Archived: Hazelgarth Lodge Residential Care Home

Updated 26 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 6 and 8 September 2017 and it was unannounced on day one and announced on day two.

The inspection was carried out by one adult social care inspector and an expert-by-experience on day one and by an adult social care inspector on day two. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert-by-experience who assisted with this inspection had knowledge and experience relating to older people.

We looked at information we held about the service, which included notifications sent to us since the last inspection. Notifications are when providers send us information about certain changes, events or incidents that occur within the service. We also contacted North Yorkshire County Council (NYCC) safeguarding and commissioning teams. We asked the registered provider to submit a provider information return (PIR) and this was returned within the agreed timescale. The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. The information we gathered was used to plan this inspection.

At this inspection we spoke with the provider / manager, two visiting healthcare professionals and two members of staff. We spoke with eight people who used the service and one relative. People who used the service all had capacity and were able to provide us with feedback. We observed staff interactions with people and the level of support provided to people throughout the day.

We looked at two people’s care records, including their initial assessments, care plans, reviews, risk assessments and medication administration records (MARs). We also looked at a selection of documentation pertaining to the management and running of the service. This included quality assurance information, audits, stakeholder surveys, recruitment information for three members of staff, staff training records, policies and procedures and records of maintenance carried out on equipment.

Updated 26 October 2017

This inspection took place on 6 and 8 September 2017. It was unannounced on the first day and announced on the second.

Hazelgarth Lodge is a care home in the village of Hunmanby. It provides accommodation for up to 11 older people who require assistance with personal care. At the time of our visit there were 11 people who used the service.

At the last inspection on 6 November 2015 the service was rated as ‘Good’. At this inspection we found the service remained ‘Good’.

The provider is not required to have a registered manager in post. The provider manages the service. We have referred to them as the manager throughout this report. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and were well cared for. The manager followed robust recruitment checks, to employ suitable people. There was sufficient staff employed to assist people in a timely way. People’s medicines were managed safely.

Staff had completed relevant training or were booked on a refresher course where needed. We found that they received supervision, to fulfil their roles effectively. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People said they enjoyed good food. People's health needs were identified and staff worked with other professionals, to ensure these needs were met. People’s independence was promoted. The service provided people with care that met their wishes and choices, whilst protecting their privacy and dignity.

Staff were knowledgeable about people’s individual care needs and care plans were person centred and detailed. People were satisfied with the level of activities within the service and said they enjoyed the company of others in the service. Spiritual needs were met through in-house services and one-to-one pastoral care when requested.

People told us that the service was well managed and organised. The manager assessed and monitored the quality of care provided to people. People and staff were asked for their views and their suggestions were used to continuously improve the service.

Further information is in the detailed findings below.