Hyne Town House

People said staff were kind and respectful. Inspectors also saw caring interactions and found that people were involved in decisions about their care.

“During the inspection we observed kind and caring interactions between staff and people, and it was clear that staff knew people and their needs well.” from the report

Records showed medicines were given as prescribed. Storage, disposal, staff training and checks were all described as suitable.

“Medicines were managed safely.” from the report

People said they enjoyed the food and had enough to eat. Staff arranged support from health professionals when people's needs changed.

“People were supported to have enough to eat and drink throughout the day to meet their nutritional and health needs, individual choices and preferences.” from the report

The home used references and DBS checks when recruiting. Staff received training and new staff shadowed experienced workers.

“People were protected by safe recruitment processes.” from the report

Inspectors found good infection prevention arrangements and said the environment was clean and hygienic.

“People were protected by good infection control processes and lived in an environment that was clean and hygienic.” from the report

Fire and premises checks were not always completed within the required period. Risk records did not always explain how staff should respond to seizures, choking, falls or skin damage.

“People were not always protected from risks associated with their environment as the provider could not be assured that routine fire safety checks were regularly taking place.” from the report

Mental capacity assessments and best-interests decisions were missing for some restrictions, including bedrails and a sensor.

“Mental capacity assessments and best interests decisions were not always in place where people had restrictions placed on them.” from the report

Some care plans lacked enough detail to guide staff. People told inspectors they felt bored and were not always helped to follow their interests.

“People continued to tell us they felt bored, and they were not always supported to follow their interests and take part in activities that were personalised to them and what they enjoyed doing.” from the report

Audits did not reliably find or address problems. Earlier improvements had not been maintained, leaving the provider unable to show consistent improvement.

“Audits had not been effective in identifying and addressing where improvements needed to be made.” from the report

There was no registered manager in post during the inspection. Two senior managers were supporting the home while recruitment was taking place.

“At the time of our inspection there was not a registered manager in post.” from the report