CQC report explained · a nursing home
What the CQC found at Hays House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, including visitors, protective equipment, testing, cleaning and vaccination checks. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, March 2022
Hays House Nursing Home was inspected but not rated; inspectors found strong infection control and safe visiting arrangements.
This was a targeted inspection on 8 February 2022. It was announced 48 hours in advance and focused on infection control, visiting arrangements and staffing pressures linked to COVID-19.
Inspectors were assured that the home was managing infection risks. They found safe arrangements for visitors, effective use of protective equipment, regular testing, good cleaning and up-to-date infection control guidance.
The home had introduced a visiting pod and provided phones, tablets and laptops to help people stay in touch with relatives. Staff received infection control training, and the home checked vaccination status for staff and professional visitors.
The service was inspected but not rated. This means the report does not provide a full quality rating for the home or a rated judgement across all five areas.
Safe visiting
The home had screening, protective equipment, a visiting pod and a separate communal space to help relatives visit safely.
“Clear focus was given to enabling relatives and friends to visit in a safe way.” from the report
Clean environment
Inspectors found the areas they saw were clean and free from unpleasant smells. Cleaning schedules were in place and regularly reviewed.
“All areas seen were clean, with no unpleasant odours.” from the report
Infection control training
Staff received regular training on protective equipment and hand hygiene. Their practice was observed and checked through audits.
“Staff had received regular infection prevention and control training, with additional elements related to the pandemic.” from the report
Keeping families in touch
The home bought phones, tablets and laptops to support regular contact between people living there and their relatives and friends.
“More phones, iPads and laptops were purchased to help people have regular contact with their family and friends.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control arrangements are in place now, and how are they checked?
- 02What are the current visiting arrangements, including any screening or protective equipment requirements?
- 03How does the home manage staffing pressures when staff are absent or unable to work?
- 04How are staff and professional visitors' vaccination or exemption status checked now?
- 05How can residents keep in regular contact with relatives if visits are restricted?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess or rate the other four areas. This explanation was written from the published report of 16 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, April 2018
Rated Good; inspectors found safe, kind and responsive care, with some concerns about how supervisors treated staff.
Inspectors visited the home without warning on 6 and 7 March 2018. They spoke with eight people living there, two visitors and 13 staff. They observed care and checked records for eight people, medicines, staffing, training and management systems.
The inspectors found that people felt safe and were treated kindly. Staff understood people's needs, supported their choices and helped them take part in activities. Medicines were stored safely, staffing levels were considered sufficient and care plans were detailed and regularly reviewed.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection in December 2015. The report says there was no evidence of serious risks or concerns.
Kind and respectful care
People described staff as kind. Inspectors observed friendly and respectful interactions, with staff checking consent and supporting privacy, choices and independence.
“People told us they were treated well and staff were caring.” from the report
Good care planning
Care plans included detailed information about health conditions, personal care, communication and preferences. Plans were reviewed with people and updated after their feedback.
“Care plans set out how people wanted their needs to be met.” from the report
Safe medicines support
Medicines were securely stored and records were complete. Staff supported people to receive medicines, including pain relief and medicines taken when needed.
“Medicines administration records had been fully completed.” from the report
Learning from incidents
The manager reviewed accidents and incidents, investigated safeguarding matters and took action where learning was identified.
“The registered manager reviewed incidents in a systematic way, analysing events and assessing whether taking other actions would have resulted in better outcomes for people.” from the report
Inconsistent supervision
minorSome care staff said that supervisors did not always treat them respectfully. One staff member said rules changed depending on which team leader was working, although inspectors were told this had not affected residents.
“The rules change every day, depending on which team leader is working.” from the report
- 01What action has been taken about staff concerns regarding supervisors and inconsistent rules?
- 02Who will be responsible for the home if the provider's sale leads to changes in directors or management?
- 03How often are care plans reviewed with residents and their relatives when needs or preferences change?
- 04How do you check that medicines, including pain relief and as-required medicines, are given safely and recorded completely?
- 05What improvements to the building, garden and access to the greenhouse and raised planting beds have been completed?
This was an unannounced inspection of the whole service, including the building and care provided, and all five CQC questions were rated. This explanation was written from the published report of 27 April 2018 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 Hays House Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- February 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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