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Hazeldene Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 June 2019

About the service: Hazeldene Residential Care Home is a care home that can provide personal care to 26 people aged 65 and over. At the time of the inspection 21 people, some of whom were living with dementia, were living at the home.

People’s experience of using this service:

At this inspection we found improvements had been made in a number of areas. The provider had recruited a new manager who had worked hard with staff to change the culture in the service.

The deployment of staff had changed leading to staff being able to spend more time with people and working in a person centred way, rather than focusing on tasks to be completed.

Risks associated with people’s care were understood by staff and action was taken to reduce these risks. However, the records were inaccurate and did not provide clear direction. As the service were using agency staff on occasions the lack of detail in records posed a risk for people. Risks we had previously found in relation to the environment were no longer present.

The management of medicines had improved. Storage was safe and staff had received additional training to ensure they could safely administer all medicines within the home.

Activities were varied and regular and people felt they had plenty to do.

People were supported by staff who were kind and caring in their approaches, who understood their right to make their own decisions and who supported them to make choices and be involved.

Staff spoke positively about the changes that had been made. They felt training and supervision had improved. They said they now felt listened to and valued.

A number of governance systems had been implemented to drive continual improvement in the home. However, not all of these were effective, and they needed more time to fully embed in order to be confident the improvements seen were sustained.

The service no longer met the characteristics of Inadequate and the overall rating had improved to Requires Improvement. As such, the service has been removed from special measures.

Rating at last inspection: Inadequate (Report published 20 February 2019)

Why we inspected: This location has a history of breaching the regulations and was rated as Inadequate following an inspection in September 2018 and was placed in special measures. We imposed conditions on the providers registration as a result which required them to undertaken certain governance processes and report to us monthly. This was a planned inspection to follow up on the previous rating of inadequate and check improvements had been made.

Follow up: We will ask the provider to send us an action plan detailing how they will address the concerns we found in relation to records and governance systems. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 11 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 11 June 2019

The service was not always effective.

Please see our findings for Effective detailed below.

Caring

Good

Updated 11 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 11 June 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 11 June 2019

The service was not always well-led

Details are in our Well-Led findings below.