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Inspection Summary


Overall summary & rating

Good

Updated 4 May 2018

This inspection took place on the 4 April 2018 and was unannounced. This was the services first inspection since the transfer of the service to a new provider on 15 December 2017. At the time of the inspection the new provider was in the process of changing new systems, including uniforms and new files

The Hyde 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. This was the services first inspection since the transfer of the service to a new provider on 15 December 2017. At the time of the inspection the new provider was in the process of changing new systems with regards to records and files.

The Hyde Care Home (known locally as 'The Hyde') is registered to provide residential care without nursing for up to 28 older people. At the time of our inspection there were 12 people in the home. People are supported over four floors, people had access to floors by way of a lift and stair lifts. Some rooms have en suite facilities and can accommodate married couples. The Hyde is set in a rural location in Bridport. Communal facilities include specialist bathrooms, lounges, a dining room, quiet social areas and an accessible garden.

The home had a registered manager. 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.

The registered manager had been in position since October 2017. They were supported by a deputy manager and a staff structure which allowed them to have oversight of the service. We

had discussions with the area quality director, who represented the provider at the inspection following the recent change in registration.

People described the care as safe and were supported by staff who understood how to recognise signs of abuse and the actions needed if abuse was suspected.

There were enough staff to meet people’s care and support needs. Staff had been recruited safely including full employment history and disclosure and barring checks. Induction and on-going training provided staff with the skills needed to carry out their roles effectively.

Staff were supported and had opportunities to meet with senior staff and discuss their role and professional development.

People had their risks assessed and actions were in place to minimise the risk of any avoidable harm. This included risks associated with swallowing, falls, skin damage and malnutrition. Staff were able to explain to us how people’s needs and choices were met and their role in reducing risks people lived with.

People had their medicines ordered, stored, administered and recorded safely. When people self-administered their medicines risk assessments were in place which were regularly reviewed to ensure safety.

People were confident that at the end of their lives they would be cared for with kindness and compassion and their comfort would be maintained. Staff worked with other organisations to make sure high standards of care were provided and people received the support and treatment they wished for at the end of their lives

Staff had completed infection control training and demonstrated practice that reduced the risk of avoidable infections. When things went wrong lessons were learnt and actions put in place to improve safety.

Pre admission assessments were completed and formed care and support plans that were reviewed regularly. Care plans were person centred and 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 supported this practice.

If people n

Inspection areas

Safe

Good

Updated 4 May 2018

The service was safe.

People were supported by staff that had been trained to recognise signs of abuse and the actions needed if abuse was suspected.

People had their risks assessed and regularly reviewed with actions in place to minimise avoidable harm.

People were supported by enough staff to meet their needs and choices and had been recruited with checks in place to ensure they were suitable to work with vulnerable adults.

Medicines were ordered, stored, administered and recorded safely.

People were protected from avoidable infections.

When things went wrong lessons were learnt and changes introduced to improve safety

Effective

Good

Updated 4 May 2018

The service was effective.

Assessments of peoples care and support needs were carried out in line with current legislation and best practice guidance.

People were supported by staff who had completed an induction and on going training that enabled them to carry out their roles effectively.

People had their eating and drinking needs met.

People had access to planned and emergency healthcare when needed.

Working with other professionals enabled effective outcomes for people.

Caring

Good

Updated 4 May 2018

The service was caring.

People were supported by staff who were kind and caring and provided emotional support appropriately.

People had their individual communication skills understood which enabled them to be involved in day to day decisions about their care.

People had their dignity, privacy and independence respected.

Responsive

Good

Updated 4 May 2018

The service was responsive.

Care and support plans were person centred reflecting a person�s diversity, were reviewed regularly and followed by the staff team.

A complaints process was in place which people and their families felt able to use if needed, felt they would be listened to and appropriate actions taken.

People were fully consulted about their care which reflected their physical, mental, emotional and social needs, including on the grounds of protected characteristics under the Equality Act.

People had their end of life wishes respected.

People had access to a variety of activities both inside the home and within their local community

Well-led

Good

Updated 4 May 2018

The service was well led.

The management team provided a positive, open culture that empowered people, their families and staff to share ideas and concerns.

Systems and processes were in place that enabled effective communication with the staff team keeping them abreast of changes.

Systems and processes were in place to promote engagement with people, families, staff and the community.

Quality assurance systems were effective in driving continual improvements.

Partnerships with other agencies and sharing of information appropriately ensured positive, seamless care for people.