Archived: Hazelroyd Nursing Home

Updated 19 March 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

This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Hazelroyd 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are 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 sought feedback from the local authority and local safeguarding team.

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.

During the inspection

We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, nursing and care staff, the activities organiser and the chef.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 19 March 2020

About the service

Hazelroyd Nursing Home is a nursing home providing personal and nursing care to 23 people aged 65 and over at the time of the inspection. The service can support up to 30 people.

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

Since the last inspection a new registered manager had been appointed and had established robust effective systems for improving quality and safety within the service.

Actions taken by the registered manager and the provider meant people lived in a safe, clean environment. A programme of refurbishment and redecoration was being followed. Priority had been given to building work needed to make sure people were safe.

The registered manager recognised that further work was needed to make sure assessments of people’s needs and care planning was effective and completed with a person centred approach.

The provider and registered manager understood these improvements need to be sustained to ensure consistency in how well the service is managed and led, and to ensure continuous improvements in care for people using the service.

Staff knew what to do if they thought somebody was at risk and people told us they felt safe. Risks to people’s health and safety were assessed and plans put in place to mitigate risks. Medicines were managed safely.

The registered manager analysed accidents, incidents and issues that happened in the home and put plans in place to mitigate the risk of reoccurrence.

Staff were recruited safely and followed a programme of induction, training and training updates. Staff said the training was appropriate to their needs and had improved since the appointment of the new manager.

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. The registered manager planned to increase staffing to improve the opportunities people had to engage in activities.

People enjoyed the food and their nutritional needs were met.

People were supported by staff who respected their individuality and privacy and dignity needs. Staff worked with health and social care professionals to make sure people’s needs were met.

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 inadequate (report published 30 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.

This service has been in Special Measures since August 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

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.