We carried out a review of the data available to us about Heyfields Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Heyfields Nursing Home, you can give feedback on this service.
Heyfields Nursing Home is a nursing home providing personal and nursing care for up to 58 people. The service provides support to younger and older people, some who may be living with dementia. At the time of our inspection there were 53 people using the service.
People’s experience of using this service and what we found
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.
People were safeguarded from the risk of harm, and risks were assessed and managed in a safe way. There were enough staff to meet people’s needs. Medicine management had significantly improved since our last inspection; lessons had been learned when things had gone wrong and improvements made. The home was clean and there were measures in place to reduce infection prevention control risks.
People told us they felt very well cared for and we observed caring interactions between people and staff. People had their dignity and privacy respected and were encouraged to be as independent as possible. People were consulted about their care.
There were governance systems in place to assess and monitor the quality and safety of the service. The registered manager was visible and approachable and was passionate about ensuring people received safe and effective care. Staff felt valued and listened to; people and their relatives also confirmed they were engaged with service and consulted for feedback about the care at the home.
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 3 September 2019) and there were breaches of regulation. 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 and the provider was no longer in breach of regulations.
Why we inspected
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.
This inspection was prompted by a review of the information we held about this service which indicated improvements had been made under the key questions safe, caring and well-led. As a result, we undertook a focused inspection to review these key questions only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Heyfields Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Heyfields Nursing Home provides accommodation and nursing care for up to 46 people some of whom were living with dementia. At the time of our inspection 46 people were living there.
People’s experience of using this service and what we found
People were not always safe as the systems and procedures at Heyfields Nursing Home were ineffective in identifying improvements needed in safety.
People were at risk of not always receive their medicines safely. This was because the providers systems for monitoring the safe storage of medicines was ineffective.
People did not always have their personal and private information kept confidential.
Not all parts of Heyfields Nursing Home were safely maintained.
The provider’s quality monitoring procedures were ineffective in identifying the improvements which were needed to drive good care and support.
People were protected from harm and abuse as the staff team had been trained to recognise potential signs of abuse and understood what to do. People had information on how to raise concerns and were confident any issues would be addressed correctly.
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.
People had individual assessments of risk associated with their care and support.
Staff members were aware of the necessary action they should take in the event of an emergency.
The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision.
People had access to additional healthcare services when required.
People were supported to maintain a healthy diet by a staff team which knew their individual likes and dislikes.
People received help and support from a kind and compassionate staff team with whom they had developed positive relationships.
People were supported by staff members who were aware of their individual protected characteristics like age, gender, disability and religion.
People were provided with information in a way they could understand. The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.
The provider, and management team, had good links with the local communities in which people lived.
Rating at last inspection
The last rating for this service was ‘Good’ overall with requires improvement for the ‘Effective’ domain (published 29 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified one breach in relation to the overall governance at Heyfields Nursing Home.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Heyfields Nursing Home on our website at www.cqc.org.uk
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
The service provides support to 46 older people, some of who may be living with dementia. At the time of the inspection there were 44 who used the service.
There was a registered manager in the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People made decisions about their care and staff helped them to understand the information they needed to make informed decisions. Staff sought people’s consent before they provided care and support. Where people were not able to make decisions for themselves, they were supported to make decisions that were in their best interests with the help of people who were important to them. Assessments to determine capacity had not been carried out to ensure people only made decisions where people no longer had capacity. Where restrictions were placed upon people these had been identified and application made to ensure any restriction was lawful.
People received their medicines at the right time and systems were in place to ensure medicines were managed safely. Accidents and incidents were recorded appropriately and steps taken to minimise the risk of similar events happening in the future.
There was sufficient staff to meet the assessed needs of people who used the service. Many of the staff had worked within the service for many years and knew people well. The staff were kind and treated people with dignity and respect and helped them to make choices about their care. People chose how to spend their time and there was an extensive range of activities in the home for people to join. People continued to spend time with friends and family and visit places in the community.
People told us the staff were kind and treated them with dignity and respect. People’s care was tailored to meet their individual needs. Care plans detailed how people wished to be cared for and supported.
People’s care needs had been assessed and reviewed to ensure they received care to meet their individual needs. The care records detailed how people wished to be cared for and supported and evidenced where people had been involved with any review. Staff received training to meet identified needs and received on-going support to ensure they delivered the correct support.
People were encouraged and supported to eat and drink and there was a varied daily choice of meals. People’s special dietary requirements were met and where concerns were identified, people’s weight was monitored. Health care was accessible for people and appointments were made for regular check-ups as needed.
People were protected from harm as the staff understood their responsibility to safeguard people and knew how to identify risks and how to raise any concern. Risk assessments ensured people could continue to enjoy activities as safely as possible and maintain their independence
People were confident they could raise any concerns with the registered manager or staff and were complimentary about the service provided. The registered manager was approachable and provided support to the staff team. People were encouraged and supported to provide feedback on the service and there were effective systems in place to review and improve the quality of the service provided.
Staff had a good knowledge of people's needs and we saw the staff were respectful to people when providing support. People were supported to have their health and personal care needs met and told us they were happy with the care they received. We saw people were dressed in their own style and they told us if they needed support, the staff would help them to continue to take a pride in their appearance. One person said, 'The staff are truly wonderful. Nothing is ever too much trouble, and when I need help, they make sure they help the way I want them to.'
Staff felt supported by their manager and received training to enable them to provide good care. Staff told us they enjoyed working at the home. One member of staff told us, 'I've never worked anywhere with such high standards. It's a pleasure to come to work and everyone is committed to maintaining those standards.'
Each person had their own bedroom and could bring in personal possessions and furniture to decorate their room. People could have a telephone in their room to keep in touch with family and friends. All areas of the home were decorated and furnished to a high standard.
Thirty two people were in residence when we undertook our inspection. We spoke with six people living in the home, two visitors, three staff and the provider.
People's privacy and dignity were respected. We saw staff knocking on people's doors and waiting for an answer before entering. People using the service were happy living at the home. They told us they enjoyed their lives there and they liked the staff who cared for them. One person said, 'I think it's excellent, carers are so caring. It's very comfortable, I am never rushed and the staff are respectful.'
Staff knew about the people they were caring for and they felt that the management of the home were supportive and encouraging. One staff member told us, 'Support is always on hand, every member of staff is nice, we work as a team.'
We looked at the way medication was managed and saw that medication systems and practices were safe and suitable.
We looked at the recruitment procedures for staff and found that appropriate systems were in place to protect people using the service.
We checked records were stored safely and correctly and systems were as required. This was to ensure people's confidential information was stored appropriately.