Hazeldell Residential Home

Updated 28 February 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Hazeldell is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care.

The manager was not present at the last inspection and since coming into post had applied to be registered with the Care Quality Commission. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We contacted the Local Authority and Healthwatch for information about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of the information to plan our inspection.

During the inspection

We spoke with four people who used the service and three relatives about their experiences of the care provided. We spoke with six members of staff including the manager, two team leaders, a member of the catering staff, a senior care staff and one care assistant. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at a range of records and documents including four care plans, medicine administration records, recruitment files, complaints files and service policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one relative and two healthcare professionals by telephone.

Updated 28 February 2020

About the service

Hazeldell Residential Home is a care home registered to provide accommodation and personal care to a maximum of 42 older people. At the time of the inspection there were 32 people living in the service.

People’s experience of using this service and what we found

At this inspection, we found the new manager had implemented an action plan to address the four breaches identified at the last inspection and the inadequate rating of the key question of safe. The service had invited the local authority to provide training to develop the knowledge and skills of the staff.

At this inspection, we found the service was following a policy and procedure for managing people’s medicines safely and people were now receiving their medicines as prescribed for them. We found that risks to people’s wellbeing had been assessed and actions staff were taking to reduce those risks were recorded. The support people needed to reach and maintain a healthy weight was now being documented and appropriate actions by staff to support people were in place, this included referrals to dieticians and other healthcare professionals. Care plans were more personalised and had been reviewed and information added including people’s preferences and life histories. The service now had a comprehensive quality assurance system in place which assessed all areas of service provision and appropriate action was taken to address any shortfalls identified.

Improvements had been made to assessments regarding people’s capacity to make decisions under the Mental Capacity Act 2005 and formal best interests’ decisions were followed where appropriate. 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.

There were enough staff to meet people’s needs and there were robust recruitment procedures in place. Staff received supervision, training and there were opportunities for staff to further develop their skills and knowledge.

People told us staff were kind and caring towards them. This confirmed our observations of the interactions between the people living at the service and staff. There was a complaints policy which was available to all people using the service. There was an activities programme to help prevent people from becoming isolated. The service worked closely with other professionals and acted upon the advice provided.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 1 August 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found improvements had been made and the provider was no longer in breach of regulations. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.