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Hazeldell Residential Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 August 2019

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 36 people living in the service.

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

People’s medicines were not always managed and administered safely. This led to some people not receiving medicines prescribed for them.

Risks to people had not always been identified and planned for. This meant staff did not always have access to information which could guide them to reduce risks to people.

The support people needed to reach and maintain a healthy weight was not always documented. It was not clear whether appropriate interventions, such as referrals to dieticians, were made where people lost weight.

Improvements were required to ensure that people’s views about their care were reflected in care planning. Care plans were not always personalised to include information about people’s preferences and life history.

Improvements were required to ensure that people’s capacity to make decisions was consistently assessed under the Mental Capacity Act 2005 and that formal best interests’ processes were followed where appropriate.

The service had a comprehensive quality assurance system in place which assessed all areas of service provision. Whilst this had identified the majority of the shortfalls we found, action to address these shortfalls had not been prompt enough, especially with regard to medicines administration and risk assessment.

Despite the concerns we identified, people told us they felt safe. They told us there were enough staff to meet their needs in a timely way, and this was confirmed by our observations. Recruitment procedures were safe.

Staff received appropriate support and training for the role. There were opportunities for staff to further develop their skills, knowledge and progress into roles with more responsibility.

People told us staff were kind and caring towards them. This confirmed our observations of the interactions between people and staff.

You can see what action we have asked the provider to take at the end of this full report.

Rating at last inspection: The last rating for this service was good (published 23 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will request an action plan from the service telling us how they will achieve compliance with regulations. 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.

Inspection areas

Safe

Inadequate

Updated 1 August 2019

The service was not safe.

Details are in our Safe findings below.

.

Effective

Requires improvement

Updated 1 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 1 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 1 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 1 August 2019

The service was not always well-led.

Details are in our well-Led findings below.