Archived: Hazeldene House Residential Home

Updated 4 February 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Hazeldene House Residential Home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a registered manager registered with the Care Quality Commission in addition to the provider, both are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place September 2021 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with one person who used the service about their experience of the care provided. We spoke with seven members of staff including the registered manager, senior care workers, care workers, domestic staff and the chef.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and further quality assurance records. We requested policies and additional information from the provider.

Updated 4 February 2022

About the service

Hazeldene House Residential Home is a residential care home providing personal to up to 21 people. The service provides accommodation and residential care to people either on a permanent basis or for short-term care, as required. At the time of our inspection there were 20 people using the service.

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

At this inspection we saw improvements had been made. Some of these were in response to inspections from health professionals, others were part of a refurbishment plan to change the environment to be more modern and easier to maintain hygiene standards.

Measures were in place in accordance with infection, prevention and control. There were enough staff to provide the care and recruitment checks were made.

Medicine administration was completed safely, and regular checks were in place on the recording of medicine and their storage.

Peoples safety was sustained with risk assessments and maintenance of the home. People were protected from the risk of harm from staff who were trained and knew how and what to report.

There was an open culture and people and staff felt they could raise any concerns, and these would be listened to.

There were a relaxed atmosphere and people told us staff were friendly and kind.

CCTV had been implemented and this had been used to consider peoples safety. Audits had been used and others were being developed to maintain quality and drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 09 April 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of Safe and Well led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.