diet and nutritional needs met and told us they had positive mealtime experiences.

Systems and processes were in place to oversee and manage the service. Audits were not always effective at reviewing medication management. We recommended the provider improved their auditing processes. The provider was aware of duty of candour. Staff and residents’ meetings were occurring. Positive feedback was given from people, families and staff.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 August 2022).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made however the provider remained in breach of regulations.

At our last inspection we recommended that the provider improved records relating to oral health care. At this inspection we found oral health care records had been improved.

Why we inspected

A comprehensive inspection was carried out on 27 and 28 July 2022. Breaches of legal requirements were found, and we issued four requirement notices and a warning notice. This inspection was carried out to follow up on action we told the provider to take at the last inspection and to check whether the provider had met the requirements of the warning and requirement notices.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of the full report.

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

Enforcement and Recommendations

We have identified a breach in relation to safe medicines management at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.