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Hazelbrook Christian Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 23 February 2018

We carried out this unannounced inspection on 9 January 2018.

The last inspection took place on 3 and 4 of July 2017 where the service was rated as requires improvement. Due to discrepancies in the report we agreed to re-inspect this service.

Hazelbrook Christian Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Hazelbrook Christian Nursing Home is registered care for 38 people with either nursing or social care needs. The home is situated in Horwich town centre close to shops and other local amenities. It is readily accessible by car, public transport and motorway networks.

The home had a registered manager who had worked at the service for over 20 years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. 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 who used the service, relatives and staff told us they found the registered manager helpful and supportive.

Staffing levels on the day of the inspection were sufficient to meet the needs of people who used the service.

Systems were in place to ensure staff were safely recruited. Staff demonstrated a commitment to providing high quality personalised care for the individuals who accessed the service.

Staff told us they received the training and supervision they needed to be able to carry out their roles effectively.

Robust systems were in place to ensure the safe handling of medicines and people received their medicines as prescribed.

Regular checks took place to ensure the safety and cleanliness of the environment. Systems were also in place to reduce the risk of cross infection in the service.

Care records contained detailed information about people’s health and well-being.

People received a well-balanced and nutritious diet. Choices and alternatives were available and special diets were catered for.

People we spoke with told us the staff were kind and caring. We observed good interactions between staff and people who used the service.

There were a range of activities available for people to join in with if they wish. People’s spiritual needs were met as required.

People were encouraged to provide feedback on the service they received. Any complaints or suggestions were acted upon to help improve people’s experience of the service.

The home was not purpose built but had been adapted to ensure that people could move freely around the home and suitable aids and equipment were available. There was a passenger lift to the first floor.

Inspection areas

Safe

Good

Updated 23 February 2018

The service was safe.

People told us they had no concerns about their safety. People were cared for in a safe and clean environment.

Staff had received training in safeguarding adults. There were systems in place to help ensure staff were supported to report any abuse they witnessed or suspected.

Staff had been safely recruited and there were enough staff to meet people�s needs.

Systems were in place to help ensure that people received their medicines in a safe and timely manner as prescribed.

Effective

Good

Updated 23 February 2018

The service was effective.

We saw that a detailed assessment was completed before people were accepted to the service.

Staff received the induction, training and supervision they required to be able to provide safe and effective care. Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguarding (DoLS).

People received a well-balanced and nutritious diet.

Caring

Good

Updated 23 February 2018

The service was caring.

People who used the service told us staff were supportive and helpful.

People�s privacy and dignity was maintained.

There was a service user guide given to people and their families which provided information on the services and facilities available at the home.

Responsive

Good

Updated 23 February 2018

The service was responsive.

Arrangements were in place to help ensure people received individualised care to meet their diverse needs.

People who used the service were involved in reviewing the support they received. This helped to ensure the service was responsive to people�s changing needs.

People were encouraged to provide feedback on the service they received. Any complaints or suggestions were acted upon to help improve people�s experience of the service.

Well-led

Good

Updated 23 February 2018

The service was well-led.

The service had a manager who was registered with the Care Quality Commission and was qualified to undertake the role. They demonstrated a commitment to ensuring people�s experience of the service was positive.

Staff told us they enjoyed working in and felt well supported both by their colleagues and the managers in the service

Quality assurance systems in place were used to drive forward improvements in the service.