Background to this inspection
Updated
21 April 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 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 Health and Social Care Act 2008.
As part of CQC's response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 1 April 2021 and was announced.
Updated
21 April 2021
We carried out an unannounced inspection of Hazeldene Care Home on 1 and 2 May 2018. The service is a ‘care 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 we looked at both during this inspection. The service is registered to provide accommodation and personal care for up to 60 people. Nursing care is not provided. Accommodation is provided over three units, with one unit specifically for people living with dementia. At the time of our inspection 45 people were living at the home.
At the last inspection on 22, 23 and 27 February 2017, we did not find any breaches of our regulations. However, we rated the service as Requires Improvement as we found that appropriate action had not always been taken when people experienced a fall and care documentation had not always updated when people’s needs or risks changed. At this inspection we found that improvements had been made and the provider was meeting all regulations reviewed.
The service had a registered manager in post who was responsible for the day to day running of the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they 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.
Most people who lived at the home and their relatives felt there were enough staff available to meet their needs. Following our inspection, the registered manager introduced changes to staffing arrangements at the home, to ensure that staff were available at all times to keep people safe and provide support when people needed it.
Records showed that staff had been recruited safely and the staff we spoke with were aware of how to safeguard adults at risk.
People told us the staff who supported them were kind and caring. They told us staff provided them with support when they needed it.
People told us staff respected their right to privacy and dignity and encouraged them to be as independent as they could be. We saw evidence of this during the inspection.
Staff received an effective induction and appropriate training. People who lived at the service and their relatives felt that staff were competent and had the knowledge and skills to meet their needs.
People received appropriate support with eating and drinking and their healthcare needs were met. Appropriate referrals were made to community healthcare professionals.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way; the policies and systems at the service supported this practice. Where people lacked the capacity to make decisions about their care, the service had taken appropriate action in line with the Mental Capacity Act 2005.
People told us that they received care that reflected their individual needs and preferences and we saw evidence of this. Staff told us they knew people well and gave examples of people’s routines and how people liked to be supported.
People were supported to take part in a variety of activities and events. They told us they were happy with the activities that were available at the home.
Staff communicated effectively with people. They supported people sensitively and did not rush them when providing care. People’s communication needs were identified and appropriate support was provided.
The registered manager regularly sought feedback from people living at the home about the support they received. We saw evidence that the feedback received was used to develop and improve the service.
People living at the service and staff were happy with how the service was being managed. They found the registered manager approachable and supportive.
A variety of audits of quality and safety were completed regularly by the registered manager and the regional manager. We found the audits completed were effective in ensuring that appropriate levels of quality and safety were maintained at the home.