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Hazelhurst Nursing Home Outstanding

The provider of this service changed - see old profile


Inspection carried out on 12 December 2019

During a routine inspection

About the service

Hazelhurst Nursing Home is registered to provide personal and nursing care for up to 44 people living with conditions such as dementia and physical disabilities. The property dates from the 19th century and has been extended to provide additional bedrooms and living space. Hazelhurst Nursing Home is set in approximately 14 acres of grounds, close to Ross on Wye. Some of the bedrooms were registered as shared bedrooms but only occupied by one person, thereby reducing the maximum capacity. At the time of the inspection, 35 people were in residence.

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

Staff received safeguarding training and understood their responsibility to keep people safe. They knew how to report any safeguarding concerns to the local authority or CQC. Any risks to people’s health and welfare were assessed and appropriate management plans put in place to reduce or eliminate the risk. Staffing levels for each shift were appropriate, determined based upon each person’s care and support needs and kept under continual review. The service employed staff who would look after people well. Pre-recruitment checks ensured new staff were suitable. Checks included written references and a Disclosure and Barring Service check. Medicines were well managed and administered by those staff who had been trained and were competent. People received their medicines as prescribed.

The assessment and care planning arrangements ensured each person’s care and support needs were met. Staff received the training they needed to enable them to do their job well. New staff completed an induction training programme at the start of their employment. Staff were also encouraged to complete health and social care qualifications as well as the provider’s mandatory training programme. Staff were well supported to do their job and received a regular supervision session with a senior member of staff.

People were able to access the healthcare support they needed with the staff team making any arrangements as required. People received the food and drink they needed to maintain a healthy, balanced diet. Any preferences they had regarding food and drink were accommodated.

People were encouraged to retain as much choice and control of their daily lives and staff supported them in their best interests. The service was meeting the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards.

People and relatives all stated that the staff who looked after them were extremely kind, very caring and friendly and listened to what they had to say. People received person-centred care and made their own decisions about their daily life and the way they were looked after. The staff team were fully aware of each person’s specific needs and ensured they had good trusting relationships with people.

People were well cared for. The care and support they received took account of their specific needs, including their gender, faith and culture.”

People received a person-centred service. Each person was involved in drawing up their care plan and having a say in how they wanted to be looked after. Care plans were reviewed each month and adjusted as necessary. Changes in people’s care and support needs were identified promptly and taken account of. This meant people continued to be looked after in the way they required and wanted. The service provided end of life care well and were signed up to the Gold Standards Framework. When a person’s end of life care wishes were difficult to achieve, the staff sought solutions to address these.

Meeting people’s social and emotional needs was seen as a paramount human need. Great emphasis was placed on providing person-centred activities for each person. Person-centred profiles were developed for each person and used to plan activities. The staff were able to share examples of extraordinary one-to-one activities they had arranged for

Inspection carried out on 25 May 2017

During a routine inspection

Hazelhurst Nursing Home is located in Bishopswood, Ross-on-Wye.. The service provides accommodation and nursing care for people living with conditions such as dementia, Parkinson's disease and physical disabilities. On the day of our inspection, there were 35 people living at the home.

The inspection took place on 25 May 2017 and was unannounced.

There was no registered manager in post at the time of our inspection. However, this managerial change was a recent development and the provider was in the process of recruiting a new registered manager. Registered providers and registered managers 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.

The provider's model of care focused on people's quality of life, with a particular emphasis on 'living well.' New ways were continually found to enable people to lead the best possible life for them, and to ensure their enjoyment of life did not have to be curtailed just because they lived in a care home.

People were encouraged to maintain their hobbies and interests, as well as experience new social and leisure opportunities.

Links had been established with the local community to benefit the people living at Hazelhurst and prevent the risk of social isolation.

The provider believed that people's physical environment should be reflective of a dignified and respectful approach. People benefited from specialist equipment, such as blue lighting in their bathroom rather than the startling bright light omitted by regular lighting, and beds which were designed to purposely not resemble a medical product.

People and their relatives were consistently positive about the care provided, particularly in relation to end-of-life care.

People enjoyed a variety of different food and drinks, with mealtimes being a pleasurable and social experience. People were supported to maintain good health, with input sought from a range of health professionals, as required

There were enough staff to meet people's needs safely. Consideration had gone into balancing people's freedom, with ensuring their safety. Where possible, the least restrictive option was always taken to enable people to have greater freedom.

People received their medicines safely, and as prescribed.

The provider, clinical lead and quality assurance manager carried out regular audits of the care provided to people to ensure this remained at a consistently high standard,

The provider sought to continually develop the service, such as by partnership working with the local university in order to develop innovative ways of improving falls prevention for people, as well as appointing specialist Admiral Nurses to enhance the dementia care provided to people.