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Archived: Hazeldene Residential Home

Overall: Requires improvement read more about inspection ratings

1 Dunbar Avenue, Norbury, Surrey, SW16 4SB (020) 8765 4627

Provided and run by:
Jacob Lee

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Background to this inspection

Updated 15 March 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.

Prior to our inspection we reviewed the information we held about the service. This included any safeguarding alerts and outcomes, complaints, previous inspection reports and notifications that the provider had sent to CQC. Notifications are information about important events which the service is required to tell us about by law.

This inspection took place on 21 and 29 January 2016 and our first visit was unannounced. One person was using the service at the time of this inspection.

The inspection was carried out by one inspector. We spoke with the person who used the service, the registered manager and one member of staff. We observed care and support in communal areas, spoke with the person in private and looked at the care records kept for them. We reviewed how medicines were managed and the records relating to this. We checked two staff recruitment files and the records kept for staff allocation, training and supervision. We looked around the premises and at records for the management of the service including health and safety records.

Feedback was provided by one involved health professional and a family member following our inspection visits.

Overall inspection

Requires improvement

Updated 15 March 2016

This inspection took place on 21 and 29 January 2016 and our first visit was unannounced. At our last inspection in June 2014 the provider met the regulations we inspected.

The home had a registered manager who was also the registered provider. 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.

One person was using the service at the time of this inspection. They told us that staff spoke to them politely and treated them with dignity and respect. They liked living at Hazeldene Residential Home and were positive about the support being provided to them. Records showed that staff helped the person to access treatment from health professionals when required.

The registered manager had known the person living there for a long time. We saw there were positive relationships between staff and the person using the service. The person told us they were involved in choosing their meals and participated in shopping.

There was a system in place for dealing with concerns and complaints. The person felt comfortable in speaking to staff and the registered manager if they had any issues.

Improvements were found to be required in certain areas. The provider had not carried out all necessary recruitment checks to ensure staff were suitable to support people in the home. Fire Safety checks were being carried out inconsistently and a fire risk assessment required completion by a suitably qualified person.

Staff were not always being provided with adequate training and supervision to help them carry out their role effectively. We also found the provider had not acted in accordance with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).

Effective systems were not in place to assess, monitor and improve the quality of the service provided.