CQC report explained · a nursing home
What the CQC found at Hayes Park Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control, safe visiting arrangements and measures to manage COVID-19 staffing pressures.
Inspectors visited the home on 16 February 2022. The visit was announced 24 hours beforehand and focused on infection control, visiting arrangements and the effect of COVID-19 staffing pressures.
Inspectors found that the home had systems to manage a COVID-19 outbreak. Staff used protective equipment safely, followed hand hygiene procedures and took part in regular testing. The home was clean, with regular cleaning of frequently touched areas.
Visiting arrangements followed government guidance. Visitors had to show a negative lateral flow test, have their temperature checked and wear protective equipment. The home also had a visitor pod and outdoor visiting arrangements.
The home was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating. It only gives findings about the areas covered by this targeted visit.
Outbreak planning
The home had systems for managing a COVID-19 outbreak. Information about infection control and protective equipment was displayed around the home.
“The provider had systems in place to manage an outbreak of COVID-19.” from the report
Safe visiting
Visitors were tested, had their temperature checked and wore protective equipment before entering. The home also offered a visitor pod and outdoor visits.
“The provider was following government guidance regarding visiting arrangements. Information about visiting was clearly displayed in the home.” from the report
Staff infection control
Staff were trained in infection control and used, disposed of and replaced protective equipment safely. Hand hygiene was carried out regularly.
“Staff were trained and followed safe infection prevention and control procedures, including the safe wearing and disposal of PPE and regularly sanitising their hands.” from the report
Clean environment
The home was clean and high-touch areas were cleaned more frequently. Cleaning schedules and records were completed regularly.
“Cleaning schedules and recording documents were completed regularly.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place to manage staffing pressures linked to COVID-19 or other absences?
- 02How are visitors currently tested and what protective equipment must they use?
- 03How often are staff and residents tested for COVID-19 now?
- 04How often are high-touch areas cleaned, and how are the cleaning records checked?
- 05What arrangements are available for visiting if indoor visits are restricted?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 8 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2019
Hayes Park Nursing Home was rated Good; inspectors found safe, kind and personalised care, with some improvements still needed to the environment and infection control.
This was an unannounced inspection on 15 October 2019. Inspectors spoke with people living in the home, relatives and staff. They observed care and reviewed care plans, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training and good access to health professionals.
People were treated with kindness and respect. Care was personalised, and staff understood people's cultural, religious and communication needs. The home was clean and improvements were being made, but inspectors identified some further work needed for people living with dementia or sensory impairment and to monitor handwashing and jewellery.
Safe staffing
Inspectors found enough staff to meet people's needs. Recruitment checks were completed, and staff were trained to support people safely.
“There were enough staff to meet people's needs.” from the report
Kind and respectful care
Staff had meaningful relationships with people and respected their privacy, dignity, independence and choices.
“People were supported by staff who were kind and caring.” from the report
Personalised support
Care plans recorded people's needs, preferences, cultural and religious beliefs, communication needs and interests. Staff used this information to provide individual care.
“Care plans were accurate and reflective of people's current needs, cultural and religious beliefs, sexuality and interests.” from the report
Safe medicines and care records
The new electronic medicines and care planning systems gave staff up-to-date information and helped managers monitor care and medicines administration.
“The new electronic care planning system provided guidance for staff to follow to meet people's needs and keep them safe.” from the report
Infection control monitoring
needs fixingInspectors said more monitoring was needed to ensure staff washed their hands between tasks and wore minimal jewellery. This could increase the risk of infection if not addressed.
“Further monitoring was needed to ensure staff washed their hands between tasks and minimal jewellery was worn to prevent risk of spreading infection.” from the report
Dementia-friendly environment
needs fixingSome features of the building were harder to use safely or independently for people with dementia or visual impairment. Inspectors also said more sensory items would be helpful.
“Further improvements to the design would bring about positive impact for people living with dementia and visual impairment.” from the report
Accessible activities
minorSome activity materials were difficult to see. Staff supported people, and the manager said this would be addressed.
“People were helped by staff as the bingo cards were in small print.” from the report
- 01What action has been taken to monitor handwashing between tasks and the wearing of jewellery?
- 02What changes have been made to improve colour contrast, including the bannisters, for people with dementia or visual impairment?
- 03What sensory items and activities are now available for people living with dementia?
- 04How are activity materials, such as bingo cards, made easier to see?
- 05How will my relative's care plan and medicines records be kept up to date on the electronic systems?
This was an unannounced planned inspection covering all five CQC questions, including the care provided and the home environment; all ratings were reviewed and remained Good. This explanation was written from the published report of 15 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Hayes Park Nursing Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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