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Inspection Summary


Overall summary & rating

Good

Updated 21 April 2018

We inspected the service on 19 March 2018. The inspection was unannounced.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Haywood Oaks Care Home accommodates up to 20 people over two floors. On the day of our inspection, 13 people were using the service and two people were in hospital.

At the last inspection in January 2016, the service was rated overall ‘Good’ and ‘Requires Improvement’ in ‘Responsive’. At this inspection, we found the service remained overall ‘Good’. Improvements had been made in ‘Responsive’ but ‘Safe’ had deteriorated to ‘Requires Improvement’.

A concern was identified with the stock of one medicine but people received their prescribed medicines safely. Risk assessments associated with people’s needs had not always been completed. Some records relating to people’s needs had not been stored appropriately.

The service was clean and infection control measures were in place. People were supported by sufficient staff that had been deployed appropriately, staff skill mix had been considered. Safe staff recruitment checks had been carried out when new staff commenced.

Staff received an induction and continued training and support to carry out their work. Recognised tools and best practice guidance was used when assessing people’s needs. People’s nutritional needs had been assessed and planned for. Health care needs were monitored and referrals were made to external health care professionals when needed. The premises were well maintained and were appropriate for the needs of people who used the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. The principles of the Mental Capacity Act (MCA) were followed.

People who used the service and or their relatives where appropriate, were encouraged to contribute to the planning and ongoing review of their care. People received care that respected their privacy and dignity and independence was encouraged. Staff understood people’s needs, routines and preferences. Advocacy information was available for people should they have required this support.

People received opportunities to participate in social activities and interest and hobbies were encouraged. People’s end of life wishes had been discussed with them. People felt able to raise concerns or complaints and the complaint procedure had been made available for people.

People who used the service and their relatives were encouraged to give feedback about their experience of the service. Systems were in place to monitor the quality of the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 21 April 2018

The service has deteriorated to Requires Improvement.

Some concerns were identified with the stock of one medicine.

Risk assessments for some people�s needs had not been sufficiently completed. Some information in relation to people�s needs were not stored correctly.

Staffing levels and deployment met people�s needs. Safe staff recruitment checks were in place.

The service was clean and followed infection control best practice guidance.

Effective

Good

Updated 21 April 2018

The service remains Good.

Caring

Good

Updated 21 April 2018

The service remains Good.

Responsive

Good

Updated 21 April 2018

The service has improved to Good.

Improvements had been made to the documentation used to inform staff of people�s routines, preferences and what was important to them.

An activities coordinator was now in place and people received opportunities to participate in a variety of activities.

People knew how to make a complaint if required to do so.

Well-led

Good

Updated 21 April 2018

The service remains Good.