We carried out a review of the data available to us about Hazeldell Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Hazeldell Residential Home, you can give feedback on this 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 32 people living in the service.
People’s experience of using this service and what we found
At this inspection, we found the new manager had implemented an action plan to address the four breaches identified at the last inspection and the inadequate rating of the key question of safe. The service had invited the local authority to provide training to develop the knowledge and skills of the staff.
At this inspection, we found the service was following a policy and procedure for managing people’s medicines safely and people were now receiving their medicines as prescribed for them. We found that risks to people’s wellbeing had been assessed and actions staff were taking to reduce those risks were recorded. The support people needed to reach and maintain a healthy weight was now being documented and appropriate actions by staff to support people were in place, this included referrals to dieticians and other healthcare professionals. Care plans were more personalised and had been reviewed and information added including people’s preferences and life histories. The service now had a comprehensive quality assurance system in place which assessed all areas of service provision and appropriate action was taken to address any shortfalls identified.
Improvements had been made to assessments regarding people’s capacity to make decisions under the Mental Capacity Act 2005 and formal best interests’ decisions were followed where appropriate. 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.
There were enough staff to meet people’s needs and there were robust recruitment procedures in place. Staff received supervision, training and there were opportunities for staff to further develop their skills and knowledge.
People told us staff were kind and caring towards them. This confirmed our observations of the interactions between the people living at the service and staff. There was a complaints policy which was available to all people using the service. There was an activities programme to help prevent people from becoming isolated. The service worked closely with other professionals and acted upon the advice provided.
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 requires improvement (published 1 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. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
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.
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.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 felt safe living at Hazeldell Residential Home. Staff understood how to keep people safe and risks to people's safety and well-being were identified and managed. The home was calm and people's needs were met in a timely manner by sufficient numbers of skilled and experienced staff. The provider operated robust recruitment processes which helped to ensure that staff employed to provide care and support for people were fit to do so. People's medicines were managed safely.
Staff received regular one to one supervision and felt supported and valued. People received the support they needed to eat and drink sufficient quantities and their health needs were catered for with appropriate referrals made to external health professionals when needed.
People and their relatives complimented the staff team for being kind and caring. Staffs were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able. Visitors to the home were encouraged at any time of the day.
The registered manager had arrangements to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided. People were confident to raise any concerns with staff or management and were satisfied that they would be listened to.
There was an open and respectful culture in the home and relatives and staff were comfortable to speak with the registered manager if they had a concern. The registered manager had arrangements to regularly monitor health and safety and the quality of the care and support provided for people who used the service.