Archived: The Hay Wain

Updated 24 August 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

This was a comprehensive inspection that took place on 10 June 2017 and was unannounced. The inspection was undertaken by one inspector.

Before the inspection we reviewed information that we held about the service such as notifications, which are events which happened in the service that the provider is required to tell us about, and information that had been sent to us by other agencies. We also contacted commissioners (who fund the care for some people) of the service and asked them for their views.

On the day of the inspection visit we spoke with four people who used the service. Due to people's communication needs their feedback about all aspects of their care was limited in parts. We used observation to help us understand people's experience of the care and support they received. We spoke with one visiting relative during the visit and then a further five relatives were contacted and three provided feedback following our inspection.

We spoke with the registered manager, deputy manager, activities staff and two care staff. We looked at records relating to three people living at the service. We looked at other information related to the running of and the quality of the service. This included the management of medicines, quality assurance audits, training information, staff meeting minutes and arrangements for managing complaints.

Updated 24 August 2017

The Haywain is a residential service for up to ten older people. There were seven people living at the home at the time of the inspection. At the last inspection in April 2015, the service was rated good overall and in each key question we ask. At this inspection we found the service remained good however well-led was rated requires improvement.

There was a quality assurance audit in place however the system was not always effective because issues identified at the inspection had not been recognised during the monitoring and auditing process.

People continued to receive safe care. Staff had received appropriate adult safeguarding training and were aware of their role and responsibilities to protect people from avoidable harm.

Risks associated with people's individual needs, including the environment and premises had been assessed and plans were in place to mitigate any risks. Procedures were in place to report any accidents and incidents and these were investigated and acted upon appropriately.

Staff underwent appropriate recruitment checks before they commenced their employment. Staffing levels were adequate; staff had time to spend with people. People were supported to receive their prescribed medicines safely however some improvements were needed to the management and recording of medicines stock levels.

People continued to receive effective care and support. Staff received an appropriate induction, on going training and opportunities to discuss and review their work.

The principles of The Mental Capacity Act 2005 and Deprivation of Liberty Safeguards had been applied where required. People were supported to make their own choices and their consent sought.

People were supported with any dietary and nutritional needs however mixed feedback about the food available was received. We have made a recommendation to the provider to review people’s meal time experience. People were supported appropriately with their health care needs and the staff worked well with external healthcare professionals following any guidance and recommendations made.

Care plans were individualised and person centred focussing on people's assessed needs. Plans were reviewed and evaluated regularly to ensure planned care was current and up to date.

People had access to activities however the registered manager had recognised that further improvements could be made and plans were in place to implement these changes.

The service had a clear complaints policy that was applied when issues arose. The registered manager was involved in monitoring standards and promoting good practice.