Archived: Haye Corner Care Home

Before we completed the report of the inspection we received information that indicated the service remained non-compliant with regulations identified at previous inspections as being non-compliant. The registered manager had submitted action plans to CQC detailing the action she was taking to achieve compliance with these regulations. She told us the service would be compliant with these regulations and essential standards by 30 June 2013.

Because of the nature of the information we had received we extended the inspection. This meant we visited the home on 8 and 9 July 2013 to check the level of compliance against more regulations. We completed the inspection on 19 July 2013 when a specialist pharmacy inspector visited the home to further inspect against the regulation relating to medicine management and administration.

We identified that the registered persons had failed to achieve compliance with all the regulations that were inspected. This included poor care planning, referrals to health care professionals not being made in a timely manner, staffing levels that had an adverse effect on people who used the service, poor recruitment practices, poor infection control management, inadequate record keeping and poor medicine management practices. We saw that people's choices and wishes were not being respected, resulting in inappropriate restrictions and restraint being placed on some people.

People who lived at the home told us that members of staff were kind and caring. However, we observed that some of the staff interactions with people did not demonstrate that people were treated with respect. This included people being called 'darling' and people being told to drink their cups of tea rather than being asked if they wanted their drinks.

All people who lived at the home had a plan of care. However we saw that these were not individualised and in some cases the information in the plans was inaccurate.

A plan for the training and supervision of staff was being followed. Recruitment procedures ensured that checks were completed about the suitability of a person to work in care. However, there were not always staff in sufficient numbers and experience to assure the welfare of people was protected.

Staff had a basic understanding about safeguarding people from abuse.

Staff had a good understanding about the control of infection, but some of the cleaning processes did not ensure people were fully protected from the risks of cross infection.

Quality assurance processes were failing to identify essential areas of the service requiring improvement.

People who lived at Haye Corner Care Home told us that the care staff were kind and caring. They told us that staff always contacted their GP if they were unwell. We observed that staff spoke to people in a kind and sensitive manner.

People told us that they enjoyed the meals provided. They were supported to make choices about the meals they ate.

Procedures to promote infection control were not adequate. There was soap and towels missing from some bathrooms. There was no evidence that the effectiveness of infection control practice at the home was monitored.

The provider was unable to demonstrate that appropriate recruitment procedures were followed to ensure people were cared and supported by members of staff who were suitable.

There was no quality auditing process being followed to regularly assess and monitor the quality of service that people received.