24 August 2022
During an inspection looking at part of the service
Haylands Residential Home for Gentlemen is a residential care home providing accommodation with personal care to up to 24 people. The service provides support to people over the age of 65 including people living with dementia. At the time of our inspection there were 21 people using the service.
Haylands Residential Home for Gentlemen accommodates people across three floors in one adapted building.
People’s experience of using this service and what we found
Medication was not always safely managed or recorded correctly. We found examples where medication administration records (MARS) had been completed incorrectly and one person had not received their medication. Care plans were not always updated in line with changing risk for people. Accidents and incidents were not always formally recorded and therefore not reviewed to identify trends. Staff wore personal protective equipment (PPE) appropriately.
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 gave positive feedback about the staff and the service was described as a happy place. Staff felt supported by the registered manager and able to raise concerns. People were supported to access the community and were involved in decisions relating to the service, such as choosing the food menu. The staff training matrix showed multiple gaps in staff training. The registered manager told us they were having difficulty with the training provider and pulling information from the system.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 2 September 2017).
Why we inspected
We received concerns in relation to the care being provided. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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.
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 good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
Following the inspection the registered manager completed additional audits of the medication at the service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Haylands Residential Home for Gentlemen on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to the administration of medicines at this inspection. We have recommended the provider reviews their systems around care planning updates.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.