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We are carrying out a review of quality at Haythorne Place. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 8 October 2019

About the service

Haythorne Place is a nursing and residential service, which at the time of this inspection was providing personal and nursing care to 110 people, some were living with mental health conditions or dementia. The service comprised of six houses and one management building. The service can support up to 120 people.

People’s experience of using this service and what we found

The leadership team were very committed to delivering good care and they had made some positive changes at Haythorne Place since the last inspection. The staffing arrangements were much improved and staff consistently told us there were enough of them available to ensure people’s needs were met. This included an increased staffing provision in each house and an overall reduction of placements for people who required nursing level support. Some people and relatives fedback staff interactions sometimes appeared rushed or task-led.

The systems of governance were effective, which helped raise standards and promote better outcomes for people living at the service. The provider implemented new requirements to the content of people’s care records to ensure they covered key areas relating to their care and support. This aimed to improve the quality and consistency of information staff had access to about a person’s care. In most cases this had improved the quality of people’s care records; however, in some cases a number people had missing sections in their care file. We also identified some people’s risk assessments relating to their health and safety did not always accurately reflect their needs. The registered manager was aware of issues with people’s care records and assured us steps would be taken to robustly address this.

The registered provider had refurbished some areas of the service and plans were ongoing. We found some areas of the service was still in need of refurbishment, which we fedback to the registered manager. The provider’s refurbishment plans included areas we identified during the inspection.

People told us they felt safe living at the service and the standard of care they received was generally good. Relatives we spoke with also raised no concerns about the safety of their loved ones. We received one concern from a relative during the inspection, but this was responded to quickly and sensitively by the registered manager. Staff were knowledgeable about how to identify and report any safeguarding concerns. Accidents and incidents were documented, with lessons learned discussed as a staff team to help prevent a reoccurrence.

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 spoke positively about the food and drink provided, confirming they were offered choice and received enough.

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 10 September 2018) and there were two 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

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Requires improvement

Updated 8 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 8 October 2019

The service was well-led.

Details are in our well-Led findings below.