Background to this inspection
Updated
30 April 2021
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 Care Act 2014.
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 team consisted of one inspector
Service and service type
Iris Hayter House is a 'care home'. 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. The service had a manager registered with the Care Quality Commission. Registered managers and providers are legally responsible for how services are run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection to ascertain to Covid status of the service and make sure the manager was available to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. In addition we asked the registered manager to send us documents relating to people’s safety and staff procedures, including risk assessments, staff rotas, the recruitment policy, staff supervision files and minutes of staff meetings. We used this information to plan our inspection.
During the inspection
We spoke with three people, three members of staff, the registered manager, the deputy manager and the nominated individual. We looked at medicine records and procedures and medicine monitoring systems.
Updated
30 April 2021
About the service
Iris Hayter House accommodates up to 13 people with mental health needs in one purpose-built building.
On the day of our inspection 12 were living in the home.
Why we inspected
At the last inspection the rating for this service was requires improvement (published 17 October 2019). We found medicines were not safely managed (Regulation 12 Health and Social Care Act 2008 [Regulated activities] Regulations 2014) and monitoring systems had not identified our concerns (Regulation 17 Health and Social Care Act 2008 [Regulated activities] Regulations 2014).
We undertook this focused inspection to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
We also 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 coronavirus and other infection outbreaks effectively.
At this inspection we found improvements had been made and the provider now met the legal requirements.
People's experience of using this service
Medicines were managed safely and people received their medicine as required. Records were accurate and safe recording procedures for bottled medicines were followed.
The provider had quality assurance systems in place to monitor the quality and safety of the service. Regular audits were conducted which helped to improve the quality of the service.
People received safe care from skilled and knowledgeable staff. People told us they felt safe receiving care from the service. Staff fully understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place. There were sufficient staff deployed to meet people's needs.
Risks to people's safety and well-being were managed through a risk management process. The service promoted positive risk taking, enabling people to remain independent.
Staff culture was positive, and the team was caring. This had resulted in the provision of compassionate and personalised care. The service had a clear management and staffing structure in place. Staff worked well asa team and had a sense of pride working at the service. Staff had been well trained and followed robust PPE (personal protective equipment) protocols.
Due to the layout and size of the building, social distancing was in place and followed. Staff had taken steps that supported people with social distancing where-ever possible. The management were aware of zoning guidelines but did not need to implement it as no people were COVID-19 confirmed or suspected in this location.
The provider ensured there was a sufficient stock of personal protective equipment (PPE) and the vetted supplier ensured it complied with the quality standards. Staff had infection control training and understood the correct donning and doffing procedure.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.