Archived: Hazelwood Care Home

Updated 22 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector, an assistant inspector and expert by experience.

An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Hazelwood is a care home. People in care homes receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager who was in the process of registering with the Care Quality Commission. However, in the absence of their registration, the provider is 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:

We reviewed information we had received about the service since the last inspection, to support the planning of this inspection. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority, clinical commissioning group (CCG) and other professionals who work with the service. We also used the completed Provider Information Return (PIR). We assessed the information we require providers to send us at least once annually to provide some key information about the service, what the service does well and improvements they plan to make.

We used a range of different methods to help us understand people’s experiences. During the inspection we spoke with five people and two relatives to ask about their experience of the care provided. Some people were unable to tell us their experience of their life in the home, so we observed how the staff interacted with people in communal areas.

We spoke with four members of care staff, two senior staff, two members of the domestic team, the cook, the deputy manager and the registered manager. During the inspection we spoke with one visiting health care professional.

We reviewed a range of records. This included four people's care and medicine records. We also reviewed the process used for staff recruitment, various records in relation to training and supervision, records relating to the management of the home, and a number of policies and procedures developed and implemented by the provider.

Updated 22 June 2019

About the service:

Hazelwood is a care home that provides personal care for up to 30 people. The accommodation is on one level divided into four separate areas. Each unit contains bedrooms, bathing facilities, a communal lounge, with a dining area and kitchenette. At the time of the inspection there were 26 people using the service.

People’s experience of using this service:

Audits were not always in place to identify when areas required improvements or changes. The provider had several locations and the learning had not been shared across the services following

inspections or areas identified which impacted on the other locations.

People enjoyed living at the home and there was a relaxed, friendly atmosphere. There was an opportunity for people to share their views and these were listened to and implemented.

There were sufficient staff to support people’s needs and the levels enabled there to be flexibility in the support available. Medicine was managed safely and risk assessments in place to reduce any risk when moving or in day to day tasks. People were safe from the risk of harm and staff had received training in this area and others for their role.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Individual’s health care was monitored, and ongoing support was available to maintain people’s wellbeing.

There was a sociable atmosphere during meal times and this time was enhanced and embraced by new ideas. Areas of the home were suitable for people’s needs and they were able to personalise their own space. The was an accessible garden which people enjoyed.

The care plans were detailed and included aspects of people’s life and care needs. Activities and area of interest were promoted. People had established positive relationships with staff and this ensured peoples dignity was respected and maintained.

There was a complaints policy and any concerns had been addressed. The rating from the last inspection had been displayed and any notifications had been sent to as required by the provider.

Relationships had been established with partners. These included health and social care professionals and community services.

Rating at last inspection: Requires Improvement (published September 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection which was Requires Improvement. At this inspection we found the service had made some improvements and rated the service overall as Good, with the well led area requiring further improvements.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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