9 November 2022
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.
This inspection was carried out by one inspector.
Service and service type
Hazel End Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hazel End Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. 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 all this information to plan our inspection.
During the inspection
We spoke with seven people and two visitors about their experience of the care provided for people living at Hazel End Care Home. We spoke with six staff members including the provider’s regional manager and the registered manager. We checked four people’s care records and reviewed 10 further care plans in relation to skin integrity, mobility and safety.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, and quality assurance records. We received feedback from relatives of five people using the service and three external professionals.
9 November 2022
About the service
Hazel End Care Home is a residential care home providing the regulated activity of personal care for up to 66 people. The service provides support to older people, some of whom may live with dementia. At the time of our inspection there were 65 people using the service.
Hazel End Care Home is a purpose-built care home. Bedrooms are spread over three floors. One floor specialises in caring for people living with dementia.
People’s experience of using this service and what we found
People and relatives were satisfied with the care and support provided. Staff were kind and attentive to people’s needs. People and their relatives said there were enough staff available to meet people’s needs. Staff were trained and felt supported.
Where people were at risk of sustaining pressure sores or experiencing falls, the staff and management team worked closely with external professionals such as GPs and community nursing teams to help ensure people had the best care and support as possible.
People said they felt safe and staff were aware of how to promote people’s safety. Regular checks were completed to help ensure staff worked in accordance with their training and health and safety guidance.
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.
Complaints were responded to appropriately and people felt confident to make a complaint if needed. Feedback was sought through a variety of means including face to face meetings and quality surveys.
Feedback received from people, relatives, staff and external professionals about the registered manager and staff team was positive. There was an open culture in the home and an expectation that people were supported in a person-centred way. Staff were clear about their roles and the management team engaged well with the staff team and external agencies.
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 Good (published 08 April 2022).
Why we inspected
We had received concerns in relation to the management of pressure area care and minor injuries occurring in the home. 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.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hazel End Care Home on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.