Archived: Hazel End Care Home

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.

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 54 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. Each bedroom includes an en-suite bathroom and there are separate adapted facilities like dining areas and sitting rooms on each floor.

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

People told us they felt safe. Relatives confirmed this and told us they trusted staff to keep people safe. Staff knew how to report safeguarding concerns internally and to external authorities if there was a need for it. Risks to people’s health and well-being were identified and staff knew what actions were in place to lower risks as much as possible. People told us their needs were met promptly and there were enough staff. Staff managed people’s medicines following safe practices. Infection prevention and control (IPC) measures were robust and as far as possible protected people from the risk of infections. Recruitment checks helped ensure staff were employed safely and had the necessary skills to work in a care setting.

Staff and management carried out assessments before and after people moved in to the home. This meant that people’s needs could be met from the day of the admission and their care plans developed for all areas they needed support with. 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 had enough to eat and drink and if needed special diets were catered for. Health professionals were involved in people’s care to help ensure people could live a healthy life.

People said staff were always caring and respectful towards them and their visiting relatives. Staff knew people well and talked passionately about how they provided personalised support to them. People and where appropriate their relatives were involved in their care. People felt listened to and their wishes were respected.

Activities were organised in the home and people could choose what they wanted to do. People told us they had no restrictions in how they planned their time and they received personalised support at the time they wanted and needed. Care plans were developed with personalised information for people who lived in the home for longer. Care plans for people who moved in more recently were a work in progress,. Staff were completing these with personalised information as they got to know people over time.

Staff were supported by health professionals when providing care and support for people nearing the end of their life. People and their relatives told us they knew how to raise concerns with staff or management, and these were listened to, and actions taken where needed to improve.

The provider’s governance system was effective to drive improvement. Actions needed to improve the quality and safety of the care identified through audits were included in an overall home improvement action plan. The registered manager checked if these were completed in a timely way.

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

Rating at last inspection

This service was registered with us on 28 November 2019 and this is the first inspection. We carried out an inspection on 15 March 2021 at the service, however we only looked at IPC measures under the Safe key question without giving a rating.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We found the following examples of good practice:

Two purpose-built screened areas had been created on the ground floor to allow people and their family members to visit each other safely.

The home provided several social media platforms to help people stay in touch with their friends and families.

There was a robust visitor management procedure in place to ensure people were kept safe.

Comprehensive risk assessments had been completed for all staff to help mitigate the risk of COVID 19 infection.