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The Hazelwell Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 November 2019

About the service

The Hazelwell is a purpose-built care home that is registered to provide personal and nursing care to older people. The care home accommodates up to 55 people across three separate floors. One of the floors provides support to people who requiring nursing care. On the day of inspection 36 people (three of which were receiving respite care) were using the service.

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

In most cases, risks to people had been identified and assessed with guidance in place for staff to follow to ensure people did not come to harm. However one person’s risks assessments had not identified factors that could result in them falling. This meant measures had not been put in place to prevent them coming to harm.

Overall, medicines were safely managed and administered to people at the right times. However, one person had not received medication that was required to help manage their condition effectively. Some people’s records had not been completed to show when and where medicines such as creams and ointments had been applied.

Whilst systems were in place to check the quality and safety of the service, they had not always identified issues that we found during the inspection, especially those related to medicine records.

Most people’s needs and choices had been thoroughly assessed both prior to and after moving into the home. However, one person’s needs had not been fully assessed prior to them moving into the home which resulted in care plans not being in place to guide staff in providing effective care and support.

We made a recommendation regarding this.

On the whole people were supported to access other health and social care professionals and staff sought advice from external agencies in a timely manner. However, for one person staff had not sough important medical advice in a timely way. We found no evidence that this person had come to any harm.

We made a recommendation regarding this.

Enough staff were on duty at the time of our inspection. However, at times it was noted that staff were not always deployed effectively across the three floors which left other staff feeling rushed during busy times. This was discussed with the registered manager and staff during the inspection.

People told us they felt safe living at the home and explained that staff were quick to respond when they needed support. Family members and friends also told us they felt confident people were safe and treated well. Staff showed a good level of understanding around how to identify safeguarding incidents and were confident in reporting concerns to the relevant people.

People were provided with support to maintain a healthy balanced diet. Both care and kitchen staff had good knowledge of people’s dietary requirements and any risks associated with poor food and drink intake or difficulties with swallowing. Staff were observed to provide support at meal times in a sensitive and patient way and the overall mealtime experience was positive. People told us they enjoyed the food which had been compared to “5 star restaurant standards”.

Staff were knowledgeable and showed they knew people well and how to support them. Staff had received a range of training appropriate to their role and people’s needs and told us they felt supported in their role. Two ‘home trainers’ had been recruited to help address issues regarding records and to provide regular consistent training support to staff.

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.

People spoke highly of the caring approach of all staff describing them as “Marvellous,” “Truly brilliant” and “Superb.” It was clear that positive relationships had been developed between staff and people. Family members and friends told us they were always made to feel welcome and descri

Inspection areas

Safe

Requires improvement

Updated 22 November 2019

This service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 November 2019

This service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 22 November 2019

This service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 November 2019

This service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 November 2019

This service was not always well-led.

Details are in our well-led findings below.